Loading
Get 8887712229
How it works
-
Open form follow the instructions
-
Easily sign the form with your finger
-
Send filled & signed form or save
How to fill out the 8887712229 online
This guide will provide you with clear, step-by-step instructions to effectively complete the 8887712229 form, also known as the Prenatal Reward Visits Log. Ensuring accurate information is essential to qualify for rewards in WellCare’s Prenatal Program.
Follow the steps to fill out the form accurately.
- Click the ‘Get Form’ button to obtain the form and open it for completion.
- Begin by entering your member name in the designated field at the top of the form.
- Indicate the type of stroller you plan to use by checking either 'Single', 'Twins', or 'Triplets'.
- Fill in your Member ID number and phone number where prompted.
- Provide your address, ensuring to include street number, apartment number (if applicable), city, state, and ZIP code.
- Enter your healthcare provider's name and their phone number within the specified fields.
- Record the date of your last menstrual period and the expected date of delivery.
- State the hospital where your baby is expected to be born and the baby’s anticipated date of birth.
- Complete the chart provided below with all prenatal visit dates and ensure each visit has a corresponding provider signature.
- After your postpartum visit, fill in the date of that visit and obtain the provider’s signature.
- Finally, ensure you fax this form to 1-877-647-7475 within 30 days after the postpartum visit to receive your reward.
Complete your forms online today to ensure you receive your rewards promptly.
Related links form
To determine if an IRS call is real, verify the caller's information and the reason for the call. The IRS typically communicates through written notices rather than phone calls. If you suspect a scam, hang up and consult official IRS channels. For any further doubts, you can connect with uslegalforms at 8887712229 for reliable support.
Industry-leading security and compliance
US Legal Forms protects your data by complying with industry-specific security standards.
-
In businnes since 199725+ years providing professional legal documents.
-
Accredited businessGuarantees that a business meets BBB accreditation standards in the US and Canada.
-
Secured by BraintreeValidated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.