Rural Health Clinic Commercial Insurance-Primary / Medicaid-Secondary Encounters Submitted to Medicaid HMOs

Assigned Number	Title	Version Date	Publication Type	Other Location	Language
F-11025	Completion Instructions	April 1, 2009	PDF	None	English
F-11025	Rural Health Clinic Commercial Insurance-Primary / Medicaid-Secondary Encounters Submitted to Medicaid HMOs	April 1, 2009	Word	None	English
F-11025	Rural Health Clinic Commercial Insurance-Primary / Medicaid-Secondary Encounters Submitted to Medicaid HMOs	April 1, 2009	PDF	None	English

Last Revised: August 1, 2019