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ERS GBP Forms

Group Benefit Program (GBP)

Supplemental Information Forms

FirstCare has provided ERS GBP Forms for your use in Adobe Acrobat Format.  To view these forms it is necessary for the Adobe Acrobat Reader to be installed on your computer.  To download please click on the Adobe Acrobat Icon at the bottom of the page.

Provider Directory Listings

Use the links below to find a Primary Care Physician when completing the above forms.

Finding a Provider Number

The nine digits of the last line are the provider number.

Example:
Physician
Address
City, TX Zip
Phone Number
Office Hours
Accepting Patients Status
000000001 <-- This is the Provider Number

 

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