English / French - 014-4747-84b - Application...
IHPs requesting approval to submit their claims in MRI format
Additional Information
| Last updated | December 11, 2021 |
|---|---|
| Created | December 11, 2021 |
| Format | application/pdf |
| Form Number | https://forms.mgcs.gov.on.ca/dataset/11d55510-b41b-4704-8ead-8bf1cfcc3637/resource/e2984757-5e11-4b9f-8451-49478f3f5d85/download/4747-84f.pdf |
| Form File Identifier | 4747-84 |
| Name | English / French - 014-4747-84b - Application for IHP Claims Submission and Remittance Advice in Machine Readable Input (MRI) |
| Form File Status | Available |
| Description | IHPs requesting approval to submit their claims in MRI format |
| Language | English / French |
| Functionality | Fill and Print |
| Form File Content Type | Form |
| Remark | |
| Edition Date | 2022-11 |