PRINCIPAL PURPOSE(S): To collect information necessary to determine when third parties may be held liable for medical care resulting from your injuries and to ...
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2020-2024 Form DD 2527 Fill Online, Printable, Fillable, Blank - pdfFiller
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Dec 30, 2023 · Your regional contractor will send you the Statement of Personal Injury-Possible Third Party Liability (DD Form 2527) if a claim is received ...
Use this form to explain if your care is due to an accident caused by someone else. Third party liability occurs when someone else ...
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If the beneficiary is unable to complete form DD2527, the provider may submit a cover letter identifying the inability to complete and provide medical records.
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