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Medical Claim Form Send Medical Claims to: PAY, Attn: Claims, PO Box 6702, Columbia, SC 29260-6702 Attach itemized bills providing complete information on: Doctor s name and address Doctor s tax identification
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The HC medical claim form is a document used to claim reimbursement for medical expenses incurred by an individual.
Anyone who has incurred medical expenses and is seeking reimbursement from their insurance provider or employer is required to file the HC medical claim form.
To fill out the HC medical claim form, one must provide detailed information about the medical expenses incurred, including dates of service, types of services received, and costs incurred.
The purpose of the HC medical claim form is to request reimbursement for medical expenses incurred by an individual.
Information that must be reported on the HC medical claim form includes details about the medical services received, dates of service, costs incurred, and any relevant insurance information.
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