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Archdiocese of St. Louis Group # 703597 Attn: United Healthcare P.O. Box 30555 Salt Lake City, UT 841300555 HEALTH CLAIM TRANSMITTAL Employee Name: SSN: Date of Birth: / / Check If Employee Address:
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The Archdiocese of St. Louis is a geographical division of the Roman Catholic Church covering the eastern part of Missouri.
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The Archdiocese of St. Louis provides specific guidelines and forms for parishes and schools to fill out.
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