Proof of Insurance
The document below will serve as proof of insurance for any upcoming doctor or hospital visit
Date:
Dear Provider,
Please accept this letter as a temporary UHC Shared Services identification card.
According to the information on file, the following individual(s) have UHC Shared Services coverage:
-
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78-800384
Prescription Processor
RX BIN: 610011
RX PCN: IRX
RX GRP: PBLCL68
24 Hour Customer Service:
1-866-510-2866
File Medical Claims with UHSS P.O. BOX 30783 Salt Lake City UT 84130-0783. File all other
claims with the fund office.
P.O. BOX 8726
Houston, TX 77249
This letter does not guarantee coverage or payment and does not represent prior approval for
benefits. All claims are subject to coverage provisions and medical necessity. For self
funded health plans (ASO), UHC Shared Services provides administrative claims
payment services only and does not assume any financial risk or obligation with respect to claims.
To verify eligibility and product information, call (866) 596-8447. Office Hours: 8:00 AM - 4:30 PM
ATTENTION PROVIDER: This Temporary ID will automatically expire within 30 days after
the date of its issuance. If you are providing services to this enrollee or his/her dependent after
the expiration date, please call the number listed above to check that the information contained in
this letter is still accurate.
Thank you.