Page 17
COMAR 10.09.24.15
1516
State of Maryland Medical Assistance Manual Revised July 2012 Attachment A
The Insurance Reporting Form- DHMH 2583 (NO longer used- Use the TPL Screen in CARES)
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COMAR 10.09.24.15
1516
State of Maryland Medical Assistance Manual Revised July 2012 Attachment A
The Insurance Reporting Form- DHMH 2583 (NO longer used- Use the TPL Screen in CARES)