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New COBA Partner Additional Forms & Outreach

Provides downloadable forms and information geared towards current and new COBA trading partners.

The Test Sign Off Form has been moved to Downloads section of the the HIPAA 5010 COB Claims section page.

Downloads

Medigap Insurer Letter (PDF 51KB) [PDF, 50KB]

Page last Modified: 03/05/2012 4:08 PM
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Coordination of Benefits Agreement

New COBA Partner Additional Forms & Outreach

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