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SELF INSURED SERVICES CO. CLAIMANT ID FORM Complete all sections and attach a bill from your Health Care Provider. Note: The bill must include charges, date of service, diagnosis, procedure code(s)
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Self insured services co is a company or organization that takes on the financial risk of providing healthcare benefits to its employees, rather than paying a third party insurance company to do so.
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Employers who choose to self insure their employee healthcare benefits are required to file self insured services co.
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You can fill out self insured services co by providing all necessary information about your self insured healthcare plan, including the number of employees covered and the benefits offered.
What is the purpose of self insured services co?
The purpose of self insured services co is to provide a way for employers to offer healthcare benefits to their employees without paying premiums to an insurance company.
What information must be reported on self insured services co?
Information such as the number of employees covered, the types of benefits offered, and any claims paid out under the self insured plan must be reported on self insured services co.
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