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MELANESIA LLC Publisher of Health Information Privacy/Security Alert *** Drug & Biologic Guidance Watch 8315 Riverside Rd. Alexandria, VA 22308 Tel: (703) 7045665 www.melamedia.com Sharing Student
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If required, provide additional details such as your social security number or patient identification number.
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Who needs e-hipa1107:
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What is e-hipa1107?
e-hipa1107 is a form used to report information on health insurance coverage.
Who is required to file e-hipa1107?
Employers who provide self-insured health coverage are required to file e-hipa1107.
How to fill out e-hipa1107?
e-hipa1107 can be filled out electronically using the IRS's online system or by paper form.
What is the purpose of e-hipa1107?
The purpose of e-hipa1107 is to provide information on health insurance coverage to the IRS.
What information must be reported on e-hipa1107?
e-hipa1107 must include information on the individuals covered under the health plan and the coverage provided.
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