English - 014-0918-84e - Remittance Advice Inquiry
Dataset description:
Form used by physicians to make inquiries regarding payment details on Remittance Advice
Source: Remittance Advice Inquiry
Additional Information
Last updated | June 9, 2023 |
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Created | December 11, 2021 |
Format | application/pdf |
Form Number | https://forms.mgcs.gov.on.ca/dataset/064b921a-519a-4741-a5f5-25a0fb796319/resource/9e31fdcf-23ea-414f-975b-33b12459a6b3/download/0918-84e.pdf |
Form File Identifier | 014-0918-84E |
Name | English - 014-0918-84e - Remittance Advice Inquiry |
Form File Status | Available |
Description | |
Language | English |
Functionality | Fill and Print |
Form File Content Type | Form |
Remark | |
Edition Date | 2023-06 |