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Gov. WEBPBSC-0339-17 February 2017 SC Medicaid LA SR PAB Fax Form 01. 22. 17. 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. MEDICATION 4. STRENGTH 5. DIRECTIONS 6. QUANTITY PER 30 DAYS Specify 7. Preferred agents are...
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To fill out LA (Lost and Found) form:
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La and sr refer to the annual tax forms for individuals and businesses, respectively.
All individuals and businesses earning income are required to file la and sr.
La and sr forms can be filled out online or by mail, following the instructions provided by the tax authorities.
The purpose of la and sr is to report income, deductions, and tax credits to calculate the correct amount of tax owed.
Income from all sources, deductions, tax credits, and any additional information required by the tax authorities.
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