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Prescription Drug Reimbursement / Coordination of Benefits Claim Form An incomplete form may delay your reimbursement. See the back for instructions and complete all information. Cardholder Information
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How to fill out member name first:

01
Start by locating the designated field for the member name on the form or document you are filling out.
02
Write the member's first name in the appropriate space provided.
03
Follow it by writing the member's last name in the designated space next to the first name.
04
Double-check for any spelling or typographical errors before moving on.

Who needs member name first:

01
Organizations or companies that require accurate identification of their members.
02
Membership-based clubs, associations, or societies that need to keep records of their members.
03
Service providers or businesses that require personalized communication or individual identification.
Note: The need for member name first may vary depending on the specific context or purpose of the form or document being filled out.
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Member name first refers to the primary member or the individual whose name appears first on the list.
The person or organization responsible for creating the list or database with the member names is required to file the member name first.
To fill out member name first, simply enter the name of the primary member at the top of the list or database.
The purpose of member name first is to identify the primary member or individual within a group or organization.
The member name first typically requires only the name of the primary member to be reported.
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