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The document is a comprehensive Patient Information Form designed to collect essential personal, medical, and insurance details from patients. It includes sections for demographic information, emergency contacts, primary and secondary insurance details, and consent for treatment and financial policies. Additionally, it addresses the importance of collecting data to identify healthcare disparities and improve care quality. The form also contains a Review of Systems section with health-related questions across various categories to assess the patient's current health status.

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Versions	Form popularity	Fillable & printable
2016	4.8 Satisfied (86 Votes)
2015	4.1 Satisfied (58 Votes)

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Who owns Coordinated Care Corporation?

Its easy to get a free insurance quote now. Coordinated Care health insurance is offered by Centene Corporation, a Fortune 500 company that provides a portfolio of services to government-sponsored healthcare programs. Coordinated Care emphasizes healthcare that treats the whole individual, not just the physical body.

Is Apple Health the same as Affordable Care Act?

In Washington State, we call the Medicaid program Apple Health. Apple Health provides health care coverage to nearly 2 million residentsadults and children. Washingtons uninsured rate has dropped to an historic 5.4 percent, thanks in part to access to Apple Health made possible through the Affordable Care Act.

How do I contact Coordinated Care Washington?

We are here for you. 1-877-644-4613 (TTY 1-866-862-9380).

Is Coordinated Care the same as Apple Health?

Coordinated Care provides your essential Washington Apple Health (Medicaid) benefits, plus additional programs such as a free cell phone, a free car seat or pack n play, $10 fruit and vegetable vouchers, dollar rewards for completing healthy activities, and more.

What insurance is Washington Apple Health?

In Washington State, Medicaid is called Apple Health. Apple Health provides preventative care, like cancer screenings, treatment for diabetes and high blood pressure, and many other health care services.

What is Coordinated Care Apple Health Payer ID?

Coordinated Cares Payor ID is 68069.

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