Get the free Producer of Record Change for Medicare Advantage
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Premiere Blue Cross Medicare Advantage
Producer of Record Change
Please send this form to your FMO (if applicable);
fax to 4259185539 or email to maproduceradmin×premera.com
Requested Effective Month
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What is producer of record change?
Producer of record change is a process where the official producer listed on an insurance policy is updated.
Who is required to file producer of record change?
The party making the change on the insurance policy is required to file the producer of record change.
How to fill out producer of record change?
Producer of record change can typically be filled out by submitting a form provided by the insurance company with the necessary information.
What is the purpose of producer of record change?
The purpose of producer of record change is to update the official producer listed on an insurance policy.
What information must be reported on producer of record change?
The producer's name, contact information, license number, and any other relevant details must be reported on the producer of record change form.
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