Statement for Crime Victim Miscellaneous Services

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Title Statement for Crime Victim Miscellaneous Services

Used by the provider or supplier for reimbursement of the following services - dental, glasses, home health, nursing home serivces, medical equipment, prosthetics-orthotics, transportation, vocational, retraining and other.

Document number F800-076-000
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Keywords billing, bills, crime victims compensation, cvc, industrial insurance, nursing facility, physician, victim, worker's compensation, workers compensation, workers' compensation
Alt Language(s)
Valid dates 07/2013
Contact information Crime Victims Compensation Program
Websites Help for Crime Victims

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