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Subscriber Cameron Q PUBLIC
Contract NumberKID123456789
Group Number
Rx BIN Number
Good Through Date05000
10/1/2008
004915
09/30/2009HEALTH DENTALPACLOW Forefront of paramedical providers file claims
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How to fill out rx bin number
How to fill out rx bin number
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To fill out the rx bin number, follow these steps:
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Start by locating the rx bin number on the prescription form or medication label.
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