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Health Information Fax Cover Sheet

Health Information Fax Cover Sheet is a Masshealth fax cover sheet. Masshealth Fax Cover Sheet is a unique fax cover sheet that is used when faxing documents to Masshealth. It is specially designed for people who have some transactions with Masshealth. A fax cover sheet is faxed through to your recipient before your actual fax message. A Masshealth Fax Cover Sheet can be used when applying for health benefits by sending your application through fax.

Masshealth Mail/Fax Cover Sheet

Masshealth Mail/Fax Cover Sheet is a Masshealth Fax Cover Sheet. This template includes five parts: head of household information, important message, fax or mail information for APPLICANTS, fax or mail information for members, MassHealth statement. You can print this template, and use this cover sheet when you are mailing or faxing documents to MassHealth.

Masshealth Fax Cover Sheet

Masshealth Fax Cover Sheet is a unique fax cover sheet that is used when faxing documents to Masshealth. It is specially designed for people who have some transactions with Masshealth. This template includes three sections: facility information, head of household (HOH) information, statements. You can use this cover sheet template when you are faxing or mailing some documents to the MassHealth UCP Review Team.

Masshealth Health Coverage Mail/Fax Cover Sheet

Masshealth Health Coverage Mail/Fax Cover Sheet is a unique fax cover sheet that is used when faxing documents to Masshealth. It is specially designed for people who have some transactions with Masshealth. You can print this template clearly and use this cover sheet plus the first page containing the barcode when mailing or faxing documents to the Health Connector or MassHealth.