w588aa form
UPDATED / FINAL LIEN REQUEST FAX FORM
12 Apr 2021 Please fax all updated or final lien requests to the number shown above. Date: I. Plaintiff Name: SSN: Date of Birth: Settlement Amount:.
Learn more
Medicare Claims, Medicaid Liens,
COB Contractor will require the beneficiarys name, Medicare or Social Security number, date of the incident, nature of the injury, and name and address of
Learn more
TITLE OF EACH CLASS NAME OF
primarily Medicaid waiver programs. Forty-one states currently have such programs, which allow Medicaid recipients to use benefits for alternatives to.
Learn more