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Electronic Funds Transfer (EFT / ACH), Electronic Remittance Advice (ERA) Notification Request and Pended Claims Summary Notification form fields are required and must be complete. Please type all

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What is health care payment and?

Health care payment is a mandatory fee imposed on certain individuals under the Affordable Care Act to help fund health care programs.

Who is required to file health care payment and?

Individuals who do not have qualifying health coverage and do not qualify for an exemption are required to file health care payment.

How to fill out health care payment and?

Health care payment can be filled out on the individual's tax return using the appropriate form provided by the IRS.

What is the purpose of health care payment and?

The purpose of health care payment is to encourage individuals to obtain health insurance coverage and help fund health care programs.

What information must be reported on health care payment and?

Information such as the individual's income, household size, and health coverage status must be reported on health care payment.

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