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Your Billing Responsibilities Centers for Medicare & Medicaid  Form

Your Billing Responsibilities Centers for Medicare & Medicaid Form

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Strategic Priorities Branch PO Box 9649 STN PROV GOVT Victoria BC V8W 9P4 Date YYYY / MM / DD Fax 250 952-3268 The personal information you provide on this form is collected by the Ministry of Health for the purposes of extra billing investigation. Personal information is collected by the Ministry of Health under section 26 c and e of the Freedom of Information and Protection of Privacy Act for the purposes of MSP extra billing investigations. BENEFICIARY SUBMISSION FOR EXTRA BILLING...
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