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Modified based upon a professional medical/dental service provider's apportionment of treatment involving related injuries along with other unrelated health-related/dental circumstances/accidents.

Inform: Payment information and facts for this declare is forwarded to more than one other payer, but structure constraints permit only one of the secondary payers being identified With this remittance suggestions.

Warn: This actual-time assert adjudication response represents the member obligation to the company for services documented. The member will receive a proof of Gains electronically or inside the mail. Get hold of the insurance company if you will discover any inquiries.

At the time we receive the completed varieties, we gives you a decision in your attractiveness in just 60 calendar days.

It's been determined that One more payer compensated the solutions as Principal when they were not the key payer. Thus, we are refunding on the payer that compensated as Main on your own behalf.

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