This Medicaid Claim Form is available in a 2-part carbonless snap-apart format. This form has been already approved by Medicare and Medicaid for insurance claims.
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4 Star
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1 Star
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Overall Rating
95%
of customers that buy from this merchant give them a 4 or 5-Star rating.
Medicaid Claim Form 2 Part
From:
$58.00
Weight
5 lbs
Dimensions
1 × 2 × 3 in
Quantity
250, 500, 1000
Paper Type
2 part (white-yellow)
Apr 12, 2025
Deandrea Hunter
Great quick service
Apr 12, 2025
United Baptist Church
The envelopes were exactly what we needed. Thank you
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