Member Card & Appointment Detail
For Patient/Member
This is your member card for claim submission for this episode of care.
You must present this card to the provider.


For Providers
This information is to be used in place of any primary or secondary insurance on file for this episode of care.
Alex Johnson
Alex Johnson
23HFA10235698-0145
435666
SUBMIT CLAIMS TO:
Address: Access HealthNet LLC
PO Box 775167
Chicago, IL 60677-5167
Phone:
Fax:
(414) 249 5755
(414) 249 5759
Email: claims@accesshealthnet.com
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SERVICE INFORMATION
PROVIDER INFORMATION
What’s Included:
Description:
Total Hip Replacement
Total hip replacement surgery, including all costs associated with surgeon(s); facility charges; anesthesia; pathology as needed; implants;imaging, supplies and drugs necessary during surgery and until discharge; routine postoperative care until discharge and any durable medical equipment necessary for discharge.
Name: Skyline Medical Imaging, Gurnee
Address: 720 South Greenleaf
Gurnee, IL 60031
Phone: (555) 555-2347
Email: help@skymed.com
Web: SkylineMedicalImaging.com

Questions About Your Appointment or Billing? We’re Here to Help.
Call 414-249-5755 to talk with a Member Services Specialist.