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ELECTRONIC FUND TRANSFER ENROLLMENT FORM ANCILLARY FACILITIES ONLY The Horizon Blue Cross Blue Shield of New Jersey (Horizon BCBS NJ) Electronic Funds Transfer (EFT) Enrollment Form is ONLY for Ancillary

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What is ancillary facilities only?

Ancillary facilities only refers to additional services or amenities provided at a location, such as parking, maintenance, or security services.

Who is required to file ancillary facilities only?

Certain businesses or property owners may be required to file ancillary facilities only if they have additional services or amenities provided at their location.

How to fill out ancillary facilities only?

You can fill out ancillary facilities only by providing detailed information about the additional services or amenities offered at your location.

What is the purpose of ancillary facilities only?

The purpose of ancillary facilities only is to ensure that businesses or property owners are properly disclosing any additional services or amenities provided at their location.

What information must be reported on ancillary facilities only?

Information that must be reported on ancillary facilities only includes a description of the additional services or amenities, the cost or pricing for these services, and any limitations or restrictions that may apply.

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