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Provider Services
BAMS
United Food and Commercial Workers Union Local 1529 and Employers Health and Welfare Plan and Trust
Provider EIN/TIN
*
Participant SSN
*
Patient SSN
*
Patient Date of Birth
*
RadDatePicker
RadDatePicker
Open the calendar popup.
Calendar
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Claim Number
*
Date of Service
*
RadDatePicker
RadDatePicker
Open the calendar popup.
Calendar
Title and navigation
Title and navigation
<<
<
July, 2019
>
<<
July, 2019
S
M
T
W
T
F
S
27
30
1
2
3
4
5
6
28
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29
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31
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32
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(MM/DD/YYYY)
Amount Billed
*
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