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Get OH Contact Information Form For Ohio Health Plan Issuer (HPI) External Review System Users

Information Form For Ohio Health Plan Issuer (HPI) External Review System Users Instructions: 1. A completed Contact Information form must be submitted for: a) Each person in your organization who needs access to the online Ohio External Review System on behalf of the HPI(s) indicated below; and b) Any non-person email contact (such as an electronic mailbox you have designated to receive external review case notifications). 2. Email each completed form to: External.Review insurance.ohio.gov If.

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