Representation that No Medicare Conditional Payments Exist. You and your counsel (if any) further represent and warrant that you are aware of no Medicare conditional payments that have been made on your behalf.
Representation that No Medicare Conditional Payments Exist. You and your counsel (if any) further represent and warrant that you are aware of no Medicare conditional payments that have been made on your behalf. 0 Xxxxxxx Xxxxx, 0xx Xxxxx Xxxxxxxx, XX, 00000 Telephone: 000-000-0000 Website: xxx.XxxxxxxxxxXxxx.xxx