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EP DETERMINATIONS QUALITY ASSURANCE BULLETIN FY 2000, No. 2 (Rev.) DATE: 7/18/2001 NOTE: This supersedes the revised version issued on 12/15/00. VERIFICATION OF PRIOR PLAN DOCUMENTS IN THE ABSENCE
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How to fill out verification of prior plan:

01
Start by obtaining a copy of the verification of prior plan form. This form is usually provided by your insurance company or healthcare provider.
02
Carefully read through the instructions on the form to understand the information that needs to be provided and any specific requirements.
03
Begin by filling out your personal information, including your full name, date of birth, and contact details.
04
Next, provide information about your prior healthcare plan. This may include the name of the insurance company, the policy number, and the dates of coverage.
05
If applicable, indicate any dependents covered under the prior plan and provide their relevant details.
06
In the section for verification, you may need to provide additional information or documentation to support your claims. This may include copies of insurance cards, Explanation of Benefits (EOBs), or other relevant documents.
07
Review the completed form for accuracy and make any necessary corrections or additions.
08
Sign and date the form to certify the information provided.
09
If required, submit the completed verification of prior plan form to your insurance company or healthcare provider as per their instructions.

Who needs verification of prior plan?

01
Individuals who are transitioning from one healthcare plan to another may need to provide verification of their prior plan.
02
This is often required by insurance companies or healthcare providers to ensure accurate billing and coverage information.
03
It may also be necessary for individuals who are changing jobs or experiencing life events that result in a change of healthcare coverage.
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Verification of prior plan is a process of confirming the existence and accuracy of a previous plan or document.
The individuals or entities who have a prior plan or document that needs to be verified are required to file verification of prior plan.
Verification of prior plan can be filled out by providing the necessary information requested on the form and ensuring accuracy and completeness.
The purpose of verification of prior plan is to ensure that the information in a previous plan or document is still valid and up to date.
The information that must be reported on verification of prior plan includes details about the previous plan or document, any changes or updates made, and any supporting documentation.
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