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CONFIDENTIAL PATIENT INFORMATION 2012 2015 Northwest Chiropractic Center, LLC 11821 NE 128TH Street Suite B Kirkland, WA 980347201 (425) 8142800 Dr. Lew Estabrook, Member Chiropractors & Massage Therapists
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Gather all the necessary information such as your personal details, insurance policy information, and any relevant medical reports.
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Insurance cash - northwest chiropractic is a form used to submit insurance claims for chiropractic services rendered by Northwest Chiropractic.
Patients or their authorized representatives are required to file insurancecash - northwest chiropractic to seek reimbursement for chiropractic services.
To fill out insurancecash - northwest chiropractic, patients need to provide personal information, details of the chiropractic services received, insurance policy information, and any other relevant details requested on the form.
The purpose of insurancecash - northwest chiropractic is to facilitate the reimbursement process for chiropractic services provided by Northwest Chiropractic.
Information such as patient demographics, dates of service, description of services provided, diagnosis codes, insurance policy details, and any other required information must be reported on insurancecash - northwest chiropractic.
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