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CASH-No Insurance


HMO/ASH-All Cigna, All Anthem/Blue Cross,  All HealthNet, All Kaiser, Blue Sheild HMO...


OPTUM-ACN, United Healthcare, Sutter...


INSURANCE-any not HMO/ASH/Optum, Blue Shield PPO...


MEDICARE-True Medicare (not Medicare Advantage-which would be covered above)


PI-Personal Injury, Auto Accident, Slip & Fall (you were injured by someone's neglect)


WORK COMP-Workers Compensation (you were injured while working)


VA-Veterans Administration, Tri-Care, TriWest, VAPC3 )


Self Insurance Verification Form