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Provider Guide - the Culinary Health Fund

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October 2012<br />

<strong>Provider</strong> <strong>Guide</strong><br />

Participant ID Cards<br />

TM<br />

John Q Sample<br />

ID: Use Primary SSN<br />

Coverage: Family<br />

<strong>Culinary</strong> <strong>Health</strong> <strong>Fund</strong><br />

UNITE HERE <strong>Health</strong><br />

Medical / Prescription Card - Group<br />

150<br />

THIS CARD IS FOR IDENTIFICATION PURPOSES ONLY<br />

Possession of this card does not guarantee eligibility for benefits.<br />

ESTA TARJETA ES PARA INDENTIFICACIÓN SOLAMENTE<br />

La posesión de esta tarjeta no garantiza elegibilidad de beneficios.<br />

<strong>Culinary</strong> <strong>Health</strong> <strong>Fund</strong><br />

Medical Prescription Card<br />

The <strong>Culinary</strong> <strong>Health</strong> <strong>Fund</strong> Medical/Prescription ID<br />

card will assist you in identifying <strong>Culinary</strong> <strong>Health</strong><br />

<strong>Fund</strong> participants. It is strongly encouraged that<br />

you request photo identification in addition to <strong>the</strong><br />

participant’s ID card.<br />

• The name of <strong>the</strong> <strong>Culinary</strong> <strong>Health</strong> <strong>Fund</strong> covered participant is <strong>the</strong> only name listed on <strong>the</strong> ID card.<br />

• The Social Security Number is not listed on <strong>the</strong> ID card. You will need to request <strong>the</strong> Social<br />

Security Number of <strong>the</strong> covered employee for your records and billing purposes.<br />

• Possession of a <strong>Culinary</strong> <strong>Health</strong> <strong>Fund</strong> ID card does not automatically certify eligibility for benefits.<br />

• Services should not be denied if a <strong>Culinary</strong> <strong>Health</strong> <strong>Fund</strong> participant does not have an ID card;<br />

however, <strong>the</strong> participant should be required to show photo ID prior to services being rendered.<br />

<strong>Provider</strong>s should always verify participant eligibility at <strong>the</strong> time services are rendered.<br />

<strong>Culinary</strong> <strong>Health</strong> <strong>Fund</strong> Administrative Services, LLC<br />

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