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Blue Shield of Northeastern New York Vision Care Service Record (This form to be maintained by the providers' office) SECTION I PROVIDER/PATIENT SECTION Participant Name: Participant ID No.: Patient

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What is blue shield of norformastern?

Blue Shield of Norformastern is a health insurance provider in the region.

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All employees enrolled in the Blue Shield of Norformastern health insurance plan are required to file.

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The purpose of Blue Shield of Norformastern is to provide health insurance coverage and benefits to its members.

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