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20192020OPT Enrollment Form Merritt CollegeInternational Student Insurance Plan Complete the information below. Please print clearly and answer all questions, then mail to the address listed below
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ROME ORM (Report of Medical Expenses for Out-of-Network Referrals) is a document used to report medical expenses incurred for out-of-network referrals.
Healthcare providers and organizations that offer out-of-network services and need to report associated costs are required to file ROME ORM.
To fill out ROME ORM, gather the necessary patient and expense information, complete each section of the form accurately, and submit it to the relevant authority or insurance.
The purpose of ROME ORM is to ensure proper reporting and reimbursement of medical expenses incurred from out-of-network services.
The information that must be reported includes patient details, provider information, description and cost of services, and insurance details.
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