Medicaid And Public Assistance Lien Search | Pdf Fpdf Docx | New York

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Medicaid And Public Assistance Lien Search | Pdf Fpdf Docx | New York

Last updated: 6/12/2024

Medicaid And Public Assistance Lien Search

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Description

MEDICAID AND PUBLIC ASSISTANCE LIEN SEARCH. This form is used to request a search for liens related to Medicaid and Public Assistance for a specific legal case. It collects details such as case caption, index number, courthouse, client's full name, date of birth, Social Security number, date of accident, location of accident, case type, injuries, settlement status, defendant information including insurer details, and contact information of the requesting attorney. www.FormsWorkflow.com

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