Limited Benefit Plan
Member: $agent_company
Member ID: $CQ_MBA_Group_Number
Group #: TVPH1
Pharmacy Help Desk: (855) 798-2538
Plan Sponsor: The Vitamin Patch
Provider Locator Assistance: (877) 858 1036
Provider Locator Website: locateprovidersnow.com
Limited Benefit Plan
Member: $agent_company
Member ID: $CQ_MBA_Group_Number
Pharmacy Help Desk: (855) 798-2538
Provider Locator Assistance: (877) 858 1036
Provider Locator Website: locateprovidersnow.com
Limited Benefit Plan
Member: $agent_company
Member ID: $CQ_MBA_Group_Number
Group #: TVPH1
Pharmacy Help Desk: (855) 798-2538
Plan Sponsor: The Vitamin Patch
Provider Locator Assistance: (877) 858 1036
Provider Locator Website: locateprovidersnow.com
Limited Benefit Plan
Member: $agent_company
Member ID: $CQ_MBA_Group_Number
Pharmacy Help Desk: (855) 798-2538
Provider Locator Assistance: (877) 858 1036
Provider Locator Website: locateprovidersnow.com
Contacts
Advocacy ID#: (855) 476-4060
Benefits/Eligibility: (480) 576-7122
Pharmacy Help Desk: (855) 798-2538
Physician mail order information:
Escribe: 04229971
Efax: (888) 870-3823
Contacts
Advocacy ID#: (855) 476-4060
Benefits/Eligibility: (480) 576-7122
Pharmacy Help Desk: (855) 798-2538
Physician mail order information:
Escribe: 04229971
Efax: (888) 870-3823
Electronic Medical Claims Submission
Phone: (480) 576-7122
Phone: (480) 576-7122
PO Box 786, Arnold, MD 21012
Check Claims Status Online:
main.mbaadmin.com
Electronic Medical Claims Submission
Phone: (480) 576-7122
Phone: (480) 576-7122
PO Box 786, Arnold, MD 21012
Check Claims Status Online:
main.mbaadmin.com
This card is not guarantee that coverage is in effect, or payment for the service or procedure reviewed. This plan has limited benefits and some services may not be covered. Contact the payor to determine coverage before the services are rendered.
Limited Benefit Plan
This card is not guarantee that coverage is in effect, or payment for the service or procedure reviewed. This plan has limited benefits and some services may not be covered. Contact the payor to determine coverage before the services are rendered.
Limited Benefit Plan
Rx Benefits
BIN: 006053
Create & Personalize your Wallet Card with Florie’s intuitive Card Builder
Our platform helps you to create a unique experience for your customers.
Rx Benefits
BIN: 006053
Contacts
Advocacy ID#: (855) 476-4060
Benefits/Eligibility: (480) 576-7122
Pharmacy Help Desk: (855) 798-2538
Physician mail order information:
Escribe: 04229971
Efax: (888) 870-3823
Create & Personalize your Wallet Card with Florie’s intuitive Card Builder
Our platform helps you to create a unique experience for your customers.
Contacts
Advocacy ID#: (855) 476-4060
Benefits/Eligibility: (480) 576-7122
Pharmacy Help Desk: (855) 798-2538
Physician mail order information:
Escribe: 04229971
Efax: (888) 870-3823
Electronic Medical Claims Submission
Player ID#: IHS24
Create & Personalize your Wallet Card with Florie’s intuitive Card Builder
Our platform helps you to create a unique experience for your customers.
Electronic Medical Claims Submission
Player ID#: IHS24
This card is not guarantee that coverage
is in effect, or payment for the service or
procedure reviewed.
This plan has limited benefits and some
services may not be covered. Contact
the payor to determine coverage before
the services are rendered.
Limited Benefit Plan
Create & Personalize your Wallet Card with Florie’s intuitive Card Builder
Our platform helps you to create a unique experience for your customers.