{"version":"1.0","provider_name":"\u0627\u062a\u062d\u0627\u062f \u0645\u0631\u06a9\u0632\u06cc \u06a9\u0627\u0644\u06cc\u0641\u0631\u0646\u06cc\u0627 \u0628\u0631\u0627\u06cc \u0633\u0644\u0627\u0645\u062a","provider_url":"https:\/\/thealliance.health\/fa\/","author_name":"Sky Collins","author_url":"https:\/\/thealliance.health\/fa\/author\/scollinsccah-alliance-org\/","title":"TotalCare Member Reimbursement Claim Form","type":"rich","width":600,"height":338,"html":"<blockquote class=\"wp-embedded-content\" data-secret=\"4iCmpf9Y0y\"><a href=\"https:\/\/thealliance.health\/fa\/totalcare\/online-self-service\/member-reimbursement-claim-form\/\">\u0641\u0631\u0645 \u062f\u0631\u062e\u0648\u0627\u0633\u062a \u0628\u0627\u0632\u067e\u0631\u062f\u0627\u062e\u062a \u0647\u0632\u06cc\u0646\u0647 \u0639\u0636\u0648\u06cc\u062a TotalCare<\/a><\/blockquote><iframe sandbox=\"allow-scripts\" security=\"restricted\" src=\"https:\/\/thealliance.health\/fa\/totalcare\/online-self-service\/member-reimbursement-claim-form\/embed\/#?secret=4iCmpf9Y0y\" width=\"600\" height=\"338\" title=\"\u201c\u0641\u0631\u0645 \u062f\u0631\u062e\u0648\u0627\u0633\u062a \u0628\u0627\u0632\u067e\u0631\u062f\u0627\u062e\u062a \u0647\u0632\u06cc\u0646\u0647 \u0639\u0636\u0648\u06cc\u062a TotalCare\u201d \u2014 \u0627\u062a\u062d\u0627\u062f\u06cc\u0647 \u0645\u0631\u06a9\u0632\u06cc \u0633\u0644\u0627\u0645\u062a \u06a9\u0627\u0644\u06cc\u0641\u0631\u0646\u06cc\u0627\" data-secret=\"4iCmpf9Y0y\" frameborder=\"0\" marginwidth=\"0\" marginheight=\"0\" scrolling=\"no\" class=\"wp-embedded-content\"><\/iframe><script>\n\/*! This file is auto-generated *\/\n!function(d,l){\"use strict\";l.querySelector&&d.addEventListener&&\"undefined\"!=typeof URL&&(d.wp=d.wp||{},d.wp.receiveEmbedMessage||(d.wp.receiveEmbedMessage=function(e){var t=e.data;if((t||t.secret||t.message||t.value)&&!\/[^a-zA-Z0-9]\/.test(t.secret)){for(var s,r,n,a=l.querySelectorAll('iframe[data-secret=\"'+t.secret+'\"]'),o=l.querySelectorAll('blockquote[data-secret=\"'+t.secret+'\"]'),c=new RegExp(\"^https?:$\",\"i\"),i=0;i<o.length;i++)o[i].style.display=\"none\";for(i=0;i<a.length;i++)s=a[i],e.source===s.contentWindow&&(s.removeAttribute(\"style\"),\"height\"===t.message?(1e3<(r=parseInt(t.value,10))?r=1e3:~~r<200&&(r=200),s.height=r):\"link\"===t.message&&(r=new URL(s.getAttribute(\"src\")),n=new URL(t.value),c.test(n.protocol))&&n.host===r.host&&l.activeElement===s&&(d.top.location.href=t.value))}},d.addEventListener(\"message\",d.wp.receiveEmbedMessage,!1),l.addEventListener(\"DOMContentLoaded\",function(){for(var e,t,s=l.querySelectorAll(\"iframe.wp-embedded-content\"),r=0;r<s.length;r++)(t=(e=s[r]).getAttribute(\"data-secret\"))||(t=Math.random().toString(36).substring(2,12),e.src+=\"#?secret=\"+t,e.setAttribute(\"data-secret\",t)),e.contentWindow.postMessage({message:\"ready\",secret:t},\"*\")},!1)))}(window,document);\n\/\/# sourceURL=https:\/\/thealliance.health\/wp-includes\/js\/wp-embed.min.js\n<\/script>","thumbnail_url":"https:\/\/thealliance.health\/wp-content\/uploads\/TotalCare-Member-Reimbursement-Claim-Form.jpg","thumbnail_width":1024,"thumbnail_height":536,"description":"Fill out the TotalCare Member Reimbursement Claim Form to ask for reimbursement for covered services. If you have any questions or need assistance with this form, please call our Member Services department at 833-530-9015."}