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  • 2014 Small Group Application - Memorial Hermann Health Solutions

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EMPLOYEE APPLICATION Memorial Hermann Health Insurance Company ( MHHIC ) GROUP NUMBER (If existing MHHIC Group) Medical Coverage underwritten by Memorial Hermann Health Insurance Company INSTRUCTIONS.

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Memorial Hermann Health System is a non-profit, values-driven, community-owned health system dedicated to improving health.

TIRR Memorial Hermann once again ranks No. 2 among the country's top rehabilitation hospitals in the U.S. News & World Report's Best Hospital rankings for 2022-2023, which were released today.

Memorial Hermann Health System Our 6,700 affiliated physicians and 29,000 employees practice the highest standards of safe, evidence-based, quality care to provide a personalized and outcome-oriented experience across our more than 270 care delivery sites.

Memorial Hermann-Texas Medical Center is the primary, private teaching hospital for McGovern Medical School at The University of Texas Health Science Center at Houston (UTHealth). Together we are focused on advancing medicine through teaching, research and exceptional patient care.

Our Values Compassion: We understand our privileged role in people's lives and care for everyone with kindness and respect. Credibility: We conduct ourselves and our business responsibly and prioritize safety, quality and service when making decisions.

Availity or THIN Payor ID: MHHNP Emdeon or WebMD Payor ID: TH092 • Mail paper claims to: MHHP Claims Department P.O. Box 660303 Dallas, TX 75266-0303 • Paper claims must be submitted on the Standard CMS-1500 (02/12) or UB-04 claim form.

Houston Methodist Hospital is a not-for-profit, faith-based, 907-bed hospital located in the Texas Medical Center. For nearly 100 years, we've been providing highly specialized health care services to our community and the world through our hospital and our six Centers of Excellence.

Our Mission. Memorial Hermann is a non-profit, values-driven, community-owned health system dedicated to improving health.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232