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Employee HMO Primary Care Provider Detail
Details
Employee HMO Primary Care Provider Detail
Fields on the Employee HMO Primary Care Provider Detail
- Employee
Number. The
employee for whom the detail applies.
- Benefit. The
benefit plan for which the primary care plan provider information is valid.
- Employee
-->. Enter
the primary care provider identification number or code for the employee's
designated primary care provider.
- Dependent
1-9. Select
the dependent(s). Per row, in the field to the right, enter the corresponding
primary care provider number or code for the selected dependent.