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Section V – Human Resources
Section V-(a) Human Resources - Division of Health Benefits
Appeals Filing Form

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Appeals Filing Form https://policies-dev.ncdhhs.gov/departmental/policies-manuals/section-v-human-resources/section-v-a-human-resources-division-of-health-benefits/appeals-filing-form https://policies-dev.ncdhhs.gov/logo.png

Appeals Filing Form

Agency/Division	Health Benefits/NC Medicaid (DHB)
Policy Effective Date	2019-04-10T10:28:00-04:00
Policy File	Appeals Filing Form.pdf

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NC Department of Health and Human Services
2001 Mail Service Center
Raleigh, NC 27699-2001
919-855-4800

Division of Budget and Analysis
2001 Mail Service Center
Raleigh, NC 27699-2001
919-855-4850