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Important: If you would like to request a duplicate Form 1095-B, you may visit our self-service site at .masshealthtaxform.com or contact the MassHealth Customer Service Center at (866) 682-6745; TDD/TTY: 711. You will need your MassHealth member ID, last name, and date of birth to request your Form 1095-B.
Access member eligibility information from the EVS Internet site through the POSC. Click Manage Members. Click Eligibility. Click Verify Member Eligibility.
Tag Return for Property Tax Refund on Lease Vehicle The original 5051 Form from South Carolina Department of Motor Vehicles received when taxpayer returns tag. Property Tax Refunds Tag Return for Sold or Traded Vehicle - Revize Revize Department Auditor Revize Department Auditor
Click the Make a Payment button OR scroll down to the Health Connector Billing and Notices section and click the Go button to open the member portal. Click on Tax Forms in the member portal menu to find your Form 1095-A available for download.
Contact MassHealth 1-800-841-2900, or TTY 1-800-497-4648 for people who are deaf, hard of hearing, or speech disabled. MondayFriday: 8:00 a.m. to 5:00 p.m.
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Providers can download a copy of most MassHealth forms or request a supply of forms through the MassHealth website at .mass.gov/masshealth. Or providers can use this request form and fax it to 617-988-8973. Providers can also request forms by e-mailing publications@mahealth.net or by calling 1-800-841-2900. Request for MassHealth Provider Forms - Mass.gov Mass.gov doc download Mass.gov doc download

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