Customer Contact Center Food Stamp/Family Medicaid Phase II ...

Call Center FS & FM Phase II PG February 29, 2008
Initial Application
FSME for Tina Simmons
• Tina Simmons is not eligible for a medical expense deduction.
INTERVIEW FOOD STAMP MEDICAL EXPENSES - FSME FSME 03
Month 11 06 01
Client Name TINA SIMMONS Client ID 803002352
Del Freq Pro. Num Type Amt V Date TPL Prorated
Of Mths Incurred Amt Amount
Provider Name
Provider Name
Provider Name
Provider Name
Provider Name
Provider Name
Message
More Med Exp
15-lett
24-del
PG-24