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Kent State University Health Services We Treat. We Teach. We Comfort. Furthermore, we Care. www.kent.edu/uhs (330)672-2322 Name: Date: Address: City: State: Zip: DOB: Phone: Banner ID: or SS# (Last
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Insurance information only refers to a type of filing where an individual or organization reports their insurance coverage without making a claim for benefits.
Any individual or organization that has insurance coverage but does not make a claim may be required to file insurance information only.
To fill out insurance information only, you typically need to provide details about your insurance coverage such as policy number, coverage amounts, and the dates of coverage.
The purpose of insurance information only is to report the existence and details of insurance coverage without making a claim. It allows monitoring and verification of insurance coverage.
The information that must be reported on insurance information only includes policy details such as policy number, coverage amounts, effective dates, and any other relevant information requested.
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