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*FRE-01* NEW YORK STATE OFFICE OF VICTIM SERVICES MEDICAL PROVIDER FORENSIC RAPE EXAMINATION DIRECT REIMBURSEMENT CLAIM FORM INSTRUCTIONS:This form is to be used when a healthcare provider is directly billing the New Yo
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Document Date: 2013-12-31 08:58:05


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City

Albany / /

Facility

facility ID / /

IndustryTerm

insurance benefits / insurance information / pharmaceuticals / medical services / healthcare / health insurance / insurance program / /

Organization

Physicians Procedural New York State office of Victim Services Terminology / New York State office of Victim Services / NYS office of Victim Services / Child Advocacy Center / Medicare / /

/

Position

hospital administrator / private physician / billing department representative / /

ProvinceOrState

New York / /

URL

http /

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