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Campus Health Services Insurance Billing Information (Front and back copy of the insurance card is required and must be presented before or on the date of service)Patients Name NAU ID Number DOB Patients
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How to fill out campus health services insurance

How to fill out campus health services insurance
01
To fill out campus health services insurance, follow these steps:
02
Obtain the necessary insurance forms from the campus health services office or website.
03
Read the instructions carefully to understand the required information and documentation.
04
Provide your personal details, including name, contact information, and student identification number.
05
Fill in the dates of coverage you require and any additional coverage options.
06
If applicable, indicate whether you have existing health insurance coverage and provide details.
07
Attach any supporting documentation required, such as proof of enrollment or health insurance cards.
08
Review the completed form for accuracy and completeness.
09
Submit the form to the campus health services office or through the designated submission method.
10
Keep a copy of the completed form for your records.
11
Follow up with the campus health services office if any additional information or actions are required.
Who needs campus health services insurance?
01
Campus health services insurance is typically necessary for the following individuals:
02
- Students enrolled in campus-based academic programs
03
- International students studying at the campus
04
- Students participating in campus-affiliated activities or sports
05
- Students residing in campus housing
06
- Students without existing health insurance coverage
07
It is important to refer to the specific requirements and policies of your campus health services office to determine if you need the insurance.
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What is campus health services insurance?
Campus health services insurance typically provides coverage for medical services received on campus, such as visits to the health center, prescription medications, and other healthcare needs for students.
Who is required to file campus health services insurance?
Students enrolled in the university or college are usually required to have campus health services insurance.
How to fill out campus health services insurance?
To fill out campus health services insurance, students usually need to provide their personal information, insurance details, and any additional health information required by the university.
What is the purpose of campus health services insurance?
The purpose of campus health services insurance is to ensure that students have access to medical care and treatment while on campus, without incurring high out-of-pocket expenses.
What information must be reported on campus health services insurance?
Information required on campus health services insurance may include student's personal details, insurance policy number, emergency contact information, and any pertinent health history.
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