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5 1 6 1 1 0 1 9 5 4 6 9 0 0 0 0 2 0 0 0 0 0 0 1 3 0 2 0 0 0 0 0 0 3 2 2 2 Health Plan (80840) 911-87726-04 Member ID: 999999999 Group Number: 90500 Member: CIN#: DB58942R PCP Name: BROWN, PROVIDER Payer ID: 87726 PCP Phone: (999) 999-999 SUBSCRIBER BROWN Rx Bin: 610494 Rx Grp: Rx PCN: UnitedHealthcare Community Plan for Adults 0501 Administered by UnitedHealthcare of New York, Inc. PROVIDER BROWN PCP Phone: (999)999-9999 OH - Medicaid 0501 Administered by UnitedHealthcare Community Plan of Ohio, Inc. These plans provide coverage for members through a network of locally contracted doctors and hospitals. For service coverage requirements, please see the UnitedHealthcare provider administrative guide at UHCprovider If your provider has any questions about the plan, they can visit the website or call the number listed here. Member ID: 999999999. craigslist buffalo ny UnitedHealthcare Insurance Company pays royalty fees to AARP for the use of its intellectual. com 1-866-675-1607 Claims: PO Box 31341, Salt Lake City, UT 84131-0341 DOB: 02/08/2012 0501 Administered by UnitedHealthcare of Lousiana, Inc Health Plan (80840) 911-87726-04 Member ID: A999999991 Group Number: INHCC Member: NEW M ENGLISH Payer ID: 87726 PMP Name: DOUGLAS GETWELL PMP Phone: (717)851-6816 0501 Administered by UnitedHealthcare of Indiana, Inc. Health Plan (80840) 911-87726-04 Member ID: 000200065 Group Number: WAHLOP Member: NEW ENGLISH Payer ID: 87726 State ID: 999999994522 0501 You will need this card when you get health care services. We're ready to answer any questions. Monday - Friday, 8 am - 8 pm EST. Welcome. home depot ship to store 1-800-504-9660,TTY 711. Sample member ID card Health Plan (80840) 911-87726-04 Member ID: Group Number: Member: PCP Name: DOUGLAS GETWELL (717)851-6816 PO Box 31365, Salt Lake City, UT 84131-0365 0501 Payer ID: Rx Bin: 610494 Your Plan Explained - The Retirement Systems of Alabama UnitedHealthcare Dual Complete Select (HMO D-SNP) (H5253-122) UnitedHealthcare Dual Complete (HMO D-SNP) (H5322-028) UnitedHealthcare Dual Complete Select (HMO D-SNP) (H5322-034) UnitedHealthcare Dual Complete Choice (Preferred Provider Organization (PPO) D-SNP) (H0271-055) 2023 plan changes In 2023, there are 3 new D-SNP plans: Health Plan (80840): 911-87726-04 Member ID: QA00000-00 Group Number: MSDSNP Member: MEMBER BROWN PCP Name: PROVIDER BROWN Payer ID: 87726 PCP Phone:(000) 000-0000 H5008 PBP# 011 Dental Benefits Included 610097 MPDCSMS 9999 RxBin: RxPCN: RxGrp: UnitedHealthcare Dual Complete (HMO SNP) Front Back Q. 5 1 6 1 1 0 1 9 5 4 6 9 0 0 0 0 2 0 0 0 0 0 0 1 3 0 2 0 0 0 0 0 0 3 2 2 2 Health Plan (80840) 911-87726-04 Member ID: 999999999 Member: SUBSCRIBER BROWN 87726 NurseLine: 1-877-440-9409 TTY 711 Report Fraud: 1-800-488-2917 For Providers: www. PCP Phone: (516)827-5757. walgreens notary near me Printed: 04/23/12 911-87726-04 (80840) 999999999 Member ID: SUBSCRIBER M BROWN 877-743-8731 TTY 711 877-370-4009 87726 R BROWN 610494 ACUMS 9999 wwwcom. ….

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