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Plan Administrator International Medical Group, Inc. P.O. Box 88509 2960 North Meridian Street Indianapolis, IN 46208-0509 USA For marketing questions, please call 1.866.368.3724 For all other inquiries,
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How to fill out contact information - health:
01
Start by providing your full name: Make sure to accurately spell your first name, middle name (if applicable), and last name. Avoid using nicknames or abbreviations.
02
Include your current address: Provide the complete and correct address where you currently reside. This includes the street name, house number or apartment number, city, state, and ZIP code. Double-check for any errors.
03
Provide a reachable phone number: Enter a phone number where you can easily be reached. Include the area code and make sure it is a number that you regularly use and can answer.
04
Add an email address: Include an email address that is active and regularly checked. This will enable health providers to send important documents or communicate with you electronically.
05
Specify your emergency contact: Provide the name and phone number of a person who should be contacted in case of an emergency. This could be a family member, close friend, or guardian who can make decisions on your behalf if needed.
Who needs contact information - health:
01
Patients: It is crucial for patients to provide accurate contact information to healthcare providers. This ensures effective communication, appointment scheduling, and sharing of important medical information.
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Healthcare providers: Having up-to-date contact information for patients is vital for healthcare providers. It enables them to reach out regarding test results, appointment reminders, or any changes in treatment plans.
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Insurance companies: Insurance companies require contact information to communicate with policyholders regarding coverage, claims, and other policy-related matters. Accurate contact information ensures a smooth claims process and timely notifications.
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Emergency responders: In case of emergencies, having contact information readily available allows emergency responders to quickly reach out to the designated emergency contact person and provide the necessary assistance.
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Researchers and public health organizations: Contact information may be required by researchers or public health organizations for conducting studies, surveys, or monitoring health trends within a population.
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What is contact information - health?
Contact information - health includes personal information such as name, address, phone number, and emergency contact details for an individual's health records.
Who is required to file contact information - health?
Contact information - health is typically required to be filed by healthcare providers, hospitals, clinics, and other healthcare facilities.
How to fill out contact information - health?
Contact information - health can be filled out using online forms provided by healthcare facilities, or by providing the necessary information to a healthcare provider in person.
What is the purpose of contact information - health?
The purpose of contact information - health is to ensure that healthcare providers have up-to-date contact details for individuals in case of emergencies or for follow-up care.
What information must be reported on contact information - health?
Contact information - health typically includes the individual's full name, address, phone number, email address, emergency contact details, and any relevant medical information.
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