Personal 1-866-274-5677, Civil Service Employees (CSE) If you have to have repairs done before an adjuster can see the damage make sure to take photos and save any material if possible. Allied is a national healthcare solutions company that supports healthy workplace cultures.As problem-solvers, innovators and collaborators, our team pairs innovative solutions and data analytics that inspire creative solutions. Representatives are available 8 a.m.-4:30 p.m. Monday-Friday to assist you. Grants Specialist 2 - Post Award - REMOTE. If you have forgotten your account number and you are an active employee, please resubmit your registration by visiting the Request New Account page. 63 0 obj <>/Filter/FlateDecode/ID[<95345966AA86B04287BA194B3F7FCB87>]/Index[16 78]/Info 15 0 R/Length 115/Prev 665305/Root 17 0 R/Size 94/Type/XRef/W[1 3 1]>>stream to verification of your patient's benefits, claim status or coverage information. endstream endobj 45 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream H*23754VH2P0P04304E\i@% endstream endobj 28 0 obj <>/Subtype/Form/Type/XObject>>stream Below you'll find contact information for our various departments. H*23754VH2P0P04304 repairs and do not dispose of any damaged items. EMC EMC ALLIED BENEFIT SYSTEMS, LLC is a California Limited-Liability Company - Out Of State filed on July 5, 2022. Get more options from Delta Dental's Small Business Program, The best choice in benefit administration. lh4Ksr L w 16 0 obj <> endobj Your Claim Adjuster will review the claim and contact you, if necessary, with any Big Health Benefits for Small Employers. Jun. $40,000 to $45,000 Yearly. Submit a Claim endstream endobj 56 0 obj <>/Subtype/Form/Type/XObject>>stream E\i\z 93 0 obj <>stream You can have confidence in high service level expected of a leading Third-Party Administrator (TPA). H1 rt|!dFF>QtP~`lh~pQuvJ*j&yHQ;B?/` \ Sort by: relevance - date. (1) Allegiance Benefit Plan Management is responsible for administering various aspects of this patient's plan, which may include claim processing, utilization management or eligibility verification. lh4Ksr |b@ endstream endobj 57 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream After an accident many people are shaken up and can be confused, it's alright, just try to stay as calm as you can and get all the information you can. Lafayette agency - Farm Bureau Insurance * Toledo advance office 101 Toledo charge Lafayette, Louisiana 70596 Phone: (337) 235-7531 Fax: (337) 234-4086. its unrivaled interest people should do is gawk into discounts. The Cigna LocalPlus Network plan delivers a cost effective solution designed to be flexible and help you control health care costs - without sacrificing the quality and convenience you want and expect. Claims/Customer Service Department: To reach the Tracing area on issues of loss of an item or an overage, e-mail claimstrace@alliedvan.com or call 1-800-470-2851, Option 2 prior to filing your claim. endstream endobj 42 0 obj <>/Subtype/Form/Type/XObject>>stream How to File a Claim. YES. Email: ahhinfo@ahhinc.com. 1 (800) 244-6224. H*2TH2P0P04304E\i\z ACS Benefit Services, Inc. 1.800.849.5370 HCP Login Affordable Benefit Administrators 1.800.350.0148 HCP Login Allegeant/LBA Healthplans, Inc. 1.800.815.8240 HCP Login Allegiance Benefit Plan Management, Inc.(1) Please refer to ID Card HCP Login Allied Benefit Systems, Inc. 1.800.288.2078 HCP Login Allied / IHC 1.888.499.3501 HCP Login See BBB rating, reviews, complaints, & more. Allied Benefit Systems, Inc. Click here to , https://www.alliednational.com/provider.html. Health (3 days ago) WebPhone Number. lh4Ksr |b@ Box 29189 1-888-368-4689 Glass 1-800-287-5078 Calling direct to the company saves time, prevents redundancy, and starts the process sooner. Claim Form - Vision. . Representatives are available from 8 a.m.-4:30 p.m. Monday-Friday to assist Funding Advantage Plan members with questions about their plans and status of their claims. endstream endobj 35 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream All Rights Reserved. Allied Benefit System is the worst third party insurance I have ever experienced. endstream endobj 55 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream endstream endobj startxref You may also request a precertification by calling the number on the member's ID card. Or Call 8006898684 to start your free quote! Try to keep all information in the latest update and will update as per receive any new information. Allied team members are problem-solvers, innovators and collaborators. Send claims to the payer. lh4Ksr L w endstream endobj 30 0 obj <>/Subtype/Form/Type/XObject>>stream (480)-634-5222 or (800) 301-4163.Allied Health Insurance Claims Address. Your appeal must be submitted in writing to the Plan Administrator within, Allied Administrative Services for Healthcare Providers, Provider Networks Allied Benefit Systems, Provider Request an Account Allied Benefit Systems, Allied Benefit Systems | Health Insurance Plans for Everyone, Provider Access and Services Allied National. If there is any discrepancy please let us know through the contact form. Disclaimer. endstream endobj 22 0 obj <>/Subtype/Form/Type/XObject>>stream %PDF-1.6 % Formulary Drug Removals. Learn more about Multi-Factor Authentication. For billing inquiries and questions on premium payments. To place an order, contact Integrated Home Care Services directly: Phone 1-844-215-4264. endstream endobj 44 0 obj <>/Subtype/Form/Type/XObject>>stream On the member's dental ID card, the claims address. endstream endobj 39 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream If you have questions, please call Allied Client Services to verify benefits. Login Register Benefits Consultants 187 0 obj <>stream Allied Administrators is a premier third-party administration firm providing benefits to the small group market across the United States. Allied Van Lines, Inc. MC 15735 U.S. Specialty Pharmacy Request Form. Senior Claims Specialist at Allied Benefit Systems Hammond, Indiana, United States. Send claims to the payer. Please complete the claim form that follows. The headquarter is located in Chicago, Illinois, United States. https://www.alliedbenefit.com/online/login.asp. Contact Us. Cigna. HAC|EJmv6` r,!!3'LEj`V\`lvq+GDJNLJL1B VyMW } endstream endobj 53 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream /Tx BMC For (7 days ago) WebAllied Insurance Group, Inc. 2231 East Pecos Road, Chandler, Arizona 85225, United States. LEARN MORE Take Control of Your Healthcare Please call our Customer Service Specialists between 8 a.m. and 4:30 p.m. (CST) Monday through Fridays at 800-650-6497. . lh4Ksr |b@ endstream endobj 32 0 obj <>/Subtype/Form/Type/XObject>>stream Even though my medical is Cigna through them, most of the places I go are unsure of how to claim this insurance. Commercial 1-800-327-3636 H*2TH2P0P04304E\i\z To register for a Provider website account, you must have a valid National Provider Identification (NPI) number on file with the . Submit a Claim. Full-time. you can contact the Employee Benefits Security Administration at 1-866-444-EBSA (3272). We're a small business, too, and we've been helping small groups for more than 50 years take control of their group health benefits. For assistance with filing a claim, claim status and other claims questions. endstream endobj 49 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream /Tx BMC The Registered Agent on file for this company is C T Corporation System and is located at 330 N Brand Blvd Ste # 700, Glendale, CA 91203. Since all damaged items are subject to inspection, please do not proceed with any So in these cases you should contact the office in Chandler or Tucson directly. Other website users will need to. Include the date to the template with the Date tool. A "comments" section endstream endobj 20 0 obj <>/Subtype/Form/Type/XObject>>stream endstream endobj startxref Estimated $38.6K - $48.8K a year. For Allstate Benefits use 75068. Reimbursementto providers is reference based on a multiple of Medicare reimbursement levels. lh3sr d To reach the Tracing area on issues of loss of an item or an overage, e-mail. 0BasJP Finance & Accounting Based on 52 salaries Billing Coordinator 8 salaries Claims Examiner 5 salaries View More Administrative Based on 17 salaries Eligibility Coordinator 6 salaries 877-828-8770 info@ppsonline.com Additional PayPlus Information; Click here to become a Cigna Provider All rights reserved | Email: [emailprotected], Department of behavioral health san bernardino county, Health wellness and environmental studies, Example horizontal integration in healthcare. (312) 906-8080. https://www.bbb.org/us/il/chicago/profile/insurance-claims-processing/allied-benefit-systems-inc-0654-27006038 Category: Health Show Health 0 Don't worry, we can still help! These companies do not accept phone calls or faxes from insureds. Allied Benefit Systems jobs in Remote. Glassdoor has salaries, wages, tips, bonuses, and hourly pay based upon employee reports and estimates. hbbd```b``3@$da Lz`Lfe5A$'d@$["=L6``CAR >9 b'rQg`@ `\ Verification of Benefits . Personal 1-800-243-5860 After an accident many people are shaken up and can be confused, it's alright, just try to stay as calm as you can and get all the information you can. Please read the Allied website disclaimer and user policy. /Tx BMC I had health insurance covered from Allied between January 1, 2022 and April 30, 2022. Groups. We look forward to talking with you! Allied has two payer IDs. lh4Ksr |b@ HAC|EJmv6` r,!!3'LEj`V\`lvq+GDJNLJL1B VyMW } Chicago, IL 60606-5215. This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply. Real Time Claim Status (RTS): NO. Some office visits, urgent care, and preventive care services does not apply in this plan. Extended Plan Deadlines New guidance from the Federal Government as to extended deadlines for 1) COBRA, 2) special enrollment, and 3) healthcare claim filings/appeals. cB1n~2 0=A]V K>^~oFI!|@``[6#x\m[TkX,Ka?S*D03pZ20t}rgd0 ?* Quality Companies, Competitive Pricing, Great Service! Allied Log in here if your benefits and plans are administered by Allied Benefit Systems, Inc. With Allied, active members have access to administrative tools including: Timely and accurate claims status Benefit Information Print your ID cards Links to provider networks Deductible and out-of-pocket status Update your contact information myMeritain Have your Name, Contact information, and your Tax ID available. Many of them are 24/7 so they can be reached at any time. Posted: over a month ago. HAC|EJmv6` r,!!3'LEj`V\`lvq+GDJNLJL1B VyMW } endstream endobj 24 0 obj <>/Subtype/Form/Type/XObject>>stream endstream endobj 58 0 obj <>stream lh4Ksr L w Claim Form - Dental. E\i@ If you sustain a loss at home make sure you contain the damage as much as possible! Personal 1-800-828-6848, Met-Life Insurance If you have questions, please call Allied Client Servicesto verify benefits. %%EOF If your state is not listed, please use the ERISA form below to file your appeal. CLIENT SERVICE REPRESENTATIVE. In this regard, How do I file an appeal? View coverage and benefits information. Please provide description Special Notes and/or . If you sustain a loss at home make sure you contain the damage as much as possible! Would you like to be part of a growing national healthcare solutions company? Claim Submission Cover Sheet. Youll find the payer ID (for electronic claims) and address (for paper claims) on the members ID card. 1.800.426.9786. HAC|EJmv6` r,!!3'LEj`V\`lvq+GDJNLJL1B VyMW } Bronze Plan. Call toll free: For TTY service for hearing impaired callers, call 711 for Telecommunications Relay Service , Health (7 days ago) WebProvider Services / Claims ( 877 ) 853 - 8019 ( 855 ) 297 - 4247 Enrollment ( 855 ) 593 - 5757 Care Management ( 888 ) 995 - 1689 7(32) 421 - 4317 Mailing Address for , https://cdn.cloverhealth.com/filer_public/42/81/4281d73a-da6b-4a65-a435-66018e627e04/clover-provider-manual-phone-directory.pdf, Health (Just Now) WebContact admin 2021-06-23T15:23:04-07:00. Personal 1-800-274-4499 MyBenefits, our 24/7 customer service portal, allows you to: File claims. AC|EJmv6` Gyd2C|"0PTv~`D?+6 sV1- ;r8X#u%'&K%owz_U^_8x}` A, Thank you for allowing Allied Van Lines to service your recent relocation. You should have your policy number, a phone number where you can be reached and contact numbers for any other parties involved. Electronic Remittance Advice (835) [ERA]: YES . Copyright 2009-2022, Allied Van Lines, Inc. All Rights Reserved.Site Map | Privacy Policy. Allied is a national healthcare solutions company that provides innovative and customized benefit plans for small to large organizations. allied benefits provider portal access in 3 steps, allied benefits provider phone number, allied benefits claims address, www.alliedbenefit.com provider, allied benefit systems provider phone number for claims, allied benefits login, allied benefits provider search, allied health insurance phone number, www.alliedbenefit.com eligibility, https://www.alliedbenefit.com/Access/Login. Remote in Chicago, IL 60612. . Claims mailing address of PO Box 12009, Cheshire, CT Allied Benefit Systems 37308 Yes No Allied Metal Crafts Security Plan Trust Fund 91136 Yes No Please enter group # F18 when submitting claims. 16% of Allied Benefit Systems employees are Hispanic or Latino. H*23754VH2P0P04304E\i@% Allied Benefit Systems, Inc. 200 W. Adams St., Suite 500 Chicago, IL 60606-5215 Can I request copies of information relevant to . Chicago, IL 60606, 800 288 2078 %PDF-1.6 % Search Allied Benefit Systems, Inc. PayerID 37308 and find the complete info about Allied Benefit Systems, Inc. Insurance Type, LOB, ENR, RTE, RTS, ERA, SEC, Customer Service Number and more . Medical claims can be sent to: Insurance Benefit Administrators, c/o Zelis, Box 247, Alpharetta, GA, 30009-0247; EDI Payor ID: 07689 You will be contacted by Insurance Benefit Administrators regarding final pricing for the claims submitted in the weeks following submission. Please refer to the Member ID card for the , Health (4 days ago) WebAllied National Client Services 866-323-2985 If you are unable to find what you're looking for, please call Client Services and we will be happy to get you the information you need. %%EOF information relating to the claim. Copyright 2019 Allied Insurance Group, Inc. - All Rights Reserved. Allied is a national healthcare solutions company that supports healthy workplace cultures. EMC Scottsdale,Occidental, Colony, Lloyds of London, Wilshire. H1 rt|!dFF>QtP~`lh~pQuvJ*j&yHQ;B?/` \ EMC Visit Website. Skip to content. Enter your account number and password to login. Department Contacts General Street Address Allied National 4551 W 107th St. #100 Overland Park, KS 66207-4037 Ph: 913-945-4100 Fax: 913-945-4390 General Mailing Address Allied National P.O. Auditing experience is preferred, but not required. I have submitted claims for coverage via both certified mail and fax between August 2022 , https://www.bbb.org/us/il/chicago/profile/insurance-claims-processing/allied-benefit-systems-inc-0654-27006038, Health (3 days ago) WebSafeco. 2022 Allied National, LLC. I have submitted claims for coverage via both certified mail and fax between August 2022 and December 2022. endstream endobj 37 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream please , Health (Just Now) WebUB-04 claims: UB-04 should be submitted with the appropriate resubmission code in the third digit of the bill type (for corrected claim this will be 7), the original claim number in , https://www.horizonnjhealth.com/securecms-documents/458/How_To_File_A_Corrected_Claim_Flier_2016.pdf, Health (7 days ago) WebA claim for benefits is made when a claimant (or authorized representative) submits written Notice and Proof of Loss as required in the SPD to: Allied National, LLC, Attn: Claims , Health (8 days ago) WebAll behavioral health claims should be submitted : Health Benefits Program only) New address for claims submitted via paper (effective July 1, 2014): Horizon BCBSNJ: , https://www.beaconhealthoptions.com/wp-content/uploads/2016/11/Horizon-Quick-Reference-Guide-Participating-Providers_June-2017-updated.pdf, Health (1 days ago) [emailprotected] Head office Allied Healthcare HQ Cavendish House Lakhpur Court Staffordshire Technology Park, Stafford ST18 0FX Weve been delivering , https://www.alliedhealthcare.com/contact/, Health (3 days ago) WebLooking for information on your current Cigna Medicare Advantage Plan? ESSENTIAL FUNCTIONS: Act as the liaison between the client/broker and Allied Executives and Departments as it relates to Allied Advocate claims. Group Name Group Number; ABSOLUTE AUTO BODY INC: L223354: Send Medical Claims to: Allied Benefit Systems PO Box 90978660690 Chicago, IL 60690 3129068359 Contact Allied at: 8002882078 MEDICAL CLAIM FORM EMPLOYER INFORMATION Northern Buckeye Health Plan A09103 EMPLOYEE INFORMATION Employee Name SSN / UID Birthdate Employee Address City Zip So in these cases you should contact the office in Chandler or Tucson directly. Payer Name: Assurant Health Self-Funded (Allied Benefit) Payer ID: 75068 Enrollment Required (ENR): No Type / Model: Government/Non-Par State: Professional (CMS1500)/Institutional (UB04) [Hospitals] Real Time Eligibility (RTE): NO Real Time Claim Status (RTS): NO Electronic Remittance Advice (835) [ERA]: NO Secondary Electronic Claims (SEC): YES endstream endobj 31 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream Fill every fillable field. endstream endobj 25 0 obj <>/Subtype/Form/Type/XObject>>stream https://cbs.alliedbenefit.com/providers/secure/inquiry.asp, Enter the required information below to view patient eligibility status or claim status. H~bJmb:aAS4X)3LEj}bBKW 8czZQ /]o;"}Bd=CO?a7Fo }H Contact Us. endstream endobj 36 0 obj <>/Subtype/Form/Type/XObject>>stream EMC 94177 Allied Administrators (San Francisco, CA) No 37308 Allied Benefit Systems (Chicago, IL) No 22155 Allied National (Eagan, MN) No 54398 Allina Health (Aetna) No 63240 Alternative Risk Management (ARM) Eagan, MN) No Cheap car insurance is just three steps away. The most common ethnicity at Allied Benefit Systems is White (63%). RBP is an economical approach that allows small- and mid-sized businesses to offer more competitive health benefits by better controlling costs. Claim Address- MHBP Medical Claims PO Box 8402 London, KY 40742 The timely filing limit of all the above insurance companies is updated from reliable resources of information. Allied is See more. Allied Benefit Systems describes its culture as devoted to knowledge and creativity, where team members collaborate in an environment that is flexible and innovative. H*23754VH2P0P04304E\i@% 0 your claim process. If a member uses a transplant facility in our Institutes , https://www.aetna.com/health-care-professionals/newsletters-news/office-link-updates-june-2021/news-for-you-june-2021/submitting-claims-for-aetna-signature-administrators-asa-plan.html, Health (6 days ago) WebGeneral Street Address Allied National 4551 W 107th St. #100 Overland Park, KS 66207-4037 Ph: 913-945-4100 Fax: 913-945-4390 General Mailing Address Allied National , https://www.alliednational.com/contact-us.html, Health (3 days ago) WebAllied Insurance 1100 Locust St. Des Moines, IA 50391 Official website: https://www.alliedinsurance.com/index.jsp Check on your claim status: You can log in to , https://www.myclaimsource.com/allied-insurance-claim/, Health (3 days ago) Webplease contact Allied Insurance Group Fax 520-918-2800 Tucson Fax 480-634-7010 Chandler Phone 520-918-2886 or 480-634-5222 Travelers Insurance Personal 1-800-252-4633 Commercial 1-800-832-7839 This , Health (8 days ago) WebContact Allstate Health Solutions with questions around your policy, claims or more. Fax 1-844-215-4265. Request Payer Contact Address to Send Claims by Post As problem-solvers, innovators and collaborators, our team pairs innovative solutions and data analytics that inspire creative solutions. Allied health insurance customer service, Health (9 days ago) WebSubmit your claims directly to Allied through the Emdeon-Change Healthcare clearinghouse and get paid faster. H*2TH2P0P04304E\i\z Allied Benefit Systems, LLC 2.7. Remote. Allied Benefit Systems, LLC Personal 1-800-332-3226. Check every area has been filled in correctly. Claims Department Auditor. endstream endobj 21 0 obj <>/Subtype/Form/Type/XObject>>stream Allied provides you with service and support via phone or online access through our provider self-service site. Principal. We collaborate with health care communities to create local, limited, networks of health care providers, specialists and hospitals that . Roadside Assistance 1-877-762-3101. Monday through Friday, 8 am to 5 pm EST. Commercial 1-800-832-7839. Healthcare Provider FastTrack - Eligibility & Claim Status Request Provider FastTrack Eligibility and Claims Status Inquiry You can use our secure web-based Provider FastTrack system for immediate access to member claims and eligibility status including: Access plan documentation Verify member eligibility status To file a claim on-line (U.S. domestic), click here. Glass 1-800-892-8484, American Strategic Insurance (ASI) endstream endobj 54 0 obj <>/Subtype/Form/Type/XObject>>stream All rights reserved | Email: [emailprotected], Department of behavioral health san bernardino county, Health wellness and environmental studies, Example horizontal integration in healthcare. The information you enter must match the information that appears , https://www.alliedbenefit.com/Access/ProviderValidateNPI, Provider Self-Registration. If you need assistance, have a question or concern, we are available. Sign , Health (1 days ago) WebQuick Reference Guide for Horizon Behavioral HealthSM Providers Claims Submission Process All behavioral health claims should be submitted electronically to Horizon, https://s21151.pcdn.co/wp-content/uploads/HBH_QRG_HBCBSNJ.pdf, Department of behavioral health san bernardino county, Health wellness and environmental studies, Health and nutrition coach certification, Example horizontal integration in healthcare, Dignity health careers job opportunities, 2021 health-improve.org. A claim will be treated as received by the Plan: (a) on the date it is hand delivered to . Stop Loss Reimbursement Specialist. Please contact PayPlus Solutions at the following information. lh4Ksr L w Are you looking to positively affect thousands of lives each day via health benefits? Other Covered Services: Chiropractic care. We know that one size doesnt fit all, and each client has unique circumstances and needs. Eligibility. To report problems with or comment on our website, please send an email to, Community Health Plan - Employer Resources, Prime-Fundamental Care - Employer Resources. /Tx BMC hb``e`` explanation for any items or issues referenced in your claim. Chattanooga, TN 37422-7223. endstream endobj 46 0 obj <>/Subtype/Form/Type/XObject>>stream Short , Health (4 days ago) WebSend the original, fully itemized bill to the claims address shown on the member's ID card. Many of them are 24/7 so they can be reached at any time. endstream endobj 38 0 obj <>/Subtype/Form/Type/XObject>>stream endstream endobj 23 0 obj <>/Subtype/Form/Type/XObject>>stream Below, please find related information to help you with your job search. Individual and family medical and dental insurance plans are insured by Cigna Health and Life Insurance Company (CHLIC), Cigna HealthCare of Arizona, Inc., Cigna HealthCare of Illinois, Inc., and Cigna HealthCare of North Carolina, Inc. Group health insurance and health benefit plans are insured or administered by CHLIC, Connecticut General Life Insurance Company (CGLIC), or their . It is a privately owned and national healthcare solutions company supporting healthy workplace cultures. Representatives are available 8 a.m.-4:30 , https://www.alliednational.com/provider.html, Health (4 days ago) WebSend claims to the correct payer. Get spell touch! Electronic Services Available (EDI) Professional/1500 Claims. If a member uses a transplant facility in our Institutes , https://www.aetna.com/health-care-professionals/newsletters-news/office-link-updates-june-2021/news-for-you-june-2021/submitting-claims-for-aetna-signature-administrators-asa-plan.html, Health (3 days ago) WebInformation on personal claims is located at https://www.alliedinsurance.com/personal-insurance-claims.jsp and information on businesses claims is located at , https://www.myclaimsource.com/allied-insurance-claim/, Health (Just Now) WebI had health insurance covered from Allied between January 1, 2022 and April 30, 2022. Receipt of your claim will be acknowledged and a Claim Adjustor will be assigned. /Tx BMC Our experience focusing on the small group market has provided valuable insight on what works best. endstream endobj 34 0 obj <>/Subtype/Form/Type/XObject>>stream Send the original, fully itemized bill to the claims address shown on the member's ID card. Remote (USA) Posted: February 23, 2023. H1 rt|!dFF>QtP~`lh~pQuvJ*j&yHQ;B?/` \ Documents Included: Medical Record New Claim(s) / Corrected Claim(s) Repricing / Repricing Sheet Coordination of Benefits Letter Itemized Bill Explanation of Benefits (EOB) Other.

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