Your New Member ID card You will be getting new ID cards that reflect your benefits. ID cards are also available for online viewing at anthem com and through the Sydney Health mobile app. The app can be downloaded from Google Play™ or the App $to�.
Features:
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Health care identification (HCID) numbers and format o If you are new to your employer's coverage, a number will be randomly assigned o The number will have 13 characters, including a 3 alpha prefix and 10 numeric digits
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Member Name
Member ID:
- HCID number = B Q E O 9 7 0 0 0 0 0 0 0 x
W12345M001
0234567 332 003858 M Wl.2A
Group No: Plan:
Rx Bin: Rx PCN: Rx Group:
o If you are an existing member of your employer's plan, you will not get a new number, it will remain the same.
Coverage(s): Pharmacy - Medical Dental
Blue View Vision
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It's important for you to use your new member ID card beginning on their effective date to make sure your claims are processed correctly and without delay. *Pending approval.
·""'•m�m Member Services
1-833-578-4441 1-800-810-2583 1-8l3-S7M441 1-833-578-4441 1.ff0-824-0898 1-886-599-2953 1-866-723-0515 1-866-58MS78
-- Travel Coverage 'Mlh the Provide, Services Pre -Aulhorization Phamiecist Services MedCall Vision Customer Service: Dental Customer 5ef\lice
Possession d this card doe& not guarantee eligibility for benefits.
llvehealthonline.com
a.AIMS & INQUIRIES: PO BOX105187An.ANTA,GA 30348-5187
Anthem Blue Crouend Blue Shield ii tl'le trade name of
VISION CLAIMS & INQUIRIES: P.O. BOX8504MASON OH45040-7111 DENTAL CLAIMS & INQUIRIES: PO BOX659444 SAN ANTONIO TX78265
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