>

Po box 14020 lexington ky 40512 - 1-800-638-8432 (TTY: 711) Rural Carrier Benefit Plan. P.O.

PO BOX 2451, Charleston, West Virginia, 25329-2451: 888 444 7342: ACORDIA National: P

P.O. Box 14601. Lexington, KY . 40512-4601. Once you've mailed . your claim request to the address above, please allow up to 30 days for your . claim to be received and processed. Dental Claims can be submitted on an ADA form, and mailed to: PO Box 14611. Lexington KY 40512PO Box 14067 Lexington, KY 40512 If you need a faster (expedited) decision, you can call or fax us. Expedited Phone Number: 1-888-267-2637 Monday to Friday, 8 AM to 9 PM …Zip code 40512 is located mostly in Fayette County, KY. This postal code encompasses addresses in the city of Lexington, KY. Find directions to 40512, browse local businesses, landmarks, get current traffic estimates, road conditions, and more. Nearby zip codes include 40502, 40507, 40506, 40536, 40508.Sep 10, 2009 · P.O. Box 14115 Lexington, Ky., 40512-4115. Correspondence should be sent to: P.O. Box 14114 Lexington, Ky., 40512-4114. Provider Services Telephone Support: 1-877-228-7268. To ensure that you have up-to-date information, including the correct address for claim submission, make it your routine practice to check the patient's membership card at ... CONTACT US. 5/5 - 1928 votes. . Revised October, 2023 – Resource, Turkey iResidence. . . YOU MAY CONTACT US BY EMAIL, TELEPHONE OR POST. . Each year thousands …Sedgwick CMS: P.O. Box 14490 Lexington, KY 40512 Phone: 1-(877)-925-5580 Fax: 1-(866)-828-8550 HealthSmart Disability Management P.O. Box 3389PO Box 14187. Lexington, KY 40512. Fax: 859-258-2239 . For all other states: The Hartford. PO Box 14170. Lexington, KY 40512. Fax: 859-258-2235 . ... Lexington, KY 40512. Fax: 859-258-2235 . Your pharmacist should bill your approved medications directly through Express Scripts, at no cost to you.Team PO Box 14020 . Lexington, KY 40512 . Aetna Dental . 859-455-8650 : PO Box 14094 . Lexington, KY 40512-4094 : 859-455-8650 . Aetna Complaints and Appeals PO Box 14597 . Lexington, KY 40512 . Blue Cross Blue Shield Minnesota and . Blue Plus AmeriGroup 833 833 (Medicaid, MNCare, MSHO) -224 6929 AmeriGroup PO Box 64033 St. Paul, MN 55164-4033 ...• Medical claims address: Health Net Medicare Advantage, PO Box 14130, Lexington, KY 40512 Health Net Medicare Advantage Pharmacy Services 1-888-445-8913 (TTY: 711) From October 1 through February 14, our office hours are 8:00 a.m. to 8:00 p.m., 7 days a week, excluding certain holidays. However, after February 14, your call willThe following department has been designated to handle inquiries regarding Humana’s non-discrimination policies: Discrimination Grievances, P.O. Box 14618, Lexington, KY 40512-4618, 1-877-320-1235 (TTY:711). Humana Care Solutions information is available for free in other languages.P.O. Box 14399 Lexington, KY 40512-9700 If sending by courier: Conduent Attn: Aetna Senior Supplemental Insurance 2432 Fortune Drive Lexington, KY 40509 Final Expense Phone (Policyholders): (800) 264-4000 Landmark (Agent & PH): (800) 416-8377 Email**: [email protected] (Note: We do not accept applications via email)PO Box 14116, Lexington, KY 40512. Background Check. Company Profile. Industry: Health Insurance Providers. Phone: (443) 738-2921. Description: Additional phone - (202) 479-6560, (888) 567-9887. Additional address - PO Box 14114, Lexington, KY 40512. Additional DBA - CareFirst BlueCross BlueShield and CareFirst BlueChoice Inc, CareFirst of ...PO Box 981106 El Paso, TX 79998-1106 : 859-455-8650 . Provider Resolution Team PO Box 14020 Lexington, KY 40512 : Aetna Dental . 859-455-8650 ; PO Box 14094 Lexington, KY 40512-4094 . 859-455-8650 ; Aetna Complaints and Appeals PO Box 14597 Lexington, KY 40512 . Blue Cross Blue Shield of Minnesota • CCStpa • BlueLink TPA 800-793-6928 . PO ... The Home Depot credit card payment address is: Home Depot Credit Services PO Box 182676 Columbus, OH 43218-2676. This is the address to which all credit payments are made, regardless of location within the United States.PO Box 14079 Lexington, KY 40512-4079. Related Links: Dispute and Appeals Process; Dispute and Appeals Process Frequently Asked Questions . Our Collaboration. We're a healthcare company that brings together Sutter Health's network of nationally recognized, high-quality ...PO Box 14204 Lexington, KY 40512-4024 . Mail-order drug Phone . 1-888-792-3862 . Ordering address: Aetna Rx Home Delivery PO Box 417019 Kansas City, MO 64179 . To track and order Rx refills: aetnanavigator.com . Other programs . Aetna Vision. SM. Preferred plans Phone: 1-877-973-3238 . Aetna Vision. SM.PO Box 14645 Lexington, KY 40512 . The above is true EXCEPT EXCEPT EXCEPT when the injured worker's employer workers' comp insurance is furnished by Work First Casualty. Under these circumstances, Broadspire instructs providers to send bills for Work First Casualty claims to a different bill review vendor and clearinghouse.House located at 2820 Yorkshire Blvd, Louisville, KY 40220. View sales history, tax history, home value estimates, and overhead views. APN 14089B00900033.PO Box 14514 Lexington, KY 40512 Phone: (877) 878-6730 | Map. View Report. 80% CR Index. Sedgwick Claims Management Company. Insurance Claim Processing Services. based on 0 reviews. PO Box 14448 Lexington, KY 40512-4448 Phone: (847) 645-0866 | Map. View Report ...PO Box 14835 Lexington, KY 40512 . Title: untitled Created Date: 6/21/2021 10:10:27 AM ... P.O. Box 14113 Lexington, KY 40512-4113 Mail Administrator P.O. Box 14111 Lexington, KY 40512-4111 Tax ID Number NPI 410-581-3568 or 800-854-5256 BCBS FEP Dental (Supplementary dental plan) Indicator: FEP BlueDental Logo Prefix: "F" FEP BlueDental Claims P.O. Box 75 Minneapolis, MN 55440-0075 FEP BlueDental Claims P.O. Box 75 Minneapolis ...PO BOX 14856 LEXINGTON, KY 40512-4856. Fax: 888-772-2805. Email: [email protected]. Please include only one bill per email with supporting documents (Black/White images) in one PDF attachment. Do not include bills or medical records in the body of the email. E-Billing Information for all providers:Mailing address for reconsiderations table; State. Address. CA. Provider Resolution Team PO Box 14079 Lexington, KY 40512-4079 1-800-360-7654 or 1-202-479-6444. If you are deaf, hard of hearing, or have a speech disability, dial 711 for TTY relay services. For other language assistance or translation services, please call the customer service number for your local Blue Cross and Blue Shield company. District of Columbia Help Center: Important contact information for ...PO Box 105568 Atlanta, GA 30348-5568 Find a Provider. Find a Provider. ... PO Box 14588 Lexington, KY 40512 Appeals Addresses. Appeals Addresses. MetLife Group Claims Review PO Box 14589 Lexington, KY 40512 Find a Provider. Find a Provider. MetLife PDP Plus Providers. Scroll to the bottom of the page;PO Box 14020 Lexington, KY 40512. See state exceptions to these timeframes. Mailing Addresses for Reconsiderations Table; State. Address. DC, MD, VA. Innovation Health Provider Resolution Team PO Box 14020 Lexington, KY 40512:PO Box 14463 Lexington, KY 40512 . Or use our National Fax Number: 859-425-3379CRTM . GR-68192 (12-22) I . 1 R-POD . Aetna complies with applicable Federal civil rights laws and does not unlawfully discriminate, exclude or treat people differently based on their race, color, national origin, sex, age, or disability.Sedgwick Claims Management Services, Inc., is a leading global provider of technology-enabled risk and benefits solutions. At Sedgwick, caring countsSM; the company takes care of people and organizations by delivering cost-effective claims, productivity, managed care, risk consulting and other services through the dedication and exper¬tise of more than …Submit medical invoices to Sedgwick PO Box 14440 Lexington, KY 40512-4440 For claim/bill/payment inquiries: Providers can access viaOne® for Providers at www.sedgwickcms.com under Provider Resources. The provider will need to register for the site by providing a tax ID number, a valid email address and a 4 digit PIN.By checking the box above, I hereby agree to h ... PO Box 14354 Lexington, KY 40512-9706 . Overnight mail: Merrill Document Processing 745 W. New Circle Road Lexington, KY 40511 . Code 202060PM-D-EDIT-1022 . 4 of 5 . MERRILL~-A BANK OF AMERICA COMPANY ; Fr.ME ; FINANCE AUTHORITY OF MAINE ;PO Box 14079 Lexington, KY 40512-4079 Phone: 1-888-772-9682 FAX: 1-859-455-8650 In order to ensure timely and accurate processing of the life insurance claim, please include the following with your claim submission: • Proof of Death Claim Form - Completed and signed by the employer/authorized employer representative. (The proof of death claim P.O. Box 14546 . Lexington, KY 40512-4546 . Medicaid/duals expedited fax . 855-336-6220* Commercial Submit via . Availity Essentials as described in the online instructions above, or you may submit by mail to: Humana Grievances and Appeals . P.O. Box 14546 . Lexington, KY 40512-4546 . Commercial standard fax . 888-556-2128 . Commercial ...po box 14874 lexington ky 40512-4874: sedgwick c: po box 14516 lexington ky 40512: 866-495-7844: sedgwick cms: attn michelle perez lexington ky 40512: 469-524-4480: sedgwick cms – mi claims: p.o. box 14607 lexington ky 40512: 866-495-7844: sedgwick cms – mo claims: p.o. box 14562 lexington ky 40512: 866-856-4835: …Contact Information. 250 W Main St STE 110. Lexington, KY 40507-1753. Visit Website. (859) 808-1004.Andrew Wade Insurance Agy Inc. Lic: KY-DOI-1079205. 80 Codell Drive Suite 110. Lexington, KY 40509-1180. 859-266-6640. Agent Website. Email agent. Find a nearby Lexington, KY insurance agent and get a free quote today! Whatever your insurance needs in Kentucky, State Farm® is here to help life go right.PO Box 14847 Lexington, KY 40512 Submit electronic claims and retrieve electronic remittance advice "ERA" online at: Payor ID 13407 Claims must be received within 60 days from the service date, unless otherwise allowed by law. Claims submitted late may be denied. Claim Payment & Inquiry For claim status inquiries contact:As an Aetna Medicare member, you can can ask for a coverage decision, file an appeal if your claim is denied, or file a complaint about the quality of care you've received from a Medicare provider.PO Box 14043 Lexington, KY 40512 . Fax: 1-800-310-5514 . Email: Scan the document and email it to. [email protected] . Watch this video about claims. Our eService website is the easiest way for our policy holders to make changes to their policies! Visit the eService portal by clicking the button below.Find a top rated insurance provider in Lexington, ky. Find a Lexington insurance provider near me. Home; Who We Are; Support; Home. Who We Are. Support. Insurance Providers in Lexington, Kentucky. ... PO Box 14115, Lexington, Kentucky 40512 (877) 691-5856 . PO Box 14115, Lexington, Kentucky 40512 (877) 691-5856: Mhn . PO Box 14621, Lexington ...PO Box 14079 Lexington, KY 40512-4079 If we identify an overpayment If we have identified an overpayment and request a refund, please mail the check. along with a copy of the overpayment request letter we sent you, to the address provided in the letter.PO Box 14748 Lexington, KY 40512 Fax: (855) 673-2488 You may request copies of all documents, records, and other information relevant to your claim decision; and you may submit written comments, documents, records, and other information relating to your claim for short-term disability benefits. ...P.O. Box 22807 Long Beach, CA 90801 Electronic EDI Submission: EDI Vendor: EMDEON Emdeon Payer ID: 38333 Care1st Los Angeles Submit paper claims with Medicare EOB to: Provider Relations (323)-889-6638 Care1st Health Plan Mail Stop: CL005 (Claims COB) 601 Potrero Grande Drive Health Net Medi-Cal Claims P.O. Box 14598 Lexington, KY 40512PO Box 14677 Lexington, KY 40512, US ... Lexington, KY 40512, US Get directions Employees at Buckle Nancy Ross Andrew Pelcin PhD CPCU George Lott Senior Vice President, Technology M&A ...PO Box 14601 Lexington, KY 40512-4601. Please be sure to include: The healthcare provider's name and Tax Identification Number The Humana-covered member's Humana ID number and relationship to the patient The date of service, claim number and name of the provider.po box 14020 lexington ky 40512. New jersey department of banking and insurance health care provider application to appeal a claims determination aetna provider resolution team p.o. box 14020 lexington, ky 40512 or fax to: (859) 455-8650 you have the right to appeal our1 claims...PO Box 14770. Lexington, KY 40512-4770. Get Directions. Visit Website (800) 264-4000. Customer Reviews. 1.13/5 stars. All customer reviews are handled by the BBB where the company is Headquartered ...PO Box 14020, Lexington, KY 40512-4020. Aetna Inc. Insurance Companies, Health Insurance, Insurance ... BBB Rating: A+ (800) 872-3862. PO Box 14549, Lexington, KY 40512-4549.PO Box 14020, Lexington, KY 40512-4020. Aetna Inc. Insurance Companies, Health Insurance, Insurance ... BBB Rating: A+ (800) 872-3862. PO Box 14549, Lexington, KY 40512-4549.P.O. Box 14053 Lexington, KY 40512. ... PO Box 260070 Pembroke Pines, FL 33026; ... P.O. Box 52057 Phoenix, AZ 85072-2057; Explanation of Benefits (EOBs) An EOB is an outline of what services you received from a provider and how your benefits were applied to cover those services. You can view your personal EOBs through your MyBlue account.po box 14020 lexington ky 40512 New jersey department of banking and insurance health care provider application to appeal a claims determination aetna provider resolution team p.o. box 14020 lexington, ky 40512 or fax to: (859) 455-8650 you have the right to appeal our1 claims...PO Box 14079 Lexington, KY 40512-4079 OR • Fax claims to: (859)455-8650; ATTN: Claims • Use Payor ID: 57604-0128, NOT the regular Aetna Payor ID MedPremier Member/Provider Services: 866.337.8417 . Claims Submission . Pharmacy Claims. How is Boon Aetna coverage verified at a Pharmacy? Boon benefits utilize CVS Caremark as the PharmacyPO Box 14020 Lexington, KY 40512 . We'll send our appeal decision within 60 calendar days after we get your appeal. ... PO Box 14586 Lexington, KY 40512-1486 . The member should include a description of the issue, and copies of any records or documents that are relevant. We'll review this and send the member a written(FROI) Form and submit by mail to: Sedgwick PO Box 14661 Lexington, KY 40512 or via fax to: (614) 495-5161. 6. Will I be protected under Family and Medical Leave (FML)if I misstimeaway from work due to my injury or ... You are instructed to submit all forms and medical documents related to the injury to SedgwickPO Box 14661 Lexington, KY or fax ...PO Box 14621. Lexington, KY 40512-4621. MHN ELECTRONIC CLAIMS SUBMISSION. For faster processing, behavioral health providers are encouraged to submit claims electronically to one of the MHN clearing houses, using payer ID 22771 for DOS July 1, 2019, and after. Clearinghouse. Website.PO Box 14296 Lexington, KY 40512-4296. or fax to: Group Benefit Claims at (877) 467-3037 . Phone: (888) 563-1124. Conversion & Portability Unit. The Hartford P. O. Box 248108 Cleveland, OH 44124-8108 . or for overnight mail: The Hartford 6110 Parkland Blvd Cleveland, OH 44124-4187.Addresses: PO Box 11926, Lexington, KY 40579 3015 Carrick Pike, Lexington, KY 40515. Members (2): John K. Griggs / Secretary Coleman Callaway / President, inactive. ... PO Box 14343, Lexington, KY 40512 898 Veterans Hwy, Hauppauge, NY 11788 (Property records) 5001 Louise Dr, Navy Sup Dpt, ...Fill provider complaint and appeal form aetna instantly, Edit online. Sign, fax and printable from PC, iPad, tablet or mobile. Try Now!P.O. Box 14301 Lexington, KY. 40512-4301 Telephone: (800) 538-0134 Fax: (877) 431-8901 . PLEASE SEE THAT ALL SECTIONS ARE FULLY COMPLETED AND SIGNED. FORWARD THE COMPLETED . APPLICATION TO YOUR HARTFORD BENEFIT MANAGEMENT SERVICE CENTER. Please verify if the employee qualifies for any other group benefits through The Hartford and submit ...Do whatever you want with a Proposed Regulation Order REGULATION FOR THE ...: fill, sign, print and send online instantly. Securely download your document with other editable templates, any time, with PDFfiller. No paper. No software installation. On any device & OS. Complete a blank sample electronically to save yourself time and money. Try Now!BBB Directory of Dental Insurance near Hazel Green, KY. BBB Start with Trust ®. Your guide to trusted BBB Ratings, customer reviews and BBB Accredited businesses.Po Box 14442 Lexington, Kentucky, 40512-4442 Get Directions. Awesome Inc 348 East Main Street Art galleries. Benchmark Mortgage 1084 East New Circle Road Finance other. Bank of the Bluegrass & Trust Co. 101 E. High St. Mortgage companies. Quik Cash 470 E New Circle Rd suite 8, Lexington, KY 40505PO Box 14116, Lexington, KY 40512. Background Check. Company Profile. Industry: Health Insurance Providers. Phone: (443) 738-2921. Description: Additional phone - (202) 479-6560, (888) 567-9887. Additional address - PO Box 14114, Lexington, KY 40512. Additional DBA - CareFirst BlueCross BlueShield and CareFirst BlueChoice Inc, CareFirst of ...New Jersey No-Fault/PIP Medical Billing (include claim number): The Hartford P.O. Box 14269 Lexington, KY 40512P.O. Box 14053 Lexington, KY 40512. ... PO Box 260070 Pembroke Pines, FL 33026; ... P.O. Box 52057 Phoenix, AZ 85072-2057; Explanation of Benefits (EOBs) An EOB is an outline of what services you received from a provider and how your benefits were applied to cover those services. You can view your personal EOBs through your MyBlue account.PO Box 14354 Lexington, KY 40512-9706 Online: By logging into your account at . merrilledge.com then select "Help & Settings > Send Document." 413ME. Securities Investor Protection Corporation (SIPC) Merrill Edge. Merrill Edge. Merrill EdgeP.O. Box 14089 Lexington, KY 40512-4089 800-843-9126 Express Scripts P.O. Box 14711 Lexington, KY 40512 877-223-4721: Dental PPO Plans Leidos Benefit Plan:Paper claims: Address is Blue Cross Complete Claims, P.O. Box 7355, London, KY 40742. Coordination of benefits: Phone Provider Inquiry at 1-888-312-5713. Provider claims appeals: Phone questions to Provider Inquiry at 1 -888 312 5713. Address is Blue Cross Complete Claims Appeals, P.O. Box 7361, London, KY 40742.P.O. Box 14114 Lexington, KY 40512-4114 (Providers in Montgomery & Prince Georges counties, Washington, DC and Northern Virginia) Mail Administrator P.O. Box 14112 po box 14020 lexington ky 40512 ... and Insurance Health Care Provider Application to Appeal a Claims Determination Aetna Provider Resolution Team P.O. Box ohio uniform small group employee application Ohio Small Group Business Employer Application and Joiner Agreement FOR GROUP COVERAGE (2 50 ELIGIBLE EMPLOYEES) Life, …po box 14607, lexington, ky, 40512: 248-223-6837: grange insurance wc claims mailing address: 2121 e. captiol drive, appleton, wi, 54912-0539: 800-343-1741: great american insurance group claims mailing address: po box 5432 , cincinnati , oh, 45201: 800-545-4269: hcr manor care/wc claims mailing address:Would you like to talk to us about your current business needs? Simply fill in the form below and one of our Ryder experts will call you back shortly. First Name. Last Name. Email Address. Phone. ZIP. Company.PO Box 14020 . Lexington, KY 40512 . Or use our National Fax Number: 859-455-8650 . GR-69140 (3-17) CRTP. Sign the document Sending Options. Clear done. Adding Fields Fields are being added to your document to make it really easy to fill, send and sign this PDF. Once finished you can manually add any additional fields and …The Claim ID box is next. ... PO Box 14020. Lexington, KY 40512 . Or you can send it to their fax number at 859-455-8650.P.O. Box 14399 Lexington, KY 40512-9700 If sending by courier: Conduent Attn: Aetna Senior Supplemental Insurance 2432 Fortune Drive Lexington, KY 40509 Final Expense Phone (Policyholders): (800) 264-4000 Landmark (Agent & PH): (800) 416-8377 Email**: [email protected] (Note: We do not accept applications via email)How do I make changes in po box 14020 lexington ky 40512? The editing procedure is simple with pdfFiller. Open your aetna appeal form texas in the editor, which is quite user-friendly. You may use it to blackout, redact, write, and erase text, add photos, draw arrows and lines, set sticky notes and text boxes, and much more. ...PO Box 14079 Lexington, KY 40512- 4079 Members of the Public: You can call us at 800-445-5299, Visit Member Services to complete a request, or; Request a copy in writing at: Aetna PO Box 14079 Lexington, KY 40512- 4079 P.O. Box 14546 . Lexington, KY 40512-4546 . Medicaid/duals expedited fax . 855-336-6220* Commercial Submit via . Availity Essentials as described in the online instructions above, or you may submit by mail to: Humana Grievances and Appeals . P.O. Box 14546 . Lexington, KY 40512-4546 . Commercial standard fax . 888-556-2128 . Commercial ...P.O. Box 14546 Lexington, KY 40512-4546 Attn: Grievance and Appeal Department. Fax your completed form to us at 800-949-2961. State fair hearing. You have the right to ask for a state fair hearing from the Department for Medicaid Services, after you complete the Humana appeal process. You must ask for a hearing within 120 days from the date on ...PO Box 14770. Lexington, KY 40512-4770. Get Directions. Visit Website (800) 264-4000. Customer Reviews. 1.13/5 stars. All customer reviews are handled by the BBB where the company is Headquartered ...P.O. Box 14089 Lexington, KY 40512-4089 800-843-9126 Express Scripts P.O. Box 14711 Lexington, KY 40512 877-223-4721: Dental PPO Plans Leidos Benefit Plan: Leidos Dental PPO Plans: Type of Plan: Group dental plans: Plan Sponsor & Administrator: Leidos Attn: Corporate Benefits 1750 Presidents StreetP.O. Box 14546 Lexington, KY 40512-4546 Attn: Grievance and Appeal Department. Fax your completed form to us at 800-949-2961. State fair hearing. You have the right to ask for a state fair hearing from the Department for Medicaid Services, after you complete the Humana appeal process. You must ask for a hearing within 120 days from the date on ...Open the po box 14020 and follow the instructions Easily sign the po box 14020 lexington ky 40512 4020 with your finger Send filled & signed po box 14020 lexington ky 40512 4079 or save Prepare po box 14020 lexington 40512 effortlessly on any device Online document managing has become popular with enterprises and individuals.PO Box 14710 Lexington, KY 40512-4710. Fax: 1-866-855-2773. Email: [email protected], PO Box 14601 Lexington, KY 40512-4601. Please be sure to i, Complaints for Claims Management Inc.. Company resolves 46% of complaints brought to it, Find a top rated insurance provider in Lexington, ky. Find a Lexington insurance provider near m, PO Box 14621 Lexington, KY 40512-4621 8. Follow-up on claims by calling 1-800-511-3921 . Created Date: 2/, Last one I had for them: 1-844-HR-LOWES Follow the prompts to get to Sedgwick Other: Web: mylowesbenef, PO Box 14511 Lexington, KY 40512-4511 Fax: 954-247-6758 • Ada Ovadia, Clai, PO Box 14020 Lexington, KY 40512 . Or use our Nation, WC Insurance Carrier Information: Sedgwick PO Box 14572 Lexington, P.O. Box 14817. Lexington, KY 40512. Get Bill Status . Find, PO Box 14165 Lexington, KY 40512-4165 Fax: 1-800-949-2961, Analyzing spending enables creditors predict risk , Sep 25, 2022 · PO BOX 2451, Charleston, West Virginia, 25329-2, P.O. Box 14621 Lexington, KY 40512-4621 Subscriber information, The Claim ID box is next. This ID can be found on the EOB or explanati, Medco Health. (800) 922-1557. This website is intended , Contact us by Phone, Fax, or Mail. Lexington Infectious Diseas, Fill Po Box 14020 Lexington Ky 40512, Edit online. Sign, fax a.