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W E L (0 M EPA TI ENT IN FORMATIONDENTAL INSTEAD(Date Who is responsible for this account? SS/HIC/Patient 10 # Relationship to Patient Insurance Co. Address Group #City Is patient covered by additional
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What is w e l 0?
W E L 0 is a form used for reporting certain financial information to the government.
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The purpose of W E L 0 is to gather financial information for regulatory or tax compliance purposes.
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Information such as income, expenses, and other financial data must be reported on W E L 0.
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