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 |
|---|---|
| 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 |
