Copayment Letter 2007
This document was uploaded by user and they confirmed that they have the permission to share it. If you are author or own the copyright of this book, please report to us by using this DMCA report form. Report DMCA
Overview
Download & View Copayment Letter 2007 as PDF for free.
More details
- Words: 404
- Pages: 4
January 15, 2008 The Empire Plan Customer Service Department PO Box 1600 Kingston, NY 12402 RE: Request for Information Subscriber # 890350518 Dear Customer Service Department: I am writing to request information on all co-payments and/or out of pocket expenses for January 1, 2007 to December 31, 2007 for the following individuals. • • • •
Sheelagh Roache DOB: 10/25/1977 Windsor J. Kinney DOB: 04/21/1966 Rigel Kinney DOB: 09/19/06 Gavin Kinney DOB: 09/19/06
Please send me the information I have requested as soon as possible. Thank you for your prompt attention to this matter. Sincerely, Sheelagh Roache
Windsor J. Kinney
January 15, 2008 Value Options Customer Service Department PO Box 778 Troy, NY 12181 RE: Request for Information Subscriber # 890350518 Dear Customer Service Department: I am writing to request information on all co-payments and/or out of pocket expenses for January 1, 2007 to December 31, 2007 for the following individuals. • • • •
Sheelagh Roache DOB: 10/25/1977 Windsor J. Kinney DOB: 04/21/1966 Rigel Kinney DOB: 09/19/06 Gavin Kinney DOB: 09/19/06
Please send me the information I have requested as soon as possible. Thank you for your prompt attention to this matter. Sincerely, Sheelagh Roache
Windsor J. Kinney
January 15, 2008 BlueCross BlueShield Customer Service Department One Liberty Plaza New York, NY 10006 RE: Request for Information Subscriber # 890350518 Blue Gross Plan 303 Blue Gross Prefix: YLS
Dear Customer Service Department: I am writing to request information on all co-payments and/or out of pocket expenses for January 1, 2007 to December 31, 2007 for the following individuals. • • • •
Sheelagh Roache DOB: 10/25/1977 Windsor J. Kinney DOB: 04/21/1966 Rigel Kinney DOB: 09/19/06 Gavin Kinney DOB: 09/19/06
Please send me the information I have requested as soon as possible. Thank you for your prompt attention to this matter. Sincerely, Sheelagh Roache
Windsor J. Kinney
January 10, 2008 [Medical Group or Health Plan] Customer Service Department [address] RE: Request for Information Subscriber #[your number] Dear Customer Service Department: I am writing to request information on all co-payments and/or out of pocket expenses for January 1, 2007 to December 31, 2007 for the following individuals. • • • •
Sheelagh Roache DOB: 10/25/1977 Windsor J. Kinney DOB: 04/21/1966 Rigel Kinney DOB: 09/19/06 Gavin Kinney DOB: 09/19/06
Please send me the information I have requested as soon as possible. Thank you for your prompt attention to this matter. Sincerely, Sheelagh Roache Windsor J. Kinney
Sheelagh Roache DOB: 10/25/1977 Windsor J. Kinney DOB: 04/21/1966 Rigel Kinney DOB: 09/19/06 Gavin Kinney DOB: 09/19/06
Please send me the information I have requested as soon as possible. Thank you for your prompt attention to this matter. Sincerely, Sheelagh Roache
Windsor J. Kinney
January 15, 2008 Value Options Customer Service Department PO Box 778 Troy, NY 12181 RE: Request for Information Subscriber # 890350518 Dear Customer Service Department: I am writing to request information on all co-payments and/or out of pocket expenses for January 1, 2007 to December 31, 2007 for the following individuals. • • • •
Sheelagh Roache DOB: 10/25/1977 Windsor J. Kinney DOB: 04/21/1966 Rigel Kinney DOB: 09/19/06 Gavin Kinney DOB: 09/19/06
Please send me the information I have requested as soon as possible. Thank you for your prompt attention to this matter. Sincerely, Sheelagh Roache
Windsor J. Kinney
January 15, 2008 BlueCross BlueShield Customer Service Department One Liberty Plaza New York, NY 10006 RE: Request for Information Subscriber # 890350518 Blue Gross Plan 303 Blue Gross Prefix: YLS
Dear Customer Service Department: I am writing to request information on all co-payments and/or out of pocket expenses for January 1, 2007 to December 31, 2007 for the following individuals. • • • •
Sheelagh Roache DOB: 10/25/1977 Windsor J. Kinney DOB: 04/21/1966 Rigel Kinney DOB: 09/19/06 Gavin Kinney DOB: 09/19/06
Please send me the information I have requested as soon as possible. Thank you for your prompt attention to this matter. Sincerely, Sheelagh Roache
Windsor J. Kinney
January 10, 2008 [Medical Group or Health Plan] Customer Service Department [address] RE: Request for Information Subscriber #[your number] Dear Customer Service Department: I am writing to request information on all co-payments and/or out of pocket expenses for January 1, 2007 to December 31, 2007 for the following individuals. • • • •
Sheelagh Roache DOB: 10/25/1977 Windsor J. Kinney DOB: 04/21/1966 Rigel Kinney DOB: 09/19/06 Gavin Kinney DOB: 09/19/06
Please send me the information I have requested as soon as possible. Thank you for your prompt attention to this matter. Sincerely, Sheelagh Roache Windsor J. Kinney
Related Documents
Copayment Letter 2007
October 2019 15
Copayment
May 2020 1
2007 Oyp Letter
November 2019 7
Bjs Letter 2007
October 2019 21
Mark Villar's 2007 Letter
May 2020 6