Insurance Authorization_release_form

Cigna Appeals Release Authorization SR# 1457315794

ID: 43447c67dcfcc4d0

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Details

Category
Vendor
Cigna Appeals / National Appeals Organization
Date
Mar 9, 2023
Processed
Sep 13, 2026 1:11 AM EDT
Original File
20230309 Cigna release03092023.pdf

Summary

Signed authorization by Johan Jongsma releasing all information about his daughter Sophia Helena Jongsma (b. 1-1-2017) to Cigna Appeals (SR# 1457315794) to support an appeal regarding transport to Kennedy Krieger. Executed March 9, 2023; return to National Appeals Organization, PO Box 188062, Chattanooga, TN 37422.

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