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- Is the Patient Covered?
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- Get the patient's name and date of birth.
- Get the policyholder's name and number.
- How is the patient related to the policyholder:
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- (Spouse) Is this a family or an individual policy?
- (Indiv.) A spouse is only covered under a family policy.
- (Family) This person is covered.
- (Self) This person is covered.
- (Child) Natural child?
- (Yes) In what age group is the child?
- (< 19) This person is covered.
- (=> 19) Is there any claim that the child is unable to support himself?
- (No) Children over 19 are not covered unless they are disabled.
- (Yes) Is there a physician's certificate of medical disability?
- (Yes) This person is covered.
- (No) This person is not covered without a doctor's statement.
- (No) Is the child legally adopted?
- (Yes) This person is covered.
- (No) Only natural children and adopted children are covered.
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