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Supporting Statement for the HCFA-1500 (Health Insurance Claim Form)
ICR 201803-0938-008 · OMB 0938-1197 · Object 81762601.
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Document Metadata
| File Type | application/msword |
|---|---|
| File Title | Supporting Statement for the HCFA-1500 (Health Insurance Claim Form) |
| Author | HCFA Software Control |
| Last Modified By | WILLIAM PARHAM |
| File Modified | 2017-03-29 |
| File Created | 2017-03-29 |
| Conversion State | partial |