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Please, Fax or Email Completed Form to: Fax: (855) 2079936 or Email: CASHDISBURSEMENTSEFT WELLPOINTCOM EFT Enrollment Form Incomplete or illegible enrollment packages will be returned unprocessed.
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Please fax or email is a method of submitting documents or information electronically, either through a fax machine or email.
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Individuals or organizations who are instructed to do so by the relevant authorities or entities may be required to file documents or information through fax or email.
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