INVOICE FOR INDEPENDENT HEALTH CARE PROVIDERS

Invoice for Independent Health Care Providers Manuals & Documents

Total Invoice Charge: (Transportation for medically necessary, life- sustaining or safety functions in service to the Insured. The normal rate approved is the IRS medical rate ($0.19/mile). Please contact us for exceptions to this process.) (Total Charge + Mileage Amount) Invoice for …

  • File Name: bst-form-for-web.pdf
  • Published:
  • Source: www.genworth.com
  • File Type: pdf
  • File Size: 3,189 KB

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