Block Transfer Filing Forms
The forms shown below are for provider group and hospital contract terminations where there is a block transfer of enrollees. Please reference Section 1373.65 and Rule 1300.67.1.3.
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Block Transfer Filing FormsThe forms shown below are for provider group and hospital contract terminations where there is a block transfer of enrollees. Please reference Section 1373.65 and Rule 1300.67.1.3. |
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