Emails are answered in the order in which they are received. Please allow up to 48 hours for a response. Benefits administrator name: Group number: Subscriber's name: Subscriber's BIN: Telephone number: Numbers only. Do not include parentheses or hyphens. Email address: Medical emergency: No Yes Subject: Subject: - Select -Duo assistanceEBS forms submissionMailed document statusProcessing inquiry (How do I process ... ?)Rejected/suspended transactionOther … Message: No special characters. Leave this field blank
