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Health Care Account www.wageworks.com Claim Filing Options: How to File a Claim for Approval
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Document Date: 2013-02-15 08:31:40

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File Size: 369,78 KB

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City

Lexington / /

Facility

Code* Zip Code SERVICE DATES PROVIDER NAME Mercy Hospital / M.D. Mercy Pharmacy / /

/

MedicalTreatment

Cosmetic surgery / /

Organization

Employer Name ID Code* Zip Code SERVICE DATES PROVIDER NAME Mercy Hospital / /

Person

Ray Ortho / JON ES GR / /

Position

CLAIMS ADMINISTRATOR / licensed physician / ADMINISTRATOR / /

ProvinceOrState

Kentucky / /

Technology

html / X-Ray / /

URL

www.wageworks.com/forms/WW-LTR-OF-MED-NEC.pdf / www.wageworks.com/employee/learning-center / www.wageworks.com / /

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