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The document provides instructions for filing claims under the UFT/RTC Supplemental Health Insurance Program (SHIP). It outlines the necessary documentation, limitations, and deadlines for submitting claims, which must be filed within one year of service or payment. The form includes sections for member and patient information, claim benefits, and specific requirements for various types of claims. It emphasizes that SHIP is a reimbursement program and will not pay providers directly.

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Versions	Form popularity	Fillable & printable
2022	4.4 Satisfied (33 Votes)
2012	4 Satisfied (28 Votes)
2010	4.8 Satisfied (26 Votes)

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