Credit Card Authorization Form
ESI / Medco Rx Reimbursement Form
UCCI Dental Treatment in Progress Procedure
VBA Vision Summary of Benefits
Summary of Benefits and Coverage
Horizon BCBS of NJ
Dedicated Customer Service Line: 1-888-444-8014
Express Scripts (ESI formerly Medco)
Customer Service Telephone No.: 1-800-711-0917
United Concordia Dental (UCCI) (then click Clients’ Corner at the bottom left of the screen under Member’s, then type USW)
Customer Service Telephone No.: 1-800-332-0366
Vision Benefits of America (VBA)
Customer Service Telephone No.: 1-800-432-4966