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File f kph insurance optum pdffillhow to open er certificate of medical necessity under internal revenue pdf html

File f kph insurance optum pdffillhow to open er certificate of medical necessity under internal rev 2025

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The document is a Certificate of Medical Necessity (CMN) required for reimbursement of certain health care services and products from Health Flexible Spending Accounts (FSA), Limited FSA, and Health Reimbursement Arrangements (HRA). It outlines the need for certification by a licensed practitioner to confirm that the expenses are medically necessary due to a specific medical condition. The form must be completed in its entirety to avoid denial and cannot replace a doctor's prescription for OTC drugs.

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