![]() ![]() You will not be asked for your name or any other personal data. If you think that an EPIC participant or a pharmacy is misusing or abusing the program, you can call the Fraud and Abuse Hotline by dialing toll-free 1-80, Option #3. ![]() To cancel your coverage you can call our toll-free Helpline at 1-80. You may obtain copies of your records by writing to: EPICĪlbany, NY 12212-5091 If You Want To Cancel Your EPIC Coverage Your EPIC RecordsĪll EPIC records are kept strictly confidential and are maintained by EPIC in Albany. If you lose your card, just call our toll-free Helpline at 1-80 to report the loss, and we will mail you a new card. This will help us respond quickly to your request. Please include your name and EPIC identification number on all letters sent to the EPIC program. To ask for a reconsideration, you can write to the address above or call our toll-free Helpline at 1-80. You are encouraged to use it if you do not agree with a decision. This process is meant to protect your rights. If you still disagree with our action, you have the right to a formal administrative hearing conducted by an independent hearing judge. You will always receive a written response to your inquiry. Cancellation of your EPIC coverage because you have not completed, signed and returned the Request for Additional Information form to EPIC. ![]() Epic Games Headquarters is located at 1105 Walnut Street in the Ivy Meadows neighborhood, Cary, NC 27511. The amount of your income that we record to determine your eligibility or premium assistance Epic Games Headquarters, Cary, NC 27511 - Office Space.The disapproval of your application or renewal form Learn about their Multimedia, Games & Graphics Software, Software market share, competitors, and Epic Gamess email format.Some examples of decisions that you may question are: This process is called a reconsideration. If at any time you disagree with any decision affecting your enrollment in the program, you have the right to request that the issue be reviewed. Call 1-80 (TTY 1-80) for more information or to request an application. EPIC operates a toll-free Helpline which is available from 8:00AM to 5:00PM, Monday through Friday.Call 1-80 (TTY 1-80) for more information or an application.Request an EPIC Application using the on-line Application Request Form.Other languages that the EPIC Application form is available in:.Descargar e imprimir la aplicación de EPIC en español (PDF).Download then print the EPIC Application form in English orĭownload, use the fields in the EPIC Fill-in Application form in English then print to sign for completion.All Health Care Professionals & Patient SafetyĮPIC Application and Contact Information How can I get an EPIC application?.Clinical Guidelines, Standards & Quality of Care.Health & Safety in the Home, Workplace & Outdoors.Birth, Death, Marriage & Divorce Records. ![]()
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