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Blue Shield of California Clinical Expertise Checklist Clinician Name: Licensure: License number: Employee Identification Number (EIN)**: Social Security Number**: MD Ph.D. MFT LCSW *For providers
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The AOSI form - blue is a specific form used for reporting certain financial information.
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The purpose of the AOSI form - blue is to collect and report financial data for regulatory and compliance purposes.
The AOSI form - blue requires detailed financial information such as income, expenses, assets, and liabilities to be reported.
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