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COORDINATION OF BENEFIT COVERAGE QUESTIONNAIRE To fax completed form: 3166166151 To call for service: 8668276607 To mail completed form: LIFESTYLE HEALTH PLANS 345 N. RIVERVIEW STE 600 WICHITA, KS
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What is coordbenefitsoiformdoc?
coordbenefitsoiformdoc refers to the form used to report coordination of benefits for medical services.
Who is required to file coordbenefitsoiformdoc?
Insurance companies, healthcare providers, and individuals who have multiple insurance coverage are required to file coordbenefitsoiformdoc.
How to fill out coordbenefitsoiformdoc?
Coordbenefitsoiformdoc can be filled out online or on paper, by providing information about the primary and secondary insurance coverage for medical services.
What is the purpose of coordbenefitsoiformdoc?
The purpose of coordbenefitsoiformdoc is to determine the coordination of benefits between primary and secondary insurers to avoid duplication of payments.
What information must be reported on coordbenefitsoiformdoc?
Information such as policy numbers, coverage effective dates, and claim amounts must be reported on coordbenefitsoiformdoc.
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