Transcription of Sample ID Card - Custom Design Benefits
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Sample ID Card - Custom Design Benefits
Sample ID card FRONT OF card Our ID Cards contain the information needed to access your Health Plan Benefits . BACK OF card ABC Co. EMPLOYEE BENEFIT PLAN LOGO Group Number: ZZZ Insured: HOMER SIMSON ID Number: ZZZ 1 Medical Coverage: FAMILY DentalCoverage: FAMILY For HealthSpan Provider Information: 513-551-1400 or 1-888-914-7726 Claims to: Electronic Payer ID: 3737 West Fork Road # 82056 Cincinnati, OH 45247 RxBIN 003858 Pharmacy Help Desk 1-800-235-4357 RxPCM A4 ESI Customer Service 1-800-451-6245 RxGroup AJHE PPO CLAIMS RX To Verify Benefits , ELIGIBILITY or CLAIM STATUS Contact: Custom Design or 800-598-2929 TO EMPLOYEE This is your Benefit Identification card .
Sample ID Card FRONT OF CARD Our ID Cards contain the information needed to access your Health Plan Benefits. θ Rx BACK OF CARD ABC Co. EMPLOYEE BENEFIT PLANEm LOGO Group Number: ZZZθθ assi HOMER SIMSON Insured:
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