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FORM 182 FULLY COMPLETED AND HIPAA 2118C AGLA 182 must be completed in full by the Must have specific details regarding type of cancer and the surgical procedure done. HIPAA 2118C FOR DISABILITY IF RECEIVED WITH CLAIM CAN EXPEDITE HANDLING IF ADDITIONAL INFORMATION IS NEEDED. DOCUMENTS WITHOUT POLICY NUMBERS WILL BE RETURNED TO THE CLAIMANT AS UNIDENTIFIABLE. CLAIM FORMS AND HIPAA FORMS ARE AVAILABLE ON THE WEBB AT WWW.AGLA. CHARGES ARE NECESSARY. AGLA 7 must be completed and signed by the...
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