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ATTN: CLAIMS DEPT Impact Healthcare Systems, Inc. 10680 Green Street 5 floor TH San Diego, CA 92131 PRESCRIPTION DRUG CLAIM FORM In order to process your claim(s), you must provide all information
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Cigna DMR form refers to the Discharge Monitoring Report form used by Cigna to report discharge data for water pollutants.
Any facility that has a National Pollutant Discharge Elimination System (NPDES) permit issued by Cigna is required to file the Cigna DMR form.
To fill out the Cigna DMR form, you need to provide information such as facility details, discharge information, monitoring results, and any other required data. The specific instructions for filling out the form can be found in the Cigna NPDES permit.
The purpose of the Cigna DMR form is to collect data on the discharge of pollutants into water bodies, as required by environmental regulations. This data helps in assessing and regulating water pollution to protect the environment and public health.
The Cigna DMR form requires the reporting of information such as facility identification details, discharge monitoring results, flow rates, pollutant concentrations, and any other specific information as required by the NPDES permit.
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