healthnow administrative services claims address

In 2006, HNAS became a wholly owned , https://www.datanyze.com/companies/healthnow-administrative-services/347457822, Health (9 days ago) WebView Gail Lauer's business profile as Claims Department at HealthNow Administrative Services. If you are an employer group interested in learning more or have other questions, please fill out the contact form in the light blue box or call us (877) 320-4316. HealthNow Administrative Services provides comprehensive, flexible benefit services supported by the scale and innovation of a national carrier organization. Buffalo, NY 14240-0757, Other Correspondence: hospital, doctor or other provider may forward claims directly to the address shown below or to the employee. If you need immediate assistance please call us at. Contact Information Headquarters 801 Lakeview Dr Ste 301, Blue Bell, Pennsylvania, 19422, United States (877) 320-4316 HealthNow Administrative Services Profile and History Founded in 1977, HealthNow Administrative Services (HNAS) is a privately owned third-party employee benefits administrator. HealthNow will be branded Highmark Blue Cross Blue Shield of Western New York and Highmark Blue Shield of Northeastern New York, preserving the health plan's local identity. Federal Provider Service:1-800-234-6008 Privacy Policy St. Lawrence County Institutional/UB Claims. Our Locations - Contact Us | HealthNow Administrative Services Locations With our National Headquarters in Blue Bell, PA. HNAS offers coast-to-coast coverage. For customer service inquiries, please call(877) 804-4629or email us athnascustomerservice@hnas.com. Auto Account Founded in 1977, HealthNow Administrative Services (HNAS) is a privately owned third-party employee benefits administrator. Box 80 1. Oct. 1 - Feb. 14: 8a.m. Paper Claims Submission: Leads by Industry . HealthNow will maintain its headquarters in Erie County, NY, as well as its regional office in Northeastern New York/Albany County, New York. P.O. Decisions about your health care are some of the most important, personal choices that you make. Buffalo, NY 14240-0080, Chemung County 2022 by HealthNow Administrative Services If you need immediate assistance please call us at. Professional/1500 Claims. Albany, NY 12212 Health Now accepts an extensive variety of claim forms such as UB-04, CMS-1500, PM160 and more. 2. Medical Benefits. Franklin County HNAS provides employee bene 163 people like this 716-884-5082 1-800-234-6008. Box 211034, Eagan, MN 55121. ERA Enrollment Required. We incorporate consumerism and health care management with leading-edge claims and reporting technology to optimize cash flow, including a flexible benefit plan design. Buffalo, NY 14240-0757 When submitting an itemized bill, please retain a copy for your records. View Our Code of Conduct and Compliance Program, View Our Third Party Code of Conduct and Compliance Program. HealthNow New York HealthNow Administrative Services corporate office is located in 801 Lakeview Dr Ste 301, Blue Bell, Pennsylvania, 19422, United States and has 155 employees. With offices on the east and west coasts, we have a long-standing focus on plan customization, including comprehensive care solutions, 24/7 reporting and analytics and superior service. We believe that an effective self-funded benefit strategy centers around three key components. Network Management: Yates County, Federal Claims: HNAS is an active member in many of the industry's most influential accredited insurance associations. . Who is HealthNow Administrative Services Headquarters 801 Lakeview Dr Ste 301, Blue Bell, Pennsylvania, 19422, United States Phone Number (877) 320-4316 Website www.hnas.com Revenue $53.7M Industry Insurance HealthNow Administrative Services's Social Media Is this data correct? Monroe County Access your benefit and claim information at myhnas.com. CDHP Introduction DCA Tutorial About us. P.O. Show more. HealthNow Administrative Services does not claim ownership of the materials you provide to HealthNow Administrative Services (including feedback and suggestions) or post, upload, input or submit to any HealthNow Administrative Services Web Site or its associated services (collectively "Submissions"). PLEASE , Health (6 days ago) WebContact Us Email [emailprotected] For Members For Employers For Providers For Brokers For members with special needs or who speak languages other , https://www.healthnowny.com/content/hnny/contact-us.html, Health (8 days ago) WebHealthNow New York will provide you with the perfect healthcare plan. Our dedicated sales staff is available to provide a personalized experience in all 50 states. Ontario County Individual health insurance, Medicare, insurance for businesses and more. Go to myHNAS myHNAS Client and Member Portals Call the telephone number listed on your Member ID card, or use the listing below to locate a number. HealthNow New York, Inc. is a Buffalo, NY-based health insurance carrier with $2.5 billion in revenue. HealthNow New York Inc. The name HealthNow New York and its Their address and phone number is on the first form that is attached.Can you give me some assistance? Business Profile Health Now Administrative Services Health Insurance Contact Information 512 Township Line Road Suite 110, One Valley. For more information, contact: Aaron Billger Highmark Health 412-544-7826 aaron.billger@highmarkhealth.org. Add new contacts. HealthNow ActiveSaver MSA Network Management Department Tompkins County 2. Phone: 1-855 . PO Box 80 Putnam County 801 Lakeview Drive Blue Bell, PA HealthNow Administrative Services (HNAS) is a national administrator of custom-designed insured employee benefit programs. Healthnow Claims Mailing Address - health-improve.org Health (4 days ago) WebContact Us HealthNow Administrative Services Health Health (9 days ago) 2. 877-834-6918 TTY line, For enrollment and billing questions call: Albany, NY 12212-5013. 2022 by HealthNow Administrative Services. Our knowledgeable staff combines creative thinking with impeccable execution to deliver comprehensive and integrated solutions. Please choose a language from the drop down menu below. View member benefit and coverage information. Provider Dispute Resolution Request PROVIDER REMINDERS: CLAIMS SUBMISSION You can easily: HealthNow Administrative Services provides comprehensive, flexible benefit services supported by the scale and innovation of a national carrier organization. All rights reserved. Tioga County. Interested in learning more about what HNAS can offer your employees? One of our team members will contact you directly. For more information, call the customer service number on the back of your member identification card or (TTY 711). Our extensive knowledge of the self-funded marketplace and exclusive industry partnerships allow us to anticipate and act on the varied needs of our clients. If you are an employer group interested in learning more or have other questions, please fill out the contact form in the light blue box or call us(877) 320-4316. Electronic Remittance (ERA) YES. Since 1936, HealthNow New York has been a pioneer in providing quality health care services to companies and individuals in the region. Sullivan County The tools on these pages are intended for use by physician office staff only. Meet our Leadership team, learn about their background and unique skill sets they bring to the company. Employee's Statement of Claim for Group Health Benefits 1-866-346-6134 toll free 10 0 obj <> endobj During non-business hours, your call will be answered by our automated phone system. PLEASE ALLOW UP TO 45 WORKING DAYS/62 CALENDAR DAYS BEFORE RESUBMITTING CLAIMS.Claims Health Nowhnipa.net/claimsFeedbackContact Us HealthNow Administrative Services Health https://www.hnas.com/content/hnas/contact-us.htmlWeb1. . Health Now Administrative Services Is this Your Business? Members, and individuals calling on a members behalf, should have their identification number ready to ensure an efficient calling experience. Terms of Use, 2022 by HealthNow Administrative Services. Cayuga County Ford Motor Claims: We educate employees about the true costs of health care and encourage them to make mindful decisions. If you are a physician office and need additional help please contact us during regular business hours. One of our team members will contact you directly. FSA Tutorial HRA Tutorial Using this Site. If you are a plan participant or provider we recommend calling the customer service phone number shown on the back of your ID card. Box 211034, Eagan, MN 55121. PLEASE ALLOW UP TO 45 WORKING DAYS/62 CALENDAR DAYS BEFORE RESUBMITTING CLAIMS. Phone: 1-855 . FSA Tutorial HRA Tutorial Using this Site. D. If you wish payment made directly to the hospital or doctor, , https://www.cusd.com/Downloads/HNAS%20Medical%20Claim%20Form62.pdf, Health (6 days ago) WebFor questions or assistance with medical claims filed after 09-01-2013 please contact HealthNow Administrative Services (HNAS) at (855) 323-1124 or at www.hnas.com , Health (6 days ago) WebHNAS provides employee benefit solutions integrated with administrative and claims services. HealthNow New York EXPLORE PLANS . Find contact's direct phone number, email address, work history, and more. Behavioral Health(Inpatient Only) 1-877-837-0814 Feb. 15 - Sept. 30: 8a.m. Get the latest news and updates delivered to your inbox. Find the profile that describes you for the best way to get your questions answered. 2022 by HealthNow Administrative Services Albany, NY 12212-50130, Dutchess County HealthNow New York Federal Provider Service. ATTN: FEP Department The companys outstanding reputation for services and unwavering commitment to member satisfaction has been recognized by an excellent rating from the National Committee for Quality Assurance (NCQA). Cortland County How Your Claims Get Paid & EOB Explanation, Summary of Benefits and Coverage: Value Plan, Summary of Benefits and Coverage: Classic Plan, 2020 Summary Annual Report - Cafeteria Plan. We incorporate consumerism and health care management with leading-edge claims and reporting technology to optimize cash flow, including a flexible benefit plan design. The acquisition effectively boosted HNAS' claims and reporting technology. HealthNow New York Services With its active plan management, self-funding offers a way for many employers to control their health care costs. Phone: 1-855-581-1809. Security Privacy PolicyTerms of Use In 2006, HNAS became a wholly owned subsidiary of HealthNow New York Inc., a $2.5 billion health insurance carrier based in Buffalo, NY. Ulster County, Behavioral Health:(Inpatient Only)1-877-837-0814, SmartSaver RX PDP and Medigap Customer Service: Orange County Submitting claims electronically has been shown to be more efficient and accurate than manual claims submission. Buffalo, New York 14240-0080 PO Box 15013 Box 80 The acquisition effectively boosted HNAS claims and reporting technology. Lewis County 1-800-874-9426, Health Advocate Personal healthcare coaching and patient advocacy service Contact Us HealthNow . Skip to main content. COBRA can save you hours in administrative tasks that likely fall outside of your core responsibilities. Seneca County For customer service and coverage questions, contact HealthNow at 877-629-1500 or email hnas.enloe@hnas.com.Access your benefit and claim information at myhnas.com.. Medical Benefits Claim Form We founded Aither to help disrupt this country's disastrous healthcare market. We partner with some of the nations leading pharmacy benefit managers to offer you competitive pricing. Please choose a language from the drop down menu below. of our Resources. Health (6 days ago) WebHNAS provides employee benefit solutions integrated with administrative and claims services. If you need immediate assistance please call us at. SelectSaver HMO-POS, SmartSaver RX PDP and Medigap Customer Service: P.O. This includes: Enloe Medical Center1531 EsplanadeChico, CA 95926530-332-7300 or 800-822-8102. One of our team members will contact you directly. Call(877) 320-4316and we will route you to someone who can help you. For customer service and coverage questions, contact HealthNow , https://www.enloe.org/for-employees/managing-benefits/medical/, Health (6 days ago) Webhospital, doctor or other provider may forward claims directly to the address shown below or to the employee. 1. Paper Claims Submission: P.O. Individual health insurance, Medicare, insurance for businesses and more. Sales Manager: Brian Beaton Provider Correspondence: limited or unavailable. Journalist Note: Executives from Highmark and HealthNow will be available to talk with you at 11:30 am today via an operator-moderated teleconference at 877-226-8143 with access code 9609492. Headed by HealthNow New York Inc, a leading health care company with 40+ years of third party administration and current revenues of $3 billion. Correspondence may be mailed to Noridian via USPS or Certified/Courier Mailings Search for an Address X Last Updated Thu, 27 Jan 2022 19:12:54 +0000 1-877-513-1470, Non-English TranslationsTranslation for more than 130 languages through AT&T Translator service %PDF-1.5 % As an industry leader, the company provides innovative products, services, and technologies to improve the availability, quality, and cost of health care. Today, with offices on both east and west coasts, HNAS is a nationally recognized group benefit plan administrator. corresponding logos are registered marks of HealthNow New York, Inc., Buffalo, New York. ThroughmyHNAS.com, you and your employees have 24/7 access to: If you are an employer group currently using HNAS as your plan administrator, please call your HNAS Account Executive. View contact profiles from HealthNow Administrative Services Fraud & Abuse Hotline1-800-314-0025. For more information, you can visit www.hnas.com. HealthNow ActiveSaver MSA lvM|*5y H7#60xL/+Hz\. 2022 by HealthNow Administrative Services YES. Find contact's direct phone number, email address, work history, and more. %%EOF HealthNow Administrative Services (HNAS) is Enloe Medical Center's plan administrator for medical benefits. Contact Us 1-800-518-8332 hnasfsaclaims@hnas.com Important plan forms If you are an employer group currently using HNAS as your plan administrator, please call your HNAS Account Executive. E. MAIL COMPLETED FORM TO: HealthNow Administrative Services, P.O. Terms of Use. Provider offices can utilize the portal to submit claims electronically and review claims status, history and payment distribution. Ford Motor Provider Service:1-800-462-7237 Classes, Events & Support GroupsHealthier You, Home > For Employees > Managing Your Benefits > Medical Benefits. Privacy Policy Already have an account or need to sign up? For best results, we recommend calling the customer service phone number shown on the back of your ID card. We also offer our providers access to technology that further simplifies this support processsaving time and money by allowing easy online access to claims information via our provider web portal. Call (877) 320-4316 and we will route you to someone who can help you. Livingston County endstream endobj 11 0 obj <> endobj 12 0 obj <>/Font<>/ProcSet[/PDF/Text/ImageC/ImageI]/XObject<>>>/Rotate 0/Thumb 1 0 R/Type/Page>> endobj 13 0 obj <>stream Please choose a language from the drop down menu below. (Paper Claims Submission): Broome County In 2006, HNAS became a wholly owned subsidiary of HealthNow New York Inc., a $2.5 billion health insurance carrier based in Buffalo, NY. 2022 by HealthNow Administrative Services 1-800-839-9573, Member Services TDD Line for the hearing impaired hbbd``b` $@ | H"Ab@J@U 9 HHD fc`$x@ Box 211034, Eagan, MN 55121. For customer service inquiries please call(877) 804-4629or email us athnascustomerservice@hnas.com. Health Now's Claims Department representatives are available to answer provider questions and resolve any issues that may arise regarding claims. Privacy Policy Any other type of access constitutes misuse and is subject to legal action. Health Now accepts an extensive variety of claim forms such as UB-04, CMS-1500, PM160 and more. endstream endobj startxref If you are an employer group interest in learning more about HNAS services, please call(877) 320-4316or email us using the contact us form below. Box 15013 Healthnow administrative services provider portal, Healthnow administrative services provider, Health (5 days ago) People also askWho is HealthNow administrative services?Eligibility Inquiry Claims Inquiry About Us HealthNow Administrative Services provides comprehensive, flexible benefit services supported by the scale and innovation of a national carrier organization. 2022 by HealthNow Administrative Services If you need immediate assistance please call us at. 8:00 a.m. - 7:00 p.m. Monday Friday Privacy Policy 2023 Enloe Medical Center. E. MAIL COMPLETED FORM TO: HealthNow Administrative Services, P.O. Box 80 View Kathleen Murphy's business profile as Group Manager, Implementation & Funding at HealthNow Administrative Services. 2022 by HealthNow Administrative Services. Headquarters Regions Greater Philadelphia Area, Great Lakes, Northeastern US Founded Date 1977 Operating Status Active Also Known As HNAS Company Type For Profit Contact Email info@hnas.com Phone Number +1 877-804-4629 Lists Featuring This Company Pennsylvania Companies With More Than 50 Employees If an out-of-network provider does not accept insurance billing, you can submit a claim for reimbursement under your Enloe plan by doing one of the following: When submitting a claim, it is important that all necessary information is provided. Blue Shield of California is our PPO provider network. CrossLink24 Hour Eligibility Verification 1-800-655-8003 For best results, we recommend calling the customer service phone number shown on the back of your ID card. 26 0 obj <>/Filter/FlateDecode/ID[]/Index[10 27]/Info 9 0 R/Length 85/Prev 28888/Root 11 0 R/Size 37/Type/XRef/W[1 2 1]>>stream 1-716-887-7993 or beaton.brian@healthnow.org, Non-English TranslationsTranslation for more than 130 languages through AT&T Translator service Upstate Medicare Division, a division of HealthNow, processed the Part B claims. Click here for all contact information pertaining to providers. Federal Call Center For more information, you can visit www.hnas.com. Thank you for your interest. About Aither Health. Please choose a language from the drop down menu below. Free Tools . Medical Management:1-800-422-7333 Fax: 1-518-220-5727 Final Administrative Cost Proposals for Fiscal Years 2005 Through 2007." We will forward a . If you need immediate assistance please call us at. Buffalo, NY 14240 Herkimer County 36 0 obj <>stream We specialize in Third Party Administration (TPA) and partner services, self , https://www.linkedin.com/company/heatlhnow-administrative-services, Health (Just Now) WebHealthNow Administrative Services Contact Who is HealthNow Administrative Services Headquarters 801 Lakeview Dr Ste 301, Blue Bell, Pennsylvania, 19422, , https://www.zoominfo.com/c/healthnow-administrative-services/347457822, Health (8 days ago) WebFounded in 1977, HealthNow Administrative Services (HNAS) is a privately owned third-party employee benefits administrator. hTYo@+^R#6U=Tl`UcSD@HQY;3c$`AWQ Td$T $!0p/Yvm]9^i[[18%DMln^>4yjXmtj@)aT8bH"$i%ck 0& For customer service inquiries, please call (877) 804-4629 or email us at [email protected] https://www.health-improve.org/healthnow-claims-mailing-address/ Category: Health Show Health 2021 HealthNow New York Inc. All rights reserved. Learn More ATTN: FEP Department healthnow administrative services corporate actions division inc hnas hnas inc corporate health now llc corporate health administrative services inc HNAS provides employee benefit solutions integrated with administrative and claims services. Delaware County The name HealthNow New York and its, Click here for the HIPAA Privacy Authorization Form (2A), Notice of Non-Discrimination and Translation Assistance. Box 757 Headed by HealthNow New York Inc, a leading health care company with 40+ years of third party administration and current revenues of $3 billion. HealthNow New York will provide you with the perfect healthcare plan. Weve detected that you are using an older or unsupported browser. HNAS provides employee benefit solutions integrated with administrative and claims services. We can work with you and your broker to create customized reporting, wellness programs, or other care solutions. PO Box 80 Buffalo, New York 14240-0080 Federal Claims. For best results, we recommend calling the customer service phone number shown on the back of your ID card. Terms of Use. HealthNow New York Buffalo, NY 14240-0080 One of our team members will contact you directly. For customer service and coverage questions, contact HealthNow at 877-629-1500 or email hnas.enloe@hnas.com. hb``c``2f Y8*/8.i.5{3`}oB a:7010$,1+CfQ "G[ Address: 801 Lakeview Drive Suite 301, Blue Bell, Pennsylvania, United States, 19422. MENU. 1. 2. 2. 1-800-563-6016, For enrollment and billing questions call: Health (4 days ago) Webof our Resources. Steuben County D. If you wish payment made directly to the hospital or doctor, complete the appropriate "Authorization to Pay Benefits". Ford Motor Claims: YES. We specialize in Third Party Administration (TPA) and partner services, self-funded health insurance, and consumer driven health . HealthNow New York Saturdays & Sundays - Closed PO Box 80 Jefferson County Terms of Use. Already have an account or need to sign up? Please choose a language from the drop down menu below. HNAS became a wholly owned subsidiary of HealthNow New York Inc., in 2006 and is a nationally recognized group benefit plan administrator. Otsego County 2 Methodology . ThroughmyHNAS.com, you and your employees have 24/7 access to: If you are a plan participant or provider we recommend calling the customer service phone number shown on the back of your ID card. (Paper Claims Submission): Provider Service:1-800-945-0556 X. P.O. Send us a message by filling out the form below and one of our team members will contact you directly. I've been trying to get my. Hamilton County For customer service inquiries, please call (877) 804-4629 or email us at hnascustomerservice@hnas.com Broker 1. These experienced and knowledgeable professionals ensure our clients are taken care of in an efficient, effective and friendly manner and are confident in the support they receive. 1. Box 15013 We have a long-standing focus on plan customization and superior servicenow backed with the financial strength and industry resources of a leading health plan. Contact Us | HealthNow New York Contact Us Email CustomerService@HealthNow.org For Members For Employers For Providers For Brokers For members with special needs or who speak languages other than English we offer free language assistance services to answer any questions you may have about your health or drug plan. Terms of Use, 2022 by HealthNow Administrative Services. ki> P.O. Onondaga County Contact / Mailing Addresses Mailing Addresses Providers/Suppliers can use the addresses provided to submit the various types of correspondence. HealthNow New York Privacy Policy HealthNow Administrative Services (HNAS) is a national administrator of custom-designed insured employee benefit programs. 1-800-359-5465, Mental Health and Substance Abuse(Managed care coverage only) For assistance in obtaining mental health andsubstance abuse treatment HealthNow Administrative Services (HNAS) is Enloe Medical Centers plan administrator for medical benefits. 2. Add contact information for Health Now Administrative Services. This insurance is also known as: HealthNow New York. There are several options for you to contact us. 1-800-430-7984, Sales For customer service inquiries, please call (877) 804-4629 or email us at [emailprotected] Broker 1. HealthNow Administrative Services (HNAS) / Brokerage Concepts, Inc. 20 years 5 months Network Management Supervisor Jan 2009 - Nov 20123 years 11 months *Responsible for all PPO Network. We make it easy for you to move from a fully insured plan to a self-funded program. PO Box 15013 Founded in 1977, HealthNow Administrative Services (HNAS) is a privately owned third-party employee benefits administrator. E. MAIL COMPLETED FORM TO: HealthNow Administrative Services, P.O. Already have an account or need to sign up? Email us using the contact us form below. Provider . We provide you with the knowledge and resources to make more informed health care choices. 2. Your performance may be impacted or certain features may be unavailable. Chenango County Interested in learning more about what HNAS can offer your employees? Our knowledgeable staff combines creative thinking with impeccable execution to deliver comprehensive and integrated solutions. 877-834-6918 TTY line, ActiveSaver MSA Customer Service With its active plan management, self-funding offers a way for many employers to control their health care costs. For members with special needs or who speak languages other than English we offer free language assistance services to answer any questions you may have about your health or drug plan. to 8p.m., Monday - Friday 888-787-2390 toll free Notice of Non-Discrimination and Translation Assistance, 2021 HealthNow New York Inc. All rights reserved. Fraud & Abuse Hotline . 1. Amber Hartmann HealthNow New York Inc. 716-291 . You and your administrative staff can quickly and easily access member eligibility and claims status information anytime, on demand. As your TPA partner, we understand how crucial it is to provide you with the tools to manage your plans from every perspective. Submitting claims electronically has been shown to be more efficient and accurate than manual claims submission. HNAS National Headquarters 801 Lakeview Drive, Suite 301 Blue Bell, PA 19422 Western Region Operations 2520 Venture Oaks Way, Suite 250 Sacramento, CA 95833 Oswego County For customer service inquiries please call (877) 804-4629 or email us at hnascustomerservice@hnas.com Already have an account or need to sign up? Call (877) 320-4316 and we will , https://www.cusd.com/Downloads/HNAS Medical Claim Form4.pdf#:~:text=E.%20MAIL%20COMPLETED%20FORM%20TO%3A%20HealthNow%20Administrative%20Services%2C,Employee%E2%80%99s%20Statement%20of%20Claim%20for%20Group%20Health%20Benefits, Health (4 days ago) WebPROVIDER REMINDERS: CLAIMS SUBMISSION Submitting claims electronically has been shown to be more efficient and accurate than manual claims submission. Madison County All rights reserved | Email: [emailprotected], Healthnow administrative services claims address, Healthnow administrative services provider portal, Healthnow administrative services provider, Fulton county environmental health office, Oregon health plan eligibility requirements, Massachusetts comprehensive health curriculum framework. HealthNow New York . hospital, doctor or other provider may forward claims directly to the address shown below or to the employee. , https://www.zoominfo.com/p/Gail-Lauer/-1194728050, Memorial integrated healthcare insurance, Fulton county environmental health office, Henry ford occupational health jefferson, Oregon health plan eligibility requirements, Healthnow administrative services claims address, Massachusetts comprehensive health curriculum framework, 2021 health-improve.org. Headed by HealthNow New York Inc, a leading health care company with 40+ years of third party administration and current revenues of $3 billion.Provider Portalportal.myhnas.com/ProviderPortal/What is Health now's claims department?Health Now's Claims Department representatives are available to answer provider questions and resolve any issues that may arise regarding claims. Federal Claims: to 8p.m., 7 days a week Schuyler County Aither Health is a healthcare solutions company offering a full suite of innovative products and services for third-party administrators and risk bearing entities such as self-funded employers, health plans and providers. Email us using the contact us form below. HealthNow Administrative Services (HNAS) is a national administrator of custom-designed insured employee benefit programs. D. If you wish payment made directly to the hospital or doctor, complete the appropriate "Authorization to Pay Benefits".

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