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Send completed form to:Batch enrollment changehealthcare.com Fax: (615) 8853713RemittancePayerInformation CPI 3536PayerID Payer 12M05 GA MEDICARE (MAC JJ)Type InstitutionalEstDays Multics 15 NoSpecialEnrollmentInstructions
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12m05 ga refers to a specific tax form used by taxpayers to report certain income or financial transactions.
Individuals or entities who meet certain criteria set by the tax authorities are required to file 12m05 ga.
To fill out 12m05 ga, taxpayers need to provide accurate and complete information about their income or financial transactions as requested on the form.
The purpose of 12m05 ga is to ensure that taxpayers report their income or financial transactions accurately and pay the appropriate amount of tax.
Taxpayers must report specific details about their income or financial transactions, such as earnings, investments, or other sources of revenue.
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