SOUTHERN TRUST COMPANY

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 For Providers: bwAv.undedhealthcareonline.com Medical Claims: P.O. BOX 740800 ATLANTA GA 30374 PR - MAPFRE - PO 90470297, San Juan, PR 009368297 ota 481MultiPlan ..ingwir•ma Pham in i aP acy terns: OptumRx PO Box 91144 Hot Springs AR 71903 Please Review: New Member ID Card Enclosed Your pharmacy henelil soviets will soon be administered by OplumFtx. The attached tD card IS updated with information needed to process your pharmacy Claims PLEASE CONTINUE USING YOUR CURRENT CARD UNTIL THE EFFECTIVE DATE ON THE FRONT OF THIS CARD CARRIER. If you have ci uestions. please review the :Annecy transition letter and FAO Wally maid to you from UnitecilleahhCara or call the member phone number on the back of this Card Revise la Nueva Terms de Idenufececan de Merntresia Adjures Proarnantime Oplurn% ~nand INa sancios de sus benefice» IWOWC6utiCOS La larta ds Iderdleacifin ~WI inn ~swan con la illoinwoon nocesens pan roomy sta reclaims lannaceocce SIGA USANO0 SU TARJE TA ACTUAL HASTA LA TECHA DE VIGENctk DUE FIGURA EN EL ANvERSO DE ESTE TARlEIERO SI Nile negallas consul% are since 4 anssicica cle lama« Pf Vann Friscuentes Unitennalaccre le my Caries reCe~O43OW 0 ban el innreidde anions pee ~sties qua se enraa en el tennode tea Lilco. rne zu. .1"~Ima,•••••••••1~~.~.~«,,,...•,~ yin imete rw~n••••••—.~«~...” OhS~ W WC~I~.~.....~.~N.CW~~~ am.~~~~ 9~ 4 ~4~~~~~~~~~ Wayismnead.~.~.~..ffiese~s EFTA00313239