CANCER CLAIM FORM INSTRUCTIONS - Aflac
CANCER CLAIM FORM INSTRUCTIONS To avoid delays in processing of your claim form, complete each section attaching documentation below when it applies Supporting Documentation Needed Itemized bill if there was a hospital stay (UB04 from the hospital or medical facility)
Return No: Return only agents supplied by: FOR NCI USE ONLY
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New Claim Form PDFs for WEB - CW06197CA - Aflac
Title: New Claim Form PDFs for WEB - CW06197CA Author: Registered to: AFLAC Created Date: 1/24/2018 10:44:44
CAHPS Cancer Care Survey
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VA Presumptive Disability Benefits Factsheet
• Cancer of the thyroid, breast, pharynx, esophagus, stomach, small intestine, pancreas, bile ducts, gall bladder, salivary gland, urinary tract, brain, bone, lung, colon or ovary • Bronchiolo-alveolar carcinoma • Multiple myeloma • Lymphomas, other than Hodgkin’s disease • Primary liver cancer, except if there are indications of
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