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Get Claim Submission / Withdrawal Request Form

Claim Submission / Withdrawal Request Form MAIL CLAIM FORM TO: Health Care Account Service Center PO Box 981506 El Paso, TX 79998-1506 Fax: 915-231-1709 Toll Free Fax: 866-262-6354 Customer Service.

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Experience all the benefits of submitting and completing legal documents on the internet. With our solution filling out Claim Submission / Withdrawal Request Form usually takes a couple of minutes. We make that possible by giving you access to our feature-rich editor capable of transforming/fixing a document?s original textual content, adding unique boxes, and e-signing.

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