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PATIENT INFORMATION Mr. Ms. Mrs. Dr. LAST NAMEFIRST NAME MALEPREFERS TO BE CALLED BIRTH DATE PLEASE CIRCLE ONE:MI FEMALESOCIAL SECURITY NUMBER (IN ORDER TO FILE CLAIMS IF INSURED)SINGLEADDRESSMARRIEDPARTNEREDCITYHOME

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Have a clear understanding of the data that needs to be exported.

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Who needs ehi export specification?

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Companies or individuals who are involved in exporting Electronic Health Information (EHI) need the EHI export specification.

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What is ehi export specification?

The ehi export specification is a document that provides detailed information about exported goods and is used for tracking purposes by customs authorities.

Who is required to file ehi export specification?

Exporters or their authorized representatives are required to file the ehi export specification.

How to fill out ehi export specification?

The ehi export specification can be filled out electronically through the customs portal or manually using the specified form.

What is the purpose of ehi export specification?

The purpose of the ehi export specification is to provide accurate and detailed information about exported goods for customs authorities.

What information must be reported on ehi export specification?

Information such as exporter details, consignee details, description of goods, quantity, value, country of origin, and destination must be reported on the ehi export specification.

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