[PDF] [PDF] Medical Claim - HonorHealth

HonorHealth Health Plan NOTICE OF CLAIM AmeriBen, PO Box 7186, Boise ID 83707 Is patient covered under another group health insurance plan?



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check back at another time or contact AmeriBen Medical Management to check the status via your EOB (Explanation of Benefits) once you submit your claim



[PDF] Medical Claim - HonorHealth

HonorHealth Health Plan NOTICE OF CLAIM AmeriBen, PO Box 7186, Boise ID 83707 Is patient covered under another group health insurance plan?



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Is there other Medical Dental or Vision Coverage (other than listed above)? No follow the instructions on the back of this form to file this claim with AmeriBen



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