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Signature All Optum trademarks and logos are owned by Optum Inc. All other brands or product names are trademarks or registered marks of their respective owners. I certify that the prescription s submitted are for the sole use of the named patient. I understand that fraudulent acts including false claims may be subject to civil or criminal penalties. I also authorize release of eligible information pertaining to this claim s to the plan administrator underwriter plan sponsor policyholder...
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Begin tag is a form used to report the beginning inventory of a specified asset or item.
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Certain businesses or entities that are required to report their inventory to regulatory authorities are required to file begin tag.
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