Member SOUTHERN TRUST COMPANY JEFFREY EPSTEIN Payer ID 87726 Office $20 ER 1200 Urgeare STS Spec 130 OPIUM - Rx Bin. 610279 Rx PCN- 9999 Rx Grp UHC UnitedHealthcare Choice Plus Underwaen by Unileallealthcave Entrance COMPanY 1-800-MEDICARE (1-800-633-4227) NAME OF BENEFICIARY JEFFREY E EPSTE

mber JEFFREY EPSTEIN 011a $20 ER $200 Wire $75 Spec $30 Group Number. 272605 SOUTHERN TRUST COMPANY Payer ID 87726 Ram 610279 Re PCN 9999 Rx Grp UHC UrilledHonilliame Choice Phis lirdsidiseledUelleadolftemeldeetenc•Coadedi MEDICARE HEALTH INSURANCE Namdleombee JEFFREY E EPSTEIN Medxerr Numbe

roup Number: Member. SOUTHERN TRUST COMP, JEFFREY EPSTEIN Office: 520 ER: $200 Urgeare $75 Spec: $30 Payer IL) Rx Bin: 610279 Rx PcN: 9999 Rx Grp UHC UnitedHealthcare Choice Plus thAawntbin by UnCecHealthcare Jr ounce Cancans 1-800-MEDICARE (1-800-633-4227) V ME CF BENEFICIARY JEFFREY E EPSTE