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2017Health Products BenetFirstLine Medical is the supplier of all products within this mailing. UnitedHealthcare Insurance Company manages FirstLine Medical through its aliate OptumRx. UnitedHealthcare.

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How to fill out the Firstline Medical online

Filling out the Firstline Medical form online can be a straightforward process when you follow the right steps. This guide will provide you with detailed instructions to ensure that you complete the form accurately and efficiently.

Follow the steps to successfully complete the Firstline Medical form.

  1. Press the ‘Get Form’ button to acquire the form and open it in your editing environment.
  2. Begin by entering your personal information in the designated fields. Ensure that your name, address, and contact details are accurate and up to date.
  3. Provide your insurance details, including your policy number and any relevant identifiers. Make sure to review your insurance information carefully.
  4. Complete the sections regarding health products you wish to order. Be specific about the items and quantities you require, as listed in the product catalog.
  5. Confirm your eligibility for the health products benefit by providing any necessary documentation or supporting information as indicated in the form.
  6. Review all the information you have entered for accuracy. It is essential to ensure that all fields are completed and correct before submission.
  7. Finally, save your changes, and choose to download, print, or share the form as needed.

Complete your documents online today to simplify your access to health products!

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Related links form

PTO/SB/123 2008 AE 604-1B 2006 AF 4321 2003 AF IMT 1466D 2002

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As used in this policy, terms such as “we” or “our” and “Company” refer to OptumRx, doing business as FirstLine Benefits, and its current and future affiliated entities, including our parent company UnitedHealth Group.

The first treatment given for a disease. It is often part of a standard set of treatments, such as surgery followed by chemotherapy and radiation. When used by itself, first-line therapy is the one accepted as the best treatment.

If you still need help, please call FirstLine Benefits customer service at 1-844-564-2198, TTY 711. We're available 8:00 am to 8:00 pm local time, 7 days a week.

made easy. FirstLine Benefits is becoming Optum® Personal Care Benefits. Working with health plans to provide their members with better over-the-counter supplemental benefits is what we do.

FirstLine Benefits is powered by OptumRx and United Health Group. The company offers health solutions such as OTC, grocery benefits, and Ready Sets.

ShopFirstLineBenefits.com. Download the FirstLine Benefits app on your phone or tablet. Call toll-free 1-844-368-8741, TTY 711, 8:00 a.m.–8:00 p.m. local time, 7 days a week.

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