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SUBMIT YOUR WELLNESS BENEFIT REQUEST ... - USAble Life

SUBMIT YOUR WELLNESS BENEFIT REQUEST ... - USAble Life

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Doppler Screening (for carotids) Doppler Screening (for peripheral vascular disease) ... SUBMIT YOUR WELLNESS BENEFIT REQUEST Complete all fields and return to USAble Life ... (800) 370-5856 Monday-Friday, 8 a.m. to 5 p.m. CST WELLNESS BENEFIT REQUEST FORM 21L-USAL-0630. In signing below, I represent the statements I may have provided for claim ...

  Form, Screening, Wellness

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