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Provider Request for Member ReassignmentProvider Information
______PCP/Provider RequestingTelephone NumberMembers Information
______Members NameTelephone Number______HPSM ID Numerate of Birth (XX/XX/XXX)Reason
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What is error request for member?
An error request for member is a formal request submitted to correct or report discrepancies in member information or records.
Who is required to file error request for member?
Members or their representatives who identify errors in their information or records are required to file an error request for member.
How to fill out error request for member?
To fill out an error request for member, provide accurate member details, describe the error, and supply any supporting documentation required by the requesting entity.
What is the purpose of error request for member?
The purpose of an error request for member is to ensure that member records are accurate and up-to-date, facilitating proper communication and compliance.
What information must be reported on error request for member?
The error request must include member identification details, specifics of the error, and any relevant dates or supporting evidence.
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