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Reset Form Print Form N.C. Department of Health and Human Services (NCD HHS) PRIOR CREDITABLE STATE SERVICE VERIFICATION FORM Instructions: This form is used to verify if you have prior creditable
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What is nc dhhs prior creditable?
The NC DHHS Prior Creditable is a form that needs to be filled out by health insurance providers in North Carolina to report any prior creditable coverage of an individual.
Who is required to file nc dhhs prior creditable?
Health insurance providers in North Carolina are required to file the NC DHHS Prior Creditable form.
How to fill out nc dhhs prior creditable?
The NC DHHS Prior Creditable form can be filled out online through the NC DHHS website or by submitting a physical copy of the form.
What is the purpose of nc dhhs prior creditable?
The purpose of the NC DHHS Prior Creditable form is to keep track of an individual's prior creditable coverage, which can affect their eligibility for certain health insurance plans.
What information must be reported on nc dhhs prior creditable?
The NC DHHS Prior Creditable form requires the reporting of information such as the individual's name, date of birth, prior health insurance coverage details, and any gaps in coverage.
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