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Missing information: agent date was before client’s date – now all dates on application need to be made compliant
Client: Donald Byerly
Missing information: Need to verify who is applicant and who is POA, page 4 medicaid question marked yes but no info listed,
POA information needs filled in, and all dates need to be made compliant
Client: Mary Byerly
Missing Information: need to verify who is applicant and who is POA, page 4 medicaid is marked yes but no info listed, and once
Again POA information needs filled in if there is a POA, and all dates need to be made compliant
Client: Margaret Burton
Missing Information: Cleanly correct Phone # - very hard to read, Need PCP #, Pg 7: agent info, election period, and agent’s signature
Client: Thomas Burton
Missing Information: written on a 2014 application with possible want for 1/1/2015 effect date (is it same as wife??), missing PCP #,
client signature year needs to be corrected, and no for sure effect date listed
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