English - 014-4747-84e - Application for IHP...
Dataset description:
IHPs requesting approval to submit their claims in MRI format
Source: Application for IHP Claims Submission and Remittance Advice in Machine Readable Input (MRI)
Additional Information
Last updated | December 11, 2021 |
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Created | December 11, 2021 |
Format | text/html |
Form Number | https://forms.mgcs.gov.on.ca/dataset/11d55510-b41b-4704-8ead-8bf1cfcc3637/resource/a2d12ee8-894b-4e45-87d5-118f3b60e5c7/download/txt_4747-84e.htm |
Form File Identifier | 4747-84 |
Name | English - 014-4747-84e - Application for IHP Claims Submission and Remittance Advice in Machine Readable Input (MRI) |
Form File Status | Available |
Description | |
Language | English |
Functionality | Fill and Print |
Form File Content Type | Form |
Remark | |
Edition Date | 2022-11 |