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Commercial Prescription Drugs Claim Form
1. Complete all information under Part 1. The member/cardholder ID Number is located on your insurance card. 2. Submit claims within the filing period
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Santa Clara Family Health Plan Medi-Cal Member Handbook
You can file a grievance in person, in writing, by phone or by email: Page 7. Notice of non-discrimination. Call Customer Service at 1-800-260-2055 (TTY 711).
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CLAIM FORM INSTRUCTIONS
Complete all information under Part 1. The member/cardholder ID Number is located on your insurance card. 2. Submit claims within the filing period specified by
Learn more