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Authorization Forms

Forms and documents related to requesting or providing authorization.

Claim Forms

Claim forms, and claims-related forms and documentation including pre-determination of benefits forms and lists of eligible/ineligible expenses, etc.

Enroll / Elect / Apply Forms

Forms and documents related to enrolling, electing, or applying for participation in a plan or electronic transaction capability, etc.

Inquiry / Request Forms

Forms and documents related to making inquiries or submitting various types of requests including requests for changes to an existing enrollment, requests for a predetermination for an upcoming medical or dental expense, request for authorization, etc.

Manage Private Information Forms

Prescription Drug Mail Order Forms

Order forms (eg, mail order forms for prescriptions).