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MEDICAL FEE DISPUTE RESOLUTION FINDINGS AND DECISION GENERAL INFORMATION Requestor Name AUSTIN CHIROPRACTIC ASSOCIATES, Respondent Name HARTFORD CASUALTY INSURANCE COMDR Tracking Number M419014601Carriers
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Gather all necessary personal information such as name, address, contact details, and insurance information.
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Austin Chiropractic Associates PA is a chiropractic practice located in Austin, Texas.
The owner or administrator of Austin Chiropractic Associates PA is required to file.
The form can be filled out online or printed and filled out by hand.
The purpose of filing Austin Chiropractic Associates PA is to report financial and operational information of the chiropractic practice.
Information such as revenue, expenses, staffing, services provided, and any changes in ownership must be reported.
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