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Medical Billing Form Questionnaire

Bids 
22
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CLOSED

  • Project ID:

    1459005

  • Project Type:

    Fixed

  • Budget:

    $30-$250 USD
    (Approx. $232-$1942 HKD)

Project Description:

I need some one to write a questionnaire page for my current website, www.3DimageNow.com.

Specifically, the user must answer questions pertaining to a form that is currently online, see here http://3dimagenow.com/Healthinsform1500.pdf

After, the data from the questionnaire will populate this medical claim form for print status. Note, the form must be in color red, but the response in black.

Skills required:

.NET
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Project posted by:

ilyaben United States
5.0 (1 Reviews)
Last seen: Mar 09, 2012 2:10 PM HKT
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