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Financial Responsibility Agreement Please read carefully Your medical insurance is a contract between you and your insurance company. We are NOT a party in this contract. We will bill your primary
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Medical insurance is a form of coverage that pays for medical and surgical expenses incurred by the insured.
Individuals who are eligible for medical insurance coverage through their employer or government programs.
You can fill out your medical insurance by providing accurate information about your medical history, current health status, and any pre-existing conditions.
The purpose of medical insurance is to help individuals and families cover the cost of medical care in case of illness or injury.
Information such as your personal details, medical history, insurance policy number, and any claims filed.
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