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Administered by:DENTAL CLAIM FORM Claim No.___Group Health Insurance PROOF OF CLAIM MUST BE SUBMITTED WITHIN 90 DAYS OF FIRST DAY OF ACCIDENT OR ILLNESS.Please submit completed form via Email to Medical_KY@cgcoralisle.com
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COM or VIA fax stands for Certificate of Mailing or Verification in Affirmation fax. It is a method of sending important documents through fax to ensure proof of delivery.
Individuals or organizations who need to provide proof of sending or receiving documents may be required to file com or via fax.
To fill out COM or VIA fax, you need to include the necessary information such as sender's details, recipient's details, date and time of sending, and the documents being sent.
The purpose of COM or VIA fax is to have a record of the sending or receiving of important documents, providing proof of delivery.
The information reported on COM or VIA fax usually includes sender's details, recipient's details, date and time of sending, and the documents being sent.
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