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Costco subrogation information 2026
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- Click ‘Get Form’ to open the Costco Subrogation Information document in the editor.
- Begin by filling in your name and the date of the injury in the designated fields. This information is crucial for identifying your case.
- In the Member Information section, provide your last name, first name, member ID number, and other personal details such as birthdate and address. Ensure accuracy to avoid processing delays.
- Read through the authorization carefully before signing. This section allows Aetna to request your Protected Health Information (PHI) related to the accident.
- Select an expiration date for the authorization or choose an event that will trigger its expiration. This helps define how long Aetna can access your information.
- Sign and date the form at the bottom. If you are a legal representative, indicate your relationship to the member and attach any necessary documentation.
- Finally, return the completed form to Aetna using the provided address to ensure timely processing of your claim.
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