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NOTE 2

CSINT0020 LILYLILO1

livevox Gascon2026!!

RECUP 400 200 150 200 100 75

HAP 900 450 337.50 1800 ICU 900 675 450 ER 225 168.75 (zurich)

675 1350 ICU 600 ER


SPANISH# 844 225 2974 FM# 800 252 2148


FMG Plan Administrator P.O. Box 689070 Franklin, TN 37068-9070 37067


MARKETING po box 41500 nashville tn 37204 40606


physical address: Franklin Madison Group 120 Brentwood Commons Way, Suite 700 Brentwood, TN 37027


PAYMENT Franklin Madison Group PO Box 11817 Newark, NJ 07101-8117

Overnight pymnt here: Franklin Madison Group ATTN: Cash Department 120 Brentwood Commons Way, Suite 700 Brentwood, TN 37027


fax# 888 778 4409 help@fmservice.com

noreply@franklinmadison.com


FAX CLAIMS: 844 399 9346 CLMS EMAIL: fmclaimsintake@franklin-madison.com

Plan Administrator Claims P.O. Box 681749 Franklin, TN 37068-1749


“Upon receipt of the completed claim forms and any documentation needed to adjudicate the claim, the insurance company will make that determination.”

“Please be on the lookout for a callback within 1 – 2 business days from the toll-free number 866-567-6996 or a number beginning with area code 615.”

Monday - Friday, 7 A.M. to 8 P.M. Central Time 8am to 9pm eastern time


“I apologize, but you have reached the service center for insurance. You have a packaging product so you can call our packaging center at 844-300-4219.”

Advised to allow 5-7 business days for faxes to be uploaded