Carrier Eligibility Export File Layout - Oklahoma

Form is signed. Default to Y . since no enrollments will be sent if form is not signed. 66 854 903 Authorized Representative Last Name 50 A/N Y 1) Medicare Info Datasheet. 2) Person record is dependent child – use Primary Member’s Indicative Info. 3) 67 904 953 Authorized Representative First Name 50 A/N Y 1) Medicare Info Datasheet ................
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