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Federal forms, ICRs, and supporting documents

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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 Typeapplication/msword
File TitleSupporting Statement for the HCFA-1500 (Health Insurance Claim Form)
AuthorHCFA Software Control
Last Modified ByWILLIAM PARHAM
File Modified2017-03-29
File Created2017-03-29
Conversion Statepartial