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No Surprise medical bills

Good Faith Estimate


Participating Insurance Companies:

Patient Forms:
            â–ª Aetna Authorization Of Representation

​            â–ª Aetna Member Complaint Form
​            â–ª Financial Assistance

​            â–ª CMS/UHC Authorization of Representative

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Medicare and Medicaid:
Arizona, Colorado, Florida, Georgia, Indiana, Louisiana, Maryland, Missouri, Ohio, Tennessee, Texas, and Washington state

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Anthem BCBS:

Colorado, Georgia, Southern Indiana, Kentucky

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BCBS Florida

BCBS South Carolina

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CareFirst BCBS:

Maryland and Virginia

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Cigna

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Coming Soon

Sunshine Health Plans:

Florida

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United HealthCare

Download the free software Acrobat reader

This is the software we suggest for the best management of the forms

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