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FINANCIAL RESPONSIBILITY/ASSIGNMENT OF BENEFITS STUDENTS MUST PRESENT THEIR INSURANCE CARD AT TIME OF SERVICED ear Student, The Student Health Center is pleased to offer many services* at no cost

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What is financial responsibility assignment of benefits?

Financial responsibility assignment of benefits is a legal document signed by a patient that allows their health insurance benefits to be paid directly to a healthcare provider or facility.

Who is required to file financial responsibility assignment of benefits?

The patient is required to file financial responsibility assignment of benefits.

How to fill out financial responsibility assignment of benefits?

To fill out financial responsibility assignment of benefits, the patient must provide their personal information, insurance details, and sign the document to authorize the assignment of benefits to the healthcare provider.

What is the purpose of financial responsibility assignment of benefits?

The purpose of financial responsibility assignment of benefits is to ensure that healthcare providers receive payment directly from the patient's insurance company for the services provided.

What information must be reported on financial responsibility assignment of benefits?

The information reported on financial responsibility assignment of benefits includes patient's personal details, insurance information, and authorization for direct payment to the healthcare provider.

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