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Get the free Use this form to report a birth from a mother who is an Anthem HealthKeepers Plus me...

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Newborn Notification of Delivery Form Fax to: 18009643627 or enter the Interactive Care Reviewer (ICR) portal. Use this form to report a birth from a mother who is an Anthem Healthineers Plus member.
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Use this form to report your annual income.
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Fill out all sections with accurate and up-to-date information.
The purpose is to report income to the tax authorities.
Income, deductions, credits, and any other relevant financial information.
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