The plan gives you a broad range of coverage with no waiting period, annual maximum or deductible. This website shows estimates of certain dental care costs. endstream endobj 349 0 obj <. For a complete description of the details of your coverage, please refer to your coverage documents. %PDF-1.7 % %%EOF Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. (This fee is non-refundable as allowed by state). WebKpic Delta Dental Fee Schedule 2014 below. Certification of Handicapped Child's Dependency Status (PDF, 1 page, 13kb) Copyright 2023 Delta Dental Plans Association. Third parties with access to Humanas contracted provider network: Some Humana networks may have additional participation criteria physicians and other healthcare providers must meet to be granted participation status. WebKpic Delta Dental Fee Schedule 2014 below. , PDF, Watch a video for helpful tips regarding member benefits and claims. Here are some examples. The Delta Dental announcement addresses a shift to regional standard Premier fee schedules (thereby eliminating Premier fee fillings), creating an aggregate increase for PPO general dentist fees, and reducing Premier reimbursement for most oral surgeons, endodontists and periodontists. With Delta Dental as the programs administrator, these two options are known as the Delta Dental PPOTM plan and the DeltaCare USA (DHMO) plan. For Arizona residents: Insured by Humana Insurance Company. Out-of-network dentists You can access your electronic remittance advices (ERAs) from the Humana.com dental provider portal by accessing the Dental Providers menu and selecting View Provider Payments under the Payments menu. hwTTwz0z.0. Such updated codes, descriptors and nomenclature may be used to describe these covered procedures in compliance with federal legislation. endstream endobj 87 0 obj <>stream You must go to a dentist that takes your plan. Refer to the EOC booklet for coverage details and plan limitations. Estimates should not be construed as financial or medical advice. 3. Create an account to view your coverage, get personalized out-of-pocket cost estimates, and more! Health information changes quickly. {[ WebSurvey of Dental Fees. For a low annual membership fee, individuals and families can receive discounted fees when they go to a participating dentist. WebRecognizing the pretension ways to get this books Delta Dental Of Ar Fee Schedule 2013 Pdf is additionally useful. The AMA does not directly or indirectly practice medicine or dispense medical services. hTP=O0+@PuCH--Ol~z%A7FY/l.8:Cu%IsC]snN|chL}n ' We pay 100% of an allowed amount - the amount our participating dentists agree to accept, which is less than what they charge their out-of-network patients. 0000020376 00000 n If there is any conflict or discrepancy between the Content on this website and your coverage documents, your coverage documents will control. WebDelta Dental of Colorado (Find another state) Help Center: Dentists Claims Does Delta Dental of Colorado accept electronic claims? tqX)I)B>== 9. We automatically pay the claim based on the !~V;]lf({n1pED^ q None of the information on this website represents or warrants that any particular drug or treatment is safe, appropriate or effective for you. Specialists and general dentists recorded the fees they charged most often for over 200 dental procedures. To start or update ERA and EFT, please sign in to the Availity.com portal. 0000010743 00000 n Delta Dental PPO Plus Premier Frequently Asked Questions. WebMHCP Fee Schedule (MHCP Fee Schedule (dental codes begin on page 55 of the PDF) Fraud, Waste, and Abuse: Combating Medicare Parts C and D Fraud, Waste and This cost estimator is intended for use in the 50 states, Puerto Rico and other U.S. territories. How often is the Delta Dental PPO fee schedule reviewed and updated? These companies are financially responsible for their own products. 0000008139 00000 n get the DIAGNOSTIC Can I go to any dentist I want with this plan? hb``e``ZAXX8W``H`ibH CGHcWpajkf Our Dental Care Cost Estimator tool provides estimated cost ranges for common dental care needs. endstream endobj 85 0 obj <>stream @C{+$aF^ADjCq)C-{ =Q[m9@q P{( (U"N Y y Oh5; d % )SPp/F w`` >E;!3J B H2H" TN+!u`),aKU@!Ds&'L@6$H d8H i#RMIvJ+rTe+E7,n)9"Aw H)4__DZW3tma,($TirN'}QZEaP_D 5@8 = t` Participating dentists agree to adhere to Delta Dental processing policies and are prohibited from billing a patient above the pre-negotiated fee, and agree to accept that fee as payment in full. This is just one of the solutions for you to be successful. Delta Dental Premier Plan . This communication provides a general description of certain identified insurance or non-insurance benefits provided under one or more of our health benefit plans. ) A?)){BYf)Q$ek:INTVTF!oE+6/$+~-,Wj44["$I"u>DN'$m! 0000022178 00000 n The Delta Dental PPO fee schedules are reviewed annually and updated accordingly. WebIf you need to share the delta dental fee schedule 2022 pdf with other people, it is possible to send the file by e-mail. Start quoting dental + vision plans for small business, Getting affordable dental coverage is easier than ever with aDeltaCare USA plan. Youll save the most when you see PPO dentists. Qf Ml@DEHb!(`HPb0dFJ|yygs{. This is just one of the solutions for you to be successful. Delta Dental of California, Delta Dental Insurance Company, Delta Dental of Pennsylvania and affiliates. The Centers for Medicare & Medicaid Services mandates that all Humana-contracted entities, including those contracted with Humana subsidiaries, complete compliance requirements each year. Virtual Consult WebProtect your smile and wallet with a DeltaCare USA plan from Delta Dental. My Contracted Fees 1. The AMA assumes no liability for data contained or not Accept Delta Dental of Oregon benefit payments for services provided. Find health-related articles, product discounts and wellness benefits, Connect remotely with your patients using Medical Assistance Program Dental Fee Schedule: provider : 20 : 20 ; ADJUNCTIVE GENERAL COVID-19 resources Click Here . Box 16354 Little Rock, AR 72231 Everyday forms Authorization for Release of Health and Payment Information (PDF, 2 pages, 21kb) This form authorizes Delta Dental of New Jersey to release protected health information. Check out Virtual Consult, Check out our new DeltaVision plans P.O. Find the one that's right for you. This website is the home of Delta Dental of California; Delta Dental Insurance Company; Delta Dental of Pennsylvania; Delta Dental of New York, Inc.; Delta Dental of the District of Columbia; Delta Dental of Delaware, Inc.; Delta Dental of West Virginia, Inc. and their affiliated companies. WebPlease note: This fee schedule applies to procedures performed by a General Dentists only. Get started here. HumanaDental digital member ID cards FAQs, PDF. FAQs About Participation with Delta Dental Patient Direct. WebDelta Dental Ohio - Fee schedule Delta Dental of Ohio Careers Find a Dentist Log In /Register I am a: Member Benefit Manager Producer Dentist Our Plans Tools and Use of this website in no way increases or decreases the benefits available under a dental benefit plan. As understood, achievement does not suggest that you have fabulous points. 4993 37 Click View contracted fee reports 2. Payment is based on the SPEEA fee schedule with Delta Dental. Individual applications are subject to eligibility requirements. You will then see Remittance Inquiry (Humana) under Additional Remittance Tools. How do I submit claims to Delta Dental? WebMedicaid has two dental plans. This functionality is no longer available on the Humana.com portal and has been fully migrated to Availity. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. In the event of any disagreement between this communication and the plan document, the plan document will control. Connect with your Delta Dental company to learn more. Patients covered by a Humana Dental commercial group plan have the convenience of a digital member ID card and may no longer need to present a physical member ID card. HumanaDental claims office Download Supporting Materials (Free for ADA members) 2022 Survey of Dental Fees. Payment is based on the SPEEA fee schedule with Delta Dental. 0000002580 00000 n These plans make it easy to receive Delta Dental coverage and protect your health. 0000001055 00000 n Go365 is not an insurance product. hWF+HYr :1U`vh$~#_EJC $!yo70EN3"&IHC" !#_BD,'>nN"~.O_EHiL Rates are subject to periodic change without prior notification. Previous Next. endstream endobj startxref The Content on this website is not medical advice. delta dental plan kaiser permanente web more than 25 000 aliated dental providers in california no deductible for preventive services up to 1 000 of services per year your dental plan is underwritten by kaiser permanente insurance company If you have purchased an association plan, an association fee may also apply. NAI-1502064614v2 1 Introduction We are pleased to welcome you to the dental plan for BRAND NEW DAY. 0000010024 00000 n Webdentists billed charge and the Delta Dental negotiated fee). 3R `j[~ : w! 0000081041 00000 n WebDelta Dental Patient Direct is a discount card program based on the Delta Dental PPO fee schedule. $O./ 'z8WG x 0YA@$/7z HeOOT _lN:K"N3"$F/JPrb[}Qd[Sl1x{#bG\NoX3I[ql2 $8xtr p/8pCfq.Knjm{r28?. hb```f``R |cf`ah s[3D320d+jPh;@''SZ\55|~=dp0u4X43hL `{x+l8AB6i)]@lp9 SCHEDULE B LIMITATIONS AND EXCLUSIONS OF BENEFITS endstream endobj startxref For more information, refer to these frequently asked questions and answers. 0 WebDelta Dental Premier is one of our five contracted national network-based programs. Webplan offered exclusively to patients at Coast Dental & Orthodontics Specialist services available in select locations and may change without notice Contact your local office to Minneapolis, MN 55440-9304 . You have remained in right site to start getting this info. Plans, products, and services are solely and only provided by one or more Humana Entities specified on the plan, product, or service contract, not Humana Inc. Not all plans, products, and services are available in each state. Web5. Claims will be processed when received according to your plan provisions. WebDelta Dentals payment as payment in full, and further agree not to charge any difference between their fees and the amount paid by Delta Dental back to their Delta Dental patients. Here are some examples: 0000016709 00000 n For more detailed information on your actual dental care costs, please consult your dentist or your Delta Dental. Therefore, it is always best to confirm information with yourhealth careprofessionals. DeltaCare USA, Cost estimates for services provided by out-of-network dentists (available in the out-of-network estimator) are based upon submitted claims data for out-of-network providers. If you are eligible to use our online application, please review this important information. What should be included on claim forms to Delta Dental? Please scroll down and accept to proceed. The Dental Care Cost Estimator sometimes groups together, into "treatment categories," services that are often delivered together to address a particular dental problem. Check out our DCUSA network video. It is a nationwide network for MA members who bought their plan in Florida. 0000009926 00000 n Medical Assistance Program Dental Fee Schedule: provider : 20 : 20 ; ADJUNCTIVE GENERAL SERVICES . 0000077071 00000 n Updated March 2022Humana enters into agreements that grant some third parties access to Humanas contracted provider network. About; Find a Dentist; Webdelta dental ppo fee schedule 2022 pdf delta dental fee schedules delta dental fee schedule pdf delta dental fee schedules by zip code delta dental out-of-network fee Please see your plan booklet or Policy for a complete description of plan benefits, limitations and exclusions. In the event of a dispute, the policy as written in English is considered the controlling authority. Humana group vision plans are offered by Humana Insurance Company, HumanaDental Insurance Company, Humana Health Benefit Plan of Louisiana, Humana Insurance Company of Kentucky, Humana Insurance Company of New York, CompBenefits Insurance Company, CompBenefits Company, or The Dental Concern, Inc. New Mexico: Humana group dental and vision plans are insured by Humana Insurance Company. q>^{N:c0 '5xY*/KC9Nk#qw2G:_uxPb~m:$=fLW \1eaH^XBG49;k"g t=wMW$u d:eCm&GNbYkqVpI_ Search. 155 0 obj <>/Filter/FlateDecode/ID[<11D0ED0D772846A5BDACC2E76C6D3585>]/Index[148 13]/Info 147 0 R/Length 54/Prev 390647/Root 149 0 R/Size 161/Type/XRef/W[1 2 1]>>stream Please input information for either ZIP code or address but not both, Please enable your browser to allow this site to use your location. trailer <]/Prev 806005/XRefStm 2090>> startxref 0 %%EOF 5029 0 obj <>stream 160 0 obj <>stream Humana Individual dental and vision plans are insured or offered by Humana Insurance Company, HumanaDental Insurance Company, Humana Insurance Company of New York, The Dental Concern, Inc., CompBenefits Insurance Company, CompBenefits Company, CompBenefits Dental, Inc., Humana Employers Health Plan of Georgia, Inc. or Humana Health Benefit Plan of Louisiana, Inc. Discount plans offered by HumanaDental Insurance Company or Humana Insurance Company. 2022 Survey of Dental Fees, Download Supporting Materials (Free for ADA members) 0000008809 00000 n Have a question about coverage or looking for dental insurance? The Humana Member Summary is a tool that displays patient-specific, clinically relevant information in a standardized format to help you identify opportunities to improve clinical outcomes and reduce medically related costs. Do not avoid getting dental care based on the cost information provided on this website. "Iy"`v>o5@?" Lr) I8 If you are experiencing a medical or dental emergency, you should seek appropriate emergency medical or dental assistance, such as calling "911." The cost estimates provided may be different from your actual costs for several reasons, including but not limited to, your unique dental circumstances and the decisions made by you and your dental professionals as to what services you will receive, deviations between the anticipated scope of services and the services actually provided, and the characteristics of your particular plan. For costs and complete details of the coverage, refer to the plan document or call or write your Humana insurance agent or the company. As understood, achievement does not suggest that you have fabulous points. J kujbplc#vv9~KNpxDKXnNd !KdHM2^)}zo"ktD;Y5s6tVH't_h4k,Y@'F6'+t+U;W*D2VFut8E=s!_$bPqvi,f?7HWJ6[QmlgOuAa4j="*-uQqj0mw$)yIZzT]Y$x=zUJJ'zS/DfKN1AWiY~`$sNl]M,t2;zZ4ju ~\)1/\+ER;s? Here are the benefits of creating an account. If you live outside the U.S., you may see information on this cost estimator about products or services that are not available or authorized in your country. the SingularDental fee schedule for pricing details. Can I go to any dentist I want with this plan? Humana group life plans are offered by Humana Insurance Company or Humana Insurance Company of Kentucky. How to access and interpret information provided on remittances WebThe OCC Dental Insurance Program consists of two dental options: a preferred provider organization (PPO) and a dental health maintenance organization (DHMO). Premier and PPO networks, we will pay your get the Delta Dental Of Ar Fee Schedule 2013 Pdf partner that You can change your DeltaCare USA dentist at any time. WebClaim/Claim Form Information.the.dentist.submits.to.the.dental.plan. 0000018554 00000 n DeltaCare plans give you a broad range of coverage with no waiting period, annual maximum or Webdentists may bill the difference between their usual fee and Delta Dentals maximum contract allowance. In Maryland, Delta Dental PPO. 0000006341 00000 n SPEEA Scheduled Dental Plan Group # 04360. 0000008367 00000 n For group plans, please refer to your Benefit Plan Document (Certificate of Coverage/Insurance or Summary Plan Description/Administrative Services Only) for more information on the company providing your benefits. For Texas residents: Insured or offered by Humana Insurance Company, HumanaDental Insurance Company or DentiCare, Inc (d/b/a Compbenefits). delta dental plan kaiser permanente web more than 25 000 aliated dental providers in california no deductible for preventive services up to 1 000 of services per year your dental plan is underwritten by kaiser permanente insurance company Cost estimates are specific to geographic areas, as defined by the first three digits of a ZIP code (e.g., the geo ZIP for 12345 is 123). 148 0 obj <> endobj Are you part of the HumanaDental Medicare network or the Humana Florida GoldPlus Dental network (for patients who purchased their plan in Florida)? 0000023974 00000 n How can I make my benefits go the furthest? Be sure to select the Delta Dental PPO Plus Premier network. Delta Dental Participating Provider, explain Benefits, check the status of a claim, and assist you in Administered by Humana Insurance Company. Get paid faster and reduce administrative paperwork with electronic funds transfer (EFT) and electronic remittance advice (ERA). Refer to your benefit plan to determine whether preventive services are covered for you. Mandatory Medicare compliance requirements, PDF. Participating dentists agree to adhere to Delta Dental processing policies and are prohibited from billing a patient above the pre-negotiated fee, and agree to accept that fee as payment in full. WebThe Dental Care Cost Estimator provides an estimate and does not guarantee the exact fees for dental procedures, what services your dental benefits plan will cover or your out Your actual cost may be higher or lower than the estimate for various reasons. Contact your company's human resources department. Your benefit dollar goes furthest with Delta Dental PPO dentists; they offer the greatest discounts. Delta Dental. 0000014888 00000 n Np0(Ix8'A1F,-y|y Z8%TY9`GuZgITm06=8pC=C!Iz$KE! l$yv<8)u ^e\0n3` P View plan provisions or check with your sales representative. WebRecognizing the pretension ways to get this books Delta Dental Of Ar Fee Schedule 2013 Pdf is additionally useful. 0000012977 00000 n WebIf you see a provider that is not in the Delta Dental Premier or Delta Dental PPO networks, you will be responsible for all charges incurred. Delta Dental Insurance Company acts as the DeltaCare USA administrator in all these states. ]xl8/K"Xg%`tp2e JjkK/?0vH>^GHc`Y6{E9cioJX8 qZiu_'-z``MYG%=$Te+X^pGZbu6I The plan covers a wide array of services, andpreventive care like routine cleanings and examsis coveredat little or no cost.. If you began treatment prior to your effective date of coverage, you or your prior carrier is responsible for any costs. [r 0 Zq What if my dentist is in both networks? Out of pocket payment when you visit the dentist. All of those matters are things that you should decide, in consultation with your dental care professionals. You must $E}kyhyRm333: }=#ve WebDelta Dental Premier is one of our five contracted national network-based programs. @Ed^H?h*fd| d100Fg /TA %PDF-1.6 % enrollees are based on fee-for-service payment mechanisms and do not include salary, capitation or bonuses. ;vDvrV#IaZ_Zg1/V># l$O%$kA~-[4GJ"9A,Qe'zaA4}iclygRny7n"`m*d@4XyDn hb```f``Ra`a`8 B@1P` bxHFw@[/fv8uAlA7Z!2f2#fp *Not sure where your company is headquartered? Box 14283 Yes. The version of the Cost Estimator that is available publicly (does not require sign-in credentials) uses aggregated historical cost data for the procedure in question. The name of the 2023 Humana Medicare Advantage dental network in Florida is the Florida GoldPlus Dental Network. Preventive services are included in this tool. Estimates may vary depending on your benefit plan and the state you live in. They can use Humana tools to print a paper version of their card or email or fax a copy to your office. %%EOF Our Premier network gives a smaller discount but gives you access to four out of five dentists nationwide. I receive dental insurance through my employer. Humana is the brand name for plans, products and services provided by one or more of the subsidiaries and affiliate companies of Humana Inc. (Humana Entities). endstream endobj startxref This network supports the SimpleChoice plan. This preferred provider organization (PPO) plan is designed in response to employers' requests for an economical product for their employees. SimpleChoice offers the unmatched level of service member dentists enjoy from Delta Dental and is designed to be easy for dental offices to administer. Humana legal entities that offer, underwrite, administer or insure insurance products and services. What if I use a clearinghouse not included in your list of accepted clearinghouses? WebDelta Dental of California 560 Mission Street, Suite 1300 San Francisco, CA 94105 888-282-8528 deltadentalins.com Administered by: Delta Dental Insurance Company P.O. Delta Dental Premier Plan . 4993 0 obj <> endobj xref 4 Applies only to procedures covered under your plan. My Contracted Fees 1. WebDelta Dental Of Ohio Fee Schedule Cxeb Ksiilxm Yeah, reviewing a ebook Delta Dental Of Ohio Fee Schedule Cxeb Ksiilxm could go to your close associates listings. 0000025861 00000 n If you elect to participate in this plan, you'll have a two-tiered fee schedule: Delta Dental Premier and a slightly reduced fee schedule for Delta Dental PPO. PPO fees are posted to the National Provider File and accepted nationally by other Delta Plans. The costs provided in this tool are estimates only and are not a guarantee of payment or benefits. Web2019 ADA Dental Claim Form Click Here . You should always talk to your health care professionals for information concerning diagnosis and treatment, including information regarding which drugs or treatment may be appropriate for you. How much is it going to cost? HumanaDental ID: 73288 WebDelta Dental PPO plan through California State University. 2. Want to know before you set foot in the dentists office? ,9g4crDe`py:0ocnjvl)tDh}.~K m=_ You'll have a list of copayments for every covered procedure so you know all your costs for preventive, basic and major services up front. Medical Assistance Program Dental Fee Schedule May 2, 2022. WebThe Humana Dental Medicare network provides benefits to Humana members enrolled in Medicare Advantage and prescription drug plan programs. The Dental Care Cost Estimator provides an estimate and does not guarantee the exact fees for dental procedures, what services your dental benefits plan will cover or your out-of-pocket costs. 0000002677 00000 n Web800-932-0783 or write to: Delta Dental of Pennsylvania, One Delta Drive, Mechanicsburg, PA 17055. 0 get the Delta Dental Of Ar Fee Schedule 2013 Pdf partner that By clicking, you agree that you have read the informationbelow,are accessing this information for purposes of determining treatment cost estimates for dental care services you are considering receiving, and will not use the information in this tool for a commercial or anti-competitive purpose. 0000037948 00000 n Get preventive care (like cleanings and exams) at low or no cost. We offer vision coverage through DeltaVision in 15 states and the District of Columbia. WebDDNJINDFC14/2012 Underwritten by Delta Dental of New Jersey, Inc. 2 10DAY RIGHT TO REVIEW AND RETURN THIS POLICY Please read this Policy carefully. fM. AvN/ [S The Content cannot, and is not intended to, replace the relationship that you have with yourhealth careprofessionals. Know your costs for covered procedures up front. hbbd``b`$B@D; H0 | A$Dg` The Centers for Medicare & Medicaid Services mandates that all Humana-contracted entities, including those contracted with Humana subsidiaries, complete compliance requirements each year. )L^6 g,qm"[Z[Z~Q7%" 368 0 obj <>/Filter/FlateDecode/ID[<9CBCF151ED38014EB2A0AB26D20255F5>]/Index[348 33]/Info 347 0 R/Length 96/Prev 546855/Root 349 0 R/Size 381/Type/XRef/W[1 2 1]>>stream endstream endobj 86 0 obj <>stream %%EOF Click View A minimum one-year, initial contract period may be required for some dental and vision plans, excluding Dental Savings Plus. You also may contact Delta Dental PPO customer service at (800) 626-3108. %PDF-1.5 % You have remained in right site to start getting this info. All Rights Reserved. WebDelta Dental Patient Direct is a discount card program based on the Delta Dental PPO fee schedule. Webunder copyright by the American Dental Association. This dentist provides most of your treatment and coordinates any necessary specialist referrals. Preventive care coverage varies by plan and by demographic considerations such as age. hbbd```b`` Find the one thats right for you. Benefits described in this comparison are guaranteed only when you select a participating dentist from Deltas networks. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. WebLearn how to identify members and verify their dental coverage, easily submit claims and receive payment for services and supplies. Go to our Find a Dentisttool. WebFees PPO Fee Percentage Paid by Delta Dental Amount Delta Dental Pays Total Amount You Pay PPO Network $1,200 $850 $850 50% $ 425$ Premier** Network $1,200 $975 We ask that you accept a digital, fax or printed version of these patients ID cards. Delta Dental has the largest network of dentists nationwide. Like all Dentists, PPO Dentists are allowed to charge for any applicable Co-payments, Deductibles, or non-covered services. Statements in languages other than English contained in the advertisement do not necessarily reflect the exact contents of the policy written in English, because of possible linguistic differences. Interested in learning more about our plans? hz\Ssr@B=$ Dn&\p JJLZF[[{Zlgk[kmWo~]/nJ}$HwB>>= A`j/}eHtUk. Find a dentist near you. Search for in-network dentists in your area using your current location or ZIP code with ourFind a Dentisttool. (Changes requested between the first and 15th of the month are effective immediately; changes received on or after the 16th of the month will be effective on the first of the next month.). They also may present a digital ID card using their MyHumana mobile app. In states, and for products where applicable, the premium may include a $1 administrative fee. 0000008254 00000 n Available free to members or for purchase through the ADA Store, the ADAs 2022 Survey of Dental Fees also features: 5 tips for marketing your dental practice, National average fees broken down for both general practitioners and each of the six specialties, National level statistics for fees for more than 200 commonly performed dental procedures, Average fees charged by general practitioners broken down into nine regional areas, based on U.S. Census divisions, Standard deviation and percentiles for each fee, Dental procedures identified by procedure code and nomenclature from the Code on Dental Procedures and Nomenclature as published in the ADAs CDT 2022. Group Dental and Vision Plans (Insurance through your employer). Webdental entitys Type 2 NPI (if different) to npi@delta.org Please also include the dentists name, practice name, address and license number. 0000007717 00000 n Box 14611 0000040598 00000 n You can also access this information on the Availity portal. 0 |w&Vk2JIUQ kpbU}$qYs#]NflzSC%M_y WIm{SGn>95xfi'c]r_5\}GW:muM'|KC#{oG$tnRw[GU@u/l7{8;}cEl>c7% GsF
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