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Please list name NDC and metric quantities of each ingredient in box on left. January 20 2005 ARGUS-0120 HOW TO COMPLETE THIS FORM Complete the following PART ONE Subscriber Information Copy the Subscriber Member ID from the ID Card. Direct Reimbursement Claim PART ONE To be completed by you SUBSCRIBER ID PATIENT S NAME 0 3 0 0 0 0 0 0 / MALE SEX FEMALE RELATIONSHIP SUBSCRIBER NAME OTHER SPOUSE CHILD EXPLAIN RELATIONSHIP MAIL ADDRESS STREET CITY PATIENT S DATE OF BIRTH MM/DD/YY CUSTOMER ID I...
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What is argus 0120 form?
Argus 0120 form is a document used for reporting certain financial information to regulatory authorities.
Who is required to file argus 0120 form?
Certain financial institutions and businesses are required to file the argus 0120 form.
How to fill out argus 0120 form?
The argus 0120 form can be filled out by providing the requested financial information in the designated fields.
What is the purpose of argus 0120 form?
The purpose of the argus 0120 form is to gather financial data for regulatory and compliance purposes.
What information must be reported on argus 0120 form?
The specific information required to be reported on the argus 0120 form varies, but it typically includes financial statements and other relevant financial data.
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