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Get Instructions For Completing The Statement Of Medical ... - RxHope

Sections to prevent delays 2 insurance information This section should include both primary and secondary insurance to ensure that ALL potential coverage can be explored Include all sources of insurance coverage, including Medicare and Medicaid if eligible Make copies of both sides of the insurance card and drug card (if available), large enough so that all the information is readable (especially ID number, contact phone number and address) 3 Prescriber Information Complet.

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