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Date Subscriber Name Address1 City State Zip Dear Subscriber In order to properly process claims for your benefits Scripps Health Plan asks members to complete a Coordination of Benefits COB form every year. Subscriber s Signature Date MM/DD/YYYY You may respond to this request by using one of these options Provide the information by phone by contacting Scripps Health Plan HMO Customer Service at 844 337-3700 or for the hearing and speech impaired TTY 1-888-515-4065 Send via facsimile to...
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Dear subscriber refers to a document or communication sent to a recipient, typically to convey important information or updates regarding a particular service or subscription.
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