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Appeal Application Fax or Mail Appeals to: Become Advantage, Inc ATTN: Appeals Department 8310 Clinton Park Drive Fort Wayne, IN 46825 Fax: 260-482-8991 Toll Free: 866-222-0102 Participant Information
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How to fill out appeal application - benicomponline:
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Visit the benicomponline website and locate the appeal application form.
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Fill out all the necessary personal information, such as name, contact details, and identification number.
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Clearly state the reason for your appeal, providing all relevant details and supporting documentation.
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Submit the appeal application through the designated channel or method mentioned on the form.
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