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AUTHORIZATION TO DISCLOSE PROTECTED HEALTH INFORMATION Michigan Department of Health and Human Services Directions: Type or Print all requested information, with exception to signatures on Page 2.
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What is dch 1183?
DCH 1183 is a form used to report certain information related to health care coverage.
Who is required to file dch 1183?
Health care providers and insurers are required to file DCH 1183.
How to fill out dch 1183?
DCH 1183 can be filled out online or submitted via mail with the required information.
What is the purpose of dch 1183?
The purpose of DCH 1183 is to gather data on health care coverage to help policymakers make informed decisions.
What information must be reported on dch 1183?
Information such as the type of health coverage provided, number of individuals covered, and total costs must be reported on DCH 1183.
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