RB Specific Notification-Reimbursement Form (click to download)
RB Disclosure Form (click to download)
Potential Catastrophic Loss List Requiring Notification ICD 9 Codes (click to download)
Potential Catastrophic Loss List Requiring Notification ICD 10 Codes (click to download)
Aggregate Claim Filing Requirements (click to download)
Aggregate Claim Form (click to download)