ကသံၣ်ကသီပှၤဟ့ၣ်မၤစၢၤတၢ်
Member Requested Authorization for Release of Information for Blue Plus (PDF)
လံာ်တီလံာ်မီတဖၣ်ဒီး လံာ်ကွီၣ်ဒိတဖၣ်အစၢတဖၣ်
တၢ်ပာ်ဖျါ 1151 - 1160 လၢ 3159 အစၢတဖၣ်အကျါ
ကသံၣ်ကသီပှၤဟ့ၣ်မၤစၢၤတၢ်
Detailed Explanation of Non-Coverage (DENC) Platinum Blue (PDF)
ကသံၣ်ကသီပှၤဟ့ၣ်မၤစၢၤတၢ်
Disabled dependent application
ကသံၣ်ကသီပှၤဟ့ၣ်မၤစၢၤတၢ်
Coordination of Benefits Questionnnaire (PDF)
ကသံၣ်ကသီပှၤဟ့ၣ်မၤစၢၤတၢ်
Detailed Explanation of Non-Coverage (DENC) SecureBlue (PDF)
ကသံၣ်ကသီပှၤဟ့ၣ်မၤစၢၤတၢ်
Business Associate Accounting for Disclosure Report Form (PDF)
ကသံၣ်ကသီပှၤဟ့ၣ်မၤစၢၤတၢ်
MN Uniform Facility Credentialing Application (PDF)
ကသံၣ်ကသီပှၤဟ့ၣ်မၤစၢၤတၢ်
Credentialing and Recredentialing Policy Manual (PDF)
ကသံၣ်ကသီပှၤဟ့ၣ်မၤစၢၤတၢ်
Authorization and Release Form (PDF)
ကသံၣ်ကသီပှၤဟ့ၣ်မၤစၢၤတၢ်
Minnesota Restricted Recipient Program Member Referral Request Form