AHCCCS NON-CONTRACTED AGREEMENTAhcccs Non-Contracted Agreement • April 10th, 2009
❖ I understand that Dr. Cynthia D. Booth is not a contracted provider for AHCCCS. AHCCCS will not be billed and I will pay at time of service.
AHCCCS NON-CONTRACTED AGREEMENTAhcccs Non-Contracted Agreement • April 10th, 2009
❖ I understand that Dr. Cynthia D. Booth is not a contracted provider for AHCCCS. AHCCCS will not be billed and I will pay at time of service.
AHCCCS NON-CONTRACTED AGREEMENTAhcccs Non-Contracted Agreement • April 10th, 2009
I understand that Dr. Cynthia D. Booth is not a contracted provider for AHCCCS. AHCCCS will not be billed and I will pay at time of service.
