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Patient Summary Form Medical Management Instructions Please complete the entire form after initial evaluation and e-mail to medical management healthez.com or fax to 952-896-1261. Attach additional
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Health EZ is a form used to report health coverage information to the IRS.
Health EZ must be filed by employers who provide health coverage to their employees.
Health EZ can be filled out either electronically or by mail with the required information about the health coverage provided.
The purpose of health ez is to report health coverage information to the IRS to ensure compliance with the Affordable Care Act.
Health EZ requires information such as the employer's information, employee's information, and details of the health coverage provided.
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