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MEDICARE MARYLAND PART A (00901) ENROLLMENT INSTRUCTIONS WHICH FORM(S) SHOULD I DO? Electronic Data Interchange (EDI) EnrollmentWHERE SHOULD I SEND THE FORM(S)? Fax the form to (877) 4395479; ORM

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How to fill out how to enroll in

01

Obtain the enrollment form from the designated institution.

02

Read the instructions on the form carefully.

03

Provide the required personal information, such as name, address, and contact details.

04

Submit any necessary supporting documents, such as identification proof or educational certificates.

05

Pay the enrollment fee, if applicable.

06

Review the completed form for accuracy and make any necessary corrections.

07

Submit the filled-out form and supporting documents to the institution by the specified deadline.

08

Wait for confirmation of enrollment from the institution.

09

Follow any additional instructions provided by the institution, such as attending an orientation program or paying the tuition fees.

Who needs how to enroll in?

01

Anyone who wishes to enroll in a particular program or course offered by an institution needs to know how to fill out the enrollment form.

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