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For non-applicable line items please leave blank. Report 2 -- Submission Certification by MCO CEO Please provide certification by the MCO s CEO or CFO that the figures in this reporting template are accurate and representative of MCO experience for the given time period. If line items are not able to be filled out at cohort level please fill in Totals section where applicable. Reinsurance Premiums Less Recoveries Reinsurance premiums should be based on date of payment. Reinsurance recoveries...
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What is 2017000265 appendix t medical?
Appendix T of form 2017000265 is used for reporting medical expenses.
Who is required to file 2017000265 appendix t medical?
Individuals who have incurred medical expenses during the reporting period are required to file 2017000265 appendix t medical.
How to fill out 2017000265 appendix t medical?
To fill out 2017000265 appendix t medical, you need to list all your medical expenses incurred during the reporting period as per the instructions provided on the form.
What is the purpose of 2017000265 appendix t medical?
The purpose of 2017000265 appendix t medical is to report and document medical expenses incurred by individuals during the reporting period.
What information must be reported on 2017000265 appendix t medical?
All medical expenses incurred by the individual during the reporting period must be reported on 2017000265 appendix t medical.
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