ILL b O20 EFEN000 CbLOeD0 ODDO OBSrPEL zROCD O UnitedHealthcare Health Pian (80840) 911-87726-04 Member iD: 854905597 _ Group number: 272605 Member: FINANCIAL TRUST COMPANY JEFFREY EPSTEIN Payer (0 87726 Rx Bin: 610014 Office: $20 ER $200 Re Grp: UHEALTH UroCare. $75 Spee $30 UnitedHeatthcare Choice Plus 001. oso Undenertan by Untereeanhcare Ingerance Company Prete. 102009 i T Ji Gard does not quaranlee coverage. ‘0 verify benefits, view claims, or find a For Members: www.myuhc.com 800-357-0978 Care24 888-887-4114 800-842-2065 Mental Health. For Providers: www.unitedhealihcareoniine.com 877-842-3210 Medical Claims: P.O. BOX 740800 ATLANTA GA 303740800 Shaved saves muniPa WE Pharmacy Claims:PO BOX 14711, LEXINGTON KY 40512 For Pharmacsis 800-922-1557 = “23 — omo “SZ asv9 755 x aw oS 6 Smart =] ofata) =mme : o> bor ani Por wz er] : E 8 <8 = <5 Qs <4 i oe 205 o 2 (2) es 8 S Bae eon & gb> o-+ z Nm o , Sox 17 co oe ° a ow o co; bed ow nn EFTA00304645