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Combined Evidence of Coverage and Disclosure Form
County of San Bernardino
Group Number: SH5001
Effective Date: January 1, 2016An Independent Member of the Blue Shield AssociationShield Signature
High
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What is group number sh5001?
Group number sh5001 is a unique identifier assigned to a specific group within a larger organization.
Who is required to file group number sh5001?
The group administrator or designated representative is responsible for filing group number sh5001.
How to fill out group number sh5001?
To fill out group number sh5001, the group administrator must provide relevant information about the group's activities, members, and objectives.
What is the purpose of group number sh5001?
The purpose of group number sh5001 is to track and manage the activities of a specific group within the organization.
What information must be reported on group number sh5001?
The group number sh5001 must include details such as the group's name, members, contact information, and purpose.
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