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It is your responsibility to Personally confirm your orthodontic insurance benefits prior to treatment Provide Birmingham Orthodontics with a copy of your current insurance card s. I understand that I am responsible to pay for services rendered including reasonable attorney s fees and costs of collection in the event of default. DATE MEDICAL HISTORY PATIENT NAME Overall Medical Health Good DATE OF BIRTH // Fair Poor Are you under a Physician s care now If YES please explain Primary Physician...
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What is m i c h?
m i c h stands for Modified Individual Health Insurance Coverage.
Who is required to file m i c h?
Individuals who have modified individual health insurance coverage are required to file m i c h.
How to fill out m i c h?
m i c h can be filled out online through the designated healthcare marketplace website or by consulting with a tax professional.
What is the purpose of m i c h?
The purpose of m i c h is to report information about individual health insurance coverage for tax purposes.
What information must be reported on m i c h?
m i c h requires individuals to report details about their modified individual health insurance coverage, including coverage dates and any subsidies received.
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