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201718EMPLOYEE BENEFITS GUIDE
for Support Staff E D ICA LD E N TA LV I SI ON IF ED ISA BIL TYRE TI R E M E Provider Contact Information
MEDICAL
Highmarkwww. HighmarkBlueShield.com8003453806www. UnitedConcordia.com8003320366www.plans.com8004324977www.
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Start by providing your personal information, such as name, date of birth, and contact details.
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Specify your medical history, including any current medications you are taking and any known allergies.
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Provide information about your primary care physician or any other healthcare professional overseeing your treatment.
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What is m e d ica?
M e d ica stands for Medical Information and Drug Coverage Authorization.
Who is required to file m e d ica?
Any individual or entity that needs to disclose medical information or authorize drug coverage is required to file m e d ica.
How to fill out m e d ica?
To fill out m e d ica, you need to provide accurate medical information and authorize drug coverage as needed.
What is the purpose of m e d ica?
The purpose of m e d ica is to ensure that accurate medical information is disclosed and proper authorization for drug coverage is obtained.
What information must be reported on m e d ica?
The information reported on m e d ica includes detailed medical history, current medications, and any authorizations for drug coverage.
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