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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