Member eligibility does not guarantee payment. Eligibility is as of today's date and is provided by our clients.
Member
|
| Member ID |
987654321 |
| Alternate ID |
111111111 |
| Member Name |
ASLAN, SUSAN |
| Date of Birth |
12/02/1979 |
| Address |
5461 S ROANOKE ST
GILBERT,
AZ
85298-
|
| Alternate Address |
|
| Marital Status |
-
|
| Home Phone |
|
| Work Phone |
|
| Relationship |
1 |
| Gender |
M - Male
|
|
|
| Eligibility |
| Effective Date |
01/01/2014 |
| Expiration Date |
|
| COB Effective Date |
|
|
|
| |
| Subscriber |
| Subscriber ID |
987654321 |
| Subscriber Name |
ASLAN, SUSAN |
|
| |
|
| Member Participates in Message Center Communication with Providers? |
No
|
