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To aid in the research and resolution of your bill please attach a copy of the explanation of payment bill a copy of the filed claim and any other pertinent information. Submission may be received via fax to 405 254-2111 or to the following address Della Neal Reserve National Insurance Company PO Box 26620 Oklahoma City OK 73126-0620 Form FH-Rf 9/10. Date Submitted // Pages Attached FIRST HEALTH RESEARCH AND RESOLUTION FORM Billing Provider Name Last First MI Provider ID Number Name of...
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