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Get Armada Care Ultimate Health Insurance Claim Form 2016-2024

Com. For detailed instructions on completing this form, click here or see page 3 & 4. Be sure to: • • • • Include supporting documentation, such as primary medical, dental or vision insurance Explanation of Benefits (EOB). Attach supporting documentation in the same order as you list the claims on this form. Be sure to limit claims to five (5) per form. Use a separate claim form for each claimant and each policy year. Fax completed claim form and documentation to: 1-866-431-6339, or mai.

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