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CHANGE INFORMATION FORM FOR MEMBER/EMPLOYER Please complete this form and return to Acumen by one of the following methods: Mail: 4867 S Sheridan, Suite 711, Tulsa, OK 74145 Fax: (855) 2959075 Email:
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How to fill out ok cd-pass member change
How to fill out ok cd-pass member change
01
Login to your OK CD-Pass account.
02
Go to the member section.
03
Click on the 'change' option next to the member you want to update.
04
Fill out the necessary information for the member change.
05
Save the changes.
Who needs ok cd-pass member change?
01
Anyone who needs to update the details of a member in their OK CD-Pass account.
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What is ok cd-pass member change?
The ok cd-pass member change is a form used to update information about members of the OK CD-PASS program.
Who is required to file ok cd-pass member change?
The participant or their representative is required to file the ok cd-pass member change form.
How to fill out ok cd-pass member change?
To fill out the ok cd-pass member change form, the participant or their representative must provide updated information about the member.
What is the purpose of ok cd-pass member change?
The purpose of the ok cd-pass member change form is to ensure that accurate information is on file for members of the OK CD-PASS program.
What information must be reported on ok cd-pass member change?
The ok cd-pass member change form requires information such as the member's name, address, contact information, and any changes to their care plan.
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