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Get Claim For Targeted Medical Care

Iowa Medicaid Enterprise Iowa Department of Human Services Claim For Targeted Medical Care 470-2486 Revised 12/11 Form Instructions The table below follows the revised Claim for Targeted Medical Care by field number field name/description whether or not that field is required and a brief description of the information that needs to be entered in that field and how it needs to be entered. Accuracy is important please type. If handwritten please pr.

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