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For Colorectal cancer, Head/neck and NS CLC Specialty Medication Review Program Please allow 3 business days for completion of this request Please complete and fax this form to: Specialty Review Unit
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Form Excellus Final 813 is a financial form used to report specific information to the IRS.
Insurance companies are required to file Form Excellus Final 813.
Form Excellus Final 813 can be filled out electronically or manually, following the instructions provided by the IRS.
The purpose of form Excellus Final 813 is to report information related to insurance premiums.
Form Excellus Final 813 requires reporting of insurance premiums received.
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