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OCR: Placement Swap Primary/Secondary Primary Edit Insurance Lis Insurance Company Company Name Insurance Contact Name 20 Adde Box 90002 Pawtucke State Phone Edt Reteual Effective Date 4/19/2001 CoPa $15.00 Notes Insurance Plan Name Cigna Insurance Plan Tupe Group Health Plan Pabient' Insurance ID Number 1266695302-069 Policy Group or FECA Number 3360259 Corpany Inurance List Compary Cortact Address Type Patient