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Electronic Check Recovery INSTRUCTIONS: PLEASE COMPLETE ENTIRE FORM AND FAX, EMAIL OR MAIL TO: FAX: (727) 499-7003 EMAIL: SUPPORT RESUBMITIT.COM MAIL: R E $ SUBMIT T P PROCESSING CENTER P O BOX 932
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MTSI - Direct Enrollment is a program that allows individuals to enroll directly in a Managed Treatment Service Insurance plan without going through a healthcare exchange.
Individuals who are eligible for Managed Treatment Service Insurance and choose to enroll directly without using a healthcare exchange are required to file MTSI - Direct Enrollment.
To fill out MTSI - Direct Enrollment, individuals need to provide their personal and contact information, select a Managed Treatment Service Insurance plan, and provide any necessary supporting documentation.
The purpose of MTSI - Direct Enrollment is to provide individuals with a streamlined process to directly enroll in a Managed Treatment Service Insurance plan.
MTSI - Direct Enrollment requires individuals to report personal information such as their name, address, date of birth, social security number, and income information.
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