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APPLICATION FOR GROUP COMPREHENSIVE HEALTH INSURANCE Employer InformationGroup Policyholder Legal Name of Group AddressCityStateZip Modelling Address (If Different)CityStateZip Preprimary Phone Number
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Montana and Mountain Health is a health program designed to improve access to healthcare services in rural and mountainous regions.
Healthcare providers operating in the designated regions are required to file Montana and Mountain Health.
Montana and Mountain Health can be filled out online through the official website or submitted via mail.
The purpose of Montana and Mountain Health is to ensure that residents in rural and mountainous areas have access to quality healthcare services.
Healthcare providers must report patient demographics, services provided, and billing information on Montana and Mountain Health.
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