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Intensive Behavioral Health Services (IHS) Individual/ABA Provider Choice Acknowledgment Form Date: ___ Members Name: ___ MAID#: ___ Member County: CumberlandDauphinFranklinFultonLancasterLebanonPerryIBHS
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Individuals or organizations who are required to register for the IBHS TAR program with Magellan of will need the p-forms-ibhs-tar-registration-cover-sheetpdf.
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This form is for registration cover sheet for IBHS (Insurance Bureau of Home Safety) Tariff Compliance.
Insurance companies are required to file the IBHS Tariff Registration Cover Sheet.
Fill out all required fields with accurate information and submit the form according to the instructions provided.
The purpose of the IBHS Tariff Registration Cover Sheet is to comply with insurance regulations and ensure accurate reporting.
Insurance company details, policy information, and compliance data must be reported on the IBHS Tariff Registration Cover Sheet.
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