Loading
Get Fehb Sub-code - Opm
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 FEHB Sub-Code - Opm online
Completing the FEHB Sub-Code - Opm form online can seem challenging, but with a clear guide, you can confidently fill out the necessary information. This guide will walk you through each part of the form to ensure accuracy and completeness.
Follow the steps to fill out the FEHB Sub-Code - Opm online effectively.
- Press the ‘Get Form’ button to access the form and open it in your chosen editor.
- In the 'Plan Name' section, clearly indicate the name of the health plan you are addressing.
- Fill in the 'FEHB Sub-Code' field with the appropriate sub-code related to your health plan.
- Check all relevant boxes regarding the surveys to be conducted by the health plan. Ensure you select exactly those that apply.
- If applicable, write the name of the NCQA certified survey vendor conducting the survey in the designated field.
- Enter the survey vendor's contact information, including their name, address, email, and telephone number.
- Provide the health plan contact's details, including their name, address, email, and telephone number.
- If there is a different contact and address for invoices, fill out that section with the required information.
- Review all entered information for accuracy to prevent any issues with processing.
- Finalize your submission by downloading, saving, or sharing the completed form. You can then send it to Angela M. Calarco via email or fax as instructed.
Complete your FEHB Sub-Code - Opm form online today to ensure timely processing.
The FEP membership cards are identified by coverage codes 104, 105, and 106 for the Standard Option and 111, 112, and 113 for the Basic Option. FEP Blue Focus enrollment codes are 131, 132 and 133. Basic Option members must use preferred providers for all medical care (with some exceptions, such as emergency care).
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.