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Za. This form must reach Momentum Health by no later than 21 November 2016. The requested changes will be effective from 1 January 2017. Member details Member number Employee number Title Initial/s Surname ID number Cellphone number Email Ingwe Option Hospital provider Chronic and Day-to-day provider Income State hospitals Ingwe Primary Care Network provider R11 001 Ingwe Network R8 201 - R11 000 Any hospital Ingwe Active Primary Care Network provider R6 101 - R8 200 R651 - R6 100 Provider s...
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