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*95241201120100100* ANNUAL STATEMENT FOR THE YEAR ENDING DECEMBER 31, 2011, OF THE CONDITION AND AFFAIRS OF THE Coventry Health Care of Iowa, Inc. NAIL Group Code11371137,(Current Period)95241NAIC
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Obtain the 96377 Coventry Health Care form.
02
Fill out your personal information such as name, address, and contact details.
03
Provide your insurance information including policy number and group number.
04
Include the date of service and the provider's information.
05
Describe the medical service or treatment received.
06
Sign and date the form before submitting it to Coventry Health Care.

Who needs 96377 coventry health care?

01
Individuals who have received medical services covered by Coventry Health Care and need to submit a claim for reimbursement.
02
Health care providers who have rendered services to patients covered by Coventry Health Care and need to submit a claim for payment.
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96377 Coventry Health Care is a specific medical billing code used for reporting intravenous infusion therapy services.
Health care providers who perform intravenous infusion services must use the 96377 code to bill for these services.
The 96377 code should be filled out on the medical claim form following the specific instructions provided by Coventry Health Care.
The purpose of 96377 Coventry Health Care is to accurately report and bill for intravenous infusion therapy services provided to patients.
The information that must be reported on 96377 Coventry Health Care includes details about the intravenous infusion therapy services provided, the duration of the services, and any necessary documentation.
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