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THORIZED REPRESENTATIVE, OR NEXT OF KIN MEMBER SERVICES: (417) 269-2900 OR (800) 205-7665 DATE CLAIM FOR MEDICAL BENEFITS MEMBER'S FORM ITEMS TO REMEMBER WHEN RECEIVING HEALTH CARE SERVICES Whenever you or your dependents, enrolled under this plan, receive care from a physician, hospital or care from another provider of healthcare services, identify yourself as a Cox HealthPlans member by presenting your identification card. In most situations the providers of service will file the claims f.

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