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Get Supplemental Health Claim Form Filing Instructions - Angus Mcrae

Authorization Claimant or Authorized Representative must sign and date Authorization to allow physician to release medical records to Kanawha Insurance Company, a Humana company. Page three Pre-existing Investigation Form If claim is being filed within the first year of the policy and is for an illness, complete this page with all physicians seen or medications taken in the past 12 months. If provider fax numbers are known, provide them in order to expedite this process.

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