EFTA00313239.pdf

SOUTHERN TRUST COMPANY 6100 RED HOOK QUARTER,0.3 ST THOMAS VI 00802-0000 I Unitedllealthcare* Maid a he OR one realer end sten ea code Wen gaul ceceeners Smengnone suns is berafi at: prink* NMMrW Met myubc «woo rwnbk You ere receiving the care because your PhilTWOCy ~Ca SIBWeiteS wit be administered by OflufnlItil - THIS CARD IS VALID AS OF 08/01/2013. >001600 3485303 001 003082 J.EPSTEIN 6100 RED HOOK QUARTER B-3 ST THOMAS VI 00802-0000 Please Review: New Member ID Card Enclosed Pham PR - MAPFRE - PO 90470297, San Juan, Medical Claims: bwAv.undedhe For Providers: in i aP Your pharmacy henelil soviets will soon be administered by OplumFtx. ota The attached tD card IS updated with information acy terns: OptumRx your pharmacy Claims PLEASE CONTINUE USING needed to process CARD UNTIL THE EFFECTIVE DATE ON THE YOUR CURRENT CARD CARRIER. If you have ci uestions. please FRONT OF THIS transition letter and FAO Wally maid to you from review the :Annecy or call the member phone number on the back UnitecilleahhCara of this Card 481MultiPlan P.O. BOX 740800 ATLANTA GA 30374 ..ingwir•ma PO Box althcareonline.com 91144 Hot Springs AR 71903 PR 009368297 Revise la Nueva Terms de Idenufececan de Merntresia Adjures Proarnantime Oplurn% ~nand INa sancios de sus IWOWC6utiCOS La larta dsIderdleacifin~WI inn ~swan benefice» illoinwoon nocesens pan roomy sta reclaims con la USANO0 SU TARJE TA ACTUAL HASTA LA TECHA DE lannaceocce SIGA FIGURA EN EL ANvERSO DE ESTE TARlEIERO VIGENctk DUE consul% are since 4 anssicica cle lama« SI Nile negallas Friscuentes Unitennalaccre lemy PfVann Caries reCe~O43OW ban el innreidde anions pee ~sties tennode tea Lilco. qua se enraa en el 0 rne zu. yin .1"~Ima,•••••••••1~ imete r ~.~.~«,,,...•,~ OhS~ w~n••••••—.~«~...” W WC~I~.~.....~.~N.C am.~~~~ W~~~ 9~ 4 ~4~~~~~~~~~ Wayismnead.~.~.~..ffiese~s EFTA00313239