Epstein Index›Documents›EFTA00313913
💨IMPACT LEVEL 1 — MEH

Epstein File EFTA00313913: Treat (DS9)

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This document appears to be a Medicare authorization form or medical billing document requesting payment authorization for healthcare providers who treat the patient. The excerpt is incomplete and provides only standard medical billing language.

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SIGNATURE ON FILE (Medicare Patients Only): I request that payment of authorized Medicare benefits be made either to me or on my behalf to all providers who **treat**

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