AMERICAN MANAGEMENT ADVISORS INC. / BEST BUY / Usual & Reasonable Laboratory / Practice Game P.E. Travel / MCA Administrators Inc. / YR Effective Date (19) Address / ACE American Insurance Company / /
Currency
USD / /
Event
Product Issues / /
Facility
Hospital Confinement / Out of Hospital / Hospital Confined / COLLEGE OR ORGANIZATION / Reasonable Out of Hospital / /
IndustryTerm
accident insurance / medical insurance / insurance plan / Student accident insurance / insurance / accident insurance plan / contaminated food / work telephone / excess group insurance plan / valid and collectible group insurance / fraudulent insurance act / insurance policies / x-ray services / family insurance carrier / family medical insurance / valid and collectible insurance / insurance carrier / automobile insurance policy / /
Organization
HMO / Insurance / County Individual School / Out of Hospital / Responsible Party / CONTACT YOUR HMO / /
Person
MO YES / Fraud Warning / MO DAY / Wife / / /
Position
forward to the claim administration / organization official / Broker / Physician / Physician / nurse / PHYSICIAN AT ONCE / Official / Supervisor / Claim Administrator / assistant surgeon / Dentist / Administrator / benefit plan administrator / authorized representative / representative / attending physician / /
Product
Bang & Olufsen Form 2 Headphone/Headset / eyeglasses / food / /