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AMERIGROUP KANSAS GROUP INFORMATION AND RELEASE FORM PROVIDER IDENTIFICATION Legal Group Name(According to Line 1 of W9): Doing Business As (DBA) (Line 2 of W9): (if applicable) Administrator Contact:
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How to fill out Amerigroup Kansas group information:

01
Start by gathering all necessary documents and information. This may include the group's legal name, tax ID number, address, and contact information.
02
Access the Amerigroup Kansas website or the designated platform for filling out group information.
03
Locate the section or form specifically for group information.
04
Begin by entering the group's legal name. Make sure to write it exactly as it appears on official documents.
05
Enter the group's tax ID number accurately. Double-check for any errors.
06
Provide the group's address, including street name, city, state, and ZIP code.
07
If applicable, include any additional contact information such as phone number or email address.
08
Review all the entered information carefully for any mistakes or omissions.
09
Submit the completed form or information as directed by the platform.
10
Keep a record of the submission for future reference if needed.

Who needs Amerigroup Kansas group information:

01
Employers: Companies that wish to offer their employees health insurance coverage through Amerigroup Kansas may need to provide group information.
02
Insurance Brokers: Brokers who assist clients in selecting and managing health insurance plans may require Amerigroup Kansas group information to facilitate the enrollment process.
03
Health Insurance Administrators: Professionals responsible for managing health insurance plans provided by Amerigroup Kansas may need accurate group information to ensure seamless administration and communication with members.
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Amerigroup Kansas group information refers to the details and data that pertains to the Amerigroup healthcare plan within the state of Kansas.
Any entity or individual who is enrolled in or responsible for the Amerigroup Kansas group plan may be required to file the necessary information.
To fill out the Amerigroup Kansas group information, one must typically provide relevant details such as member demographics, claims data, and other specifics related to the healthcare coverage.
The purpose of the Amerigroup Kansas group information is to track and manage healthcare utilization, claims, costs, and member data for the benefit of the participants in the plan.
The information reported on the Amerigroup Kansas group information may include but is not limited to member details, claims history, medical services utilized, and other relevant data.
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