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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item. In the meantime, here are some reviews from our past customers sharing
their overall shopping experience.
4.73
Out of 5.0
5 Star
(26,345)
4 Star
(5,396)
3 Star
(1,517)
2 Star
(104)
1 Star
(103)
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)
Mar 08, 2025
Leslie Terrell
Good
Mar 08, 2025
Norm Ferris
Easy website
Mar 08, 2025
Kathleen M Kuper
My order came just o ordered . Perfect
Thank you
Mar 08, 2025
Tom
I took me 4 attempts to place my order, I kept getting a reCapCHA error. It took me 40 minutes and 2 laptops to place an order that should have taken less than 10 minutes. Finally, I selected the address that was not suggested, and the order went through. This is a "buggy" website.