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This form requires specific details; to guarantee consistency, you need to take into account the suggestions just below:
1. Fill out your Form 11318 with a selection of necessary blank fields. Collect all of the information you need and ensure there's nothing forgotten!
2. Right after finishing this part, go to the next stage and complete the necessary details in these blank fields - M Yes M No, Date coverage became effective, Is patient entitled to Medicare, Is patient actively working, Is the patient disabled, Is the patient retired, M Yes, M Yes, M Yes, M Yes, M No, M No, M No, M No, and If yes give the date of retirement.
3. Completing INSUREDS SIGNATURE, DATE, Rev, and Please see the other side of this is essential for the next step, make sure to fill them out in their entirety. Don't miss any details!
Always be extremely careful while completing DATE and Please see the other side of this, as this is where many people make errors.
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