Signature of individual. Subscriber Id #. Date. Please return the form to: UnitedHealthcare. P.O. Box 31394. Salt Lake City, UT 84131. Form: AUTH UNI 011504.

P.O. Box 31394. Salt Lake City, UT 84131. 1-877-797-8816. Medical Benefit Plan Option (where available). □ Calendar Year □ Plan Year. List the name, address ...

Medical Claims: PO Box 31394 Salt Lake City,. UT 84131. Pharmacists: 888-290-5416. Pharmacy Claims: OptumRx PO Box 650540, Dallas, TX. 75265-0540. F. G. A.

Address: P.O. Box 31394, Salt Lake City, UT 84131-0373. Key Contact: Susan Steele. Telephone: 1-877-797-8812. Agent or Broker: Tax ID/NPN No.: Address: Level ...

P.O. Box 31394. Salt Lake City, UT 84131. Phone: 1-877-797-8816. Email: adminlevelfunded@uhc.com. Claims Correspondence. United HealthCare Services, Inc. P.O. ...

Medical claims address: The mailing address for medical claims is changing. Please use the address on the member's new ID card. New member ID cards. Quick ...

Mail to: UnitedHealthcare Fitness Reimbursement. P.O. Box 31394. Salt Lake City, UT 84131. If you are unable to meet the reimbursement requirements of this ...

Claim and X-ray submission address: UnitedHealthcare Dental. Attn: Claims. P.O. Box 30567. Salt Lake City, UT 84130-0567. • Separate ID card produced. • Claim ... Не найдено: 31394 | Нужно включить: 31394

5 мар. 2021 г. · Medical Claim Address; P.O. Box 31362, Salt Lake City, UT 84131-0362. UnitedHealthcare Group Medicare Advantage (PPO). Plan pays up to ... Не найдено: 31394 | Нужно включить: 31394

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