27 Oct INSURED S NAME
OTHER INSURED S NAME (Last Name, First Name, Middle Initial) same OTHER INSURED S POLICY OR
GROUP NUMBER Same b. RESERVED FOR NUCC USE C. RESERVED FOR NUCC USE d. INSURANCE PLAN
okay , if it saying the ” other insure” name and policy number does it mean i have to write the same thing that was already been filled out for 1a. ? then on box D. it was saying there another health benefit plan and i mark no because on my paper it didnt say additional health benefit . now if that said no it dont then i shouldnt worry about filling in box number 9?
NAME OR PROGRAM NAME Medicare
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