INSURED S NAME

OTHER INSURED S NAME (Last Name, First Name, Middle Initial) same OTHER INSURED S POLICY OR

GROUP NUMBER Same b. RESERVED FOR NUCC USE C. RESERVED FOR NUCC USE d. INSURANCE PLAN

okay , if it  saying the ” other insure” name and policy number does it mean i have to write the same thing that was already been filled out for 1a. ? then on box D. it was saying there another health benefit plan and i mark no because on my paper it didnt say additional health benefit . now if that said no it dont then i shouldnt worry about filling in box number 9?

NAME OR PROGRAM NAME Medicare

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