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PAGE 1 OF 2 CONTINUED ON PAGE 2 www. BlueChoiceSCMedicaid.com BlueChoice HealthPlan is an independent licensee of the Blue Cross and Blue Shield Association. BlueChoice HealthPlan has contracted with Amerigroup Partnership Plan LLC an independent company for services to support administration of Healthy Connections. Gov. WEBPBSC-0287-17 January 2017 SC Medicaid Fibracor PAB Fax Form 12. 15. 16. docx 9. PHYSICIAN SIGNATURE Prescriber or authorized signature Date treating physician can...
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What is fibracor?
Fibracor is a financial report used to disclose information related to financial assets and liabilities.
Who is required to file fibracor?
Any business or organization with financial assets and liabilities is required to file fibracor.
How to fill out fibracor?
Fibracor can be filled out electronically or on paper, following the instructions provided in the form.
What is the purpose of fibracor?
The purpose of fibracor is to provide transparency and accountability regarding an entity's financial position.
What information must be reported on fibracor?
Fibracor requires reporting of financial assets, liabilities, and any related financial transactions.
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