WebCorporate Office 100 Oceangate, Suite 840 Long Beach, CA 90802 T (toll free): 888-55TRISTAR (888.558.7478) T: 562.495.6600 F: 562.432.8258 Email: [email protected] WebTRISTAR began as an insurance program manager and medical malpractice claims administrator in 1987. Workers compensation claims management services were added in our offerings in 1989, and the ...
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WebAt TriStar Health, our board-certified doctors are trained to treat a broad spectrum of conditions. Our committed doctors treat patients of all ages in a setting that is … WebDATE EMPLOYEE WAS PROVIDED CLAIM FORM FORM (mm/dd/yy) 19. SPECIFIC INJURY/ILLNESS AND PART OF BODY AFFECTED, MEDICAL DIAGNOSIS if available, e.g.. Second degree burns on right arm, tendonitis on left elbow, lead poisoning 20. LOCATION WHERE EVENT OR EXPOSURE OCCURRED (Number, Street, City, Zip) 20a. COUNTY 21. … proof of tax identification number
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