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RELEASE OF INFORMATION Patients Name Male/Female / / Birth date Social Security Number GradeInformation Disclosed To: KTS Call Center/Reviewing Facilities/Funding Entities for Authorization Purposes
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Start by gathering all the necessary information that needs to be disclosed to KTS.
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03
Any party that wants to access KTS services or benefits and needs to complete the information disclosure process.
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Information disclosed to kts refers to confidential information that is shared with the Know Your Customer (kts) system for verification purposes.
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The purpose of information disclosed to kts is to prevent money laundering, terrorist financing, and other illicit activities by verifying the identities of customers.
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