Digital ID Card

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HEALTH ID

Blue Cross Blue Shield

PLAN

Gold Standard Plan

Member Name

Sarah Johnson

Member ID

KH-2024-78432

Group #

GRP-5621

Tap to flip • Effective: January 1, 2024

Pharmacy Information

RX BIN

003858

RX PCN

ADV

RX GRP

RX5621

• Present this card at any in-network pharmacy

• For prior authorization: 1-800-555-0199

• Mail order: rxmail.kaelido.com

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Coverage Active

Your insurance is active and in good standing