| Document Information | ||
|---|---|---|
Get help downloading & printing files. |
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| Title | ||
| Description | Billing manual for providers that bill the department for miscellaneous services, including dental care, glasses, medical equipment, nursing home services, interpretation, and others. Contains instructions for completing the Statement for Miscellaneous Services (F245-072-000) bill form. | |
| Detail | ||
| Form number | F248-095-000 | |
| Availability | Online only. See document above to download. |
|
| Keywords | ||
| Languages | English | |
| Valid dates | All dates valid | |
| Contact information | ||
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