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Get IA 470-4698 2016

E within the required reporting timeframes. Case Manager (CM) Service Programs Medicaid Member Reporting Party Provider/Facility Information Incident Status: Initial (pending further investigation) Completed (investigation completed) Additional information added Managed Care Organization: Amerigroup Iowa AmeriHealth Caritas Iowa UnitedHealthcare Community Plan ✔ Non-MCO Phone Number National Provider Identifier Provider or Agency Name Provider Address City State Reporter’s First Na.

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