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UNDERPROVIDE PLANTSMAN TRANSFER REQUEST UNIVERSITY OF TENNESSEE 403(B) RETIREMENT PLAN Refer to Instructions. Please type or print clearly in dark ink. KEEP A COPY OF THIS REQUEST FOR YOUR RECORDS.INSTRUCTIONS
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How to fill out interprovider plan-to-plan transfer request

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How to fill out interprovider plan-to-plan transfer request

01
Contact your current health plan to request an Interprovider Plan-to-Plan Transfer Request form.
02
Fill out the form completely and accurately, providing all necessary information such as your personal details, current plan information, and the new plan information.
03
Submit the completed form to your current health plan either by mail or through their online portal.
04
Wait for confirmation from your current health plan that they have received the request and are processing it.
05
Once approved, your health information will be transferred to the new plan, and you will be notified of the transfer completion.

Who needs interprovider plan-to-plan transfer request?

01
Individuals who are currently enrolled in a health plan and wish to transfer to a new health plan while maintaining continuity of care and coverage.
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Interprovider plan-to-plan transfer request is a process to move member's health coverage from one insurance provider to another.
The insurance providers are required to file interprovider plan-to-plan transfer request.
To fill out the interprovider plan-to-plan transfer request, insurance providers need to submit the necessary information regarding the member and the transfer.
The purpose of interprovider plan-to-plan transfer request is to ensure a smooth transition of health coverage for the member from one insurance provider to another.
The interprovider plan-to-plan transfer request must include details about the member, the current insurance provider, the new insurance provider, and the effective date of the transfer.
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