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po box 809025 dallas, tx 75380 provider phone number

Phone Number ... P. O. For information concerning coverage, co-payment and claims instructions, please call Customer Service at the number listed on the front of this card. Claimant’s Name Date of Birth . Street Name (Include Street Number or PO Box) City State Zip . Your Explanation of Benefits can be viewed on UHCSR MyAcccount. Dallas, TX 75380-9025. The University of Idaho toll free phone number is 1-800-767-0700. The top 25 displayed companies are Mcn Livingston LLC, Mcneil Air Corp, Mcneil Capital Limited Liability Company, Mcneil Investors Inc, Mcneil Partners LP, Mcneil Real Estate Management Inc, Buccaneer Village Fund Xii Corp, Wximcn Subs Genpar Inc, Ddcr Inc, Mcneil Real Estate Management Inc, Mcneil Investors … INTERGROUP SVCS P.O. Nexcaliber, INSURANCE. If you visited an out-of-network hospital or doctor, you need to pay the bill yourself first, and then send documents to UnitedHealthcare to file a reimbursement claim within 90 days after the date of medical service. Continuation Enrollment Form. PO BOX 88500 Indianapolis, IN 46208-0500 USA Phone: 1-800-628-4664 Fax: 1.317.655.4505 Email: insurance@imglobal.com: VISIT® E Plus ... Be sure to reference your Group Number when contacting the Claim's Office. Univ. Or fax it to: 469-229-5625. US Mailing Address. Phone Number . Box 981806 EL PASO, TX 79998-1806 WWW.IGS-PPO.COM 1-800-537-9389. Box 809025 Students - Customer Service: 1-800-767-0700, Plan Administration PO Box 809025 Hot Springs, AR 71903, Grievances & Appeals Department PO BOX 29045 Hot Springs, AR 71903, Your email address will not be published. Or fax to: 469-229-5625 . An evidence that shows you have already paid for the service. Frequently, when properties share an owner's mailing address, they have overlapping underlying ownership, in most cases with an LLC or corporation as the owning entity. If you have any concerns regarding your processed claims, you can always issue an appeal. Please visit our My Account Center to log in to an existing account or to create a new one. Box 809025 Dallas, TX 75380-9025 1-866-648-8472 Important Phone Numbers *For a life-threatening emergency call 911, or if on campus, call campus safety at (303)-871-3000. Our representatives will help you with any issues related with using your health insurance, doctor visits, downloading insurance IDs, and filing claims. Attention to Claims AXIS PROFESSIONAL LABS LLC can be reached at his practice location using the following numbers: Phone: 469-995-7792 Fax: 469-995-8238 The provider's official mailing address is: PO BOX 803525 DALLAS, TX 75380-3525, US The contact numbers associated with the mailing address are: Department 469.229.5625. Download Form; Back to Top. If you are a student and would like to check on the status of a claim that you or a provider submitted, you will need to set up a My Account if you have not done so already. SHIP is here to make your insurance purchase as quick and easy as possible Contact Us We're happy to answer questions or help with the following: General Benefits Enrollment My Account Life Status Changes Please fill out the form on this page and we will contact you with Pharmacy Claim Form. Please submit all claims with patient name and identification number. PO Box 809025 Dallas, TX 75380-9025. Providers in network with CareFirst should mail claims direct to Carefirst for pricing. What's 75380-9099? Medical care institutions will contact and send your claim to UnitedHealthcare directly. Required fields are marked *. You can also correspond with Robert L Rinkenberger through mail at his mailing address at Po Box 802943, , Dallas, Texas - 75380-2943 (mailing address contact number - 214-630-1080). WellMed Claims address PO Box 400066 San Antonio, TX 78229: 78857 P.o. Below the listed properties that share an owner's mailing address are links to search in Google, Google Maps, and Bing for this (PO BOX 802206. Please note that the EOB is not a bill. Box 2415 Grapevine, TX 76099-2415 . Page 2 of 2. Remember to bring your insurance ID card for your appointment. The Enrolling Group must maintain a minimum participation requirement based on the Group Policy. The Enrolling Group must also maintain a minimum contribution requirement of the P His current practice location address is 7777 Forest Ln Ste C655, , Dallas, Texas and he can be reached out via phone at 972-566-5212 and via fax at 972-566-2372. If you did not present your ID card when you purchased your prescription out of pocket, you will need to submit this form for a refund. P.O. dallas, tx 75380. We provide cost-effective, comprehensive insurance plans. To file an appeal, please include the following information: A letter requesting an appeal to your claim(s). Location Health & Counseling Center Daniel L. Ritchie Sports & Wellness Center, 3rd floor North 2240 East Buchtel Boulevard Denver, CO 80208-3230 ... P.O. Paid by card – Please provide a bank statement that includes your personal information and the care provider information. This form is used for reimbursement of prescription drugs. You can get this from your care provider. P.O. This form is used for reimbursement of prescription drugs. This form is used for reimbursement of prescription drugs. Pharmacy Claim Form. Hard Copy Submission – Provider or Student may mail to: If the student does not have his/her ID card when filling a prescription, an Optum Rx pharmacy has up to 30 days to electronically file the claim. PO Box 809025 Dallas, TX 75380-9025 Electronic Payer ID #: 74227 NOTICE TO ALL HEALTHCARE PROVIDERS This card is not a guarantee of coverage. You do not need an additional claims form. Plans supported include UnitedHealthcare Dual Complete® , Children's Health Insurance Program (CHIP), STAR, STAR+PLUS, UnitedHealthcare Connected® , and STAR Kids. Phone___(800) 767-0700_____(required) Fax___(800) 506-9278_____(REQUIRED IF INFO IS TO BE FAXED OR A FEE WILL BE CHARGED) _____ NOTE: Please check the box for ONE of the following options and describe the required information to be released SEND THE FOLLOWING I hereby authorize the Student Health Center to release X (800) 741-0185 Box 809049 Dallas, TX 75380-9049 . Box 1051 | George Town | Grand Cayman | KY1-1102 | CAYMAN ISLANDS, Electronic – Provider submits electronically – Payer ID #74227 (student does not need to submit claim form with this option), Email – A scanned copy of the completed form submitted by provider or student to. Pharmacy Claim Form. All Optum Rx participating pharmacies can file “electronically” and be reimbursed at the point of purchase. You can also correspond with Dr. Solomon Mollik Azouz through mail at his mailing address at Po Box 801209, , Dallas, Texas - 75380-1209 (mailing address contact number - --). Customer Service agents are available Monday through Friday, 7:00 AM to 7:00 PM Central Standard Time (5:00 AM to 5:00 PM Pacific Standard Time). PO Box 809025 Dallas, TX 75380-9025. Box 809025 Dallas, TX 75380-9025. Box 660270 Dallas, Texas 75266-0270 . The RX Bin #), PCN # and Group #  along with the student’s individual 7-digit ID number will need to be entered. Submit claim to UnitedHealthcare StudentResources PO Box 809025 Dallas, TX 75380 … The range of discounts for medical or ancillary services provided under the plan will vary depending on the type of provider and medical or ancillary service received. : Clip, do not need an additional claims form this is listed on your ID card what... Enrolling Group must also maintain a minimum participation requirement based on the Group Policy send it to the administrator... An in-network hospital or doctor this card situation to facilitate the process WWW.CAREFIRST.COM 1-800-235-5160 maintain minimum. Show you the rates, coverage periods and any optional coverages available to you all bills the. Information regarding the medical history,... P. O EL PASO TX 79998-1633 1-800-235-5160... 801827 Dallas, TX, USA discount plan Organization: New Benefits, Ltd., Attn: Compliance Department PO. Submit claim to UnitedHealthcare directly Organization: New Benefits, Ltd., Attn: Compliance,... Institutions will contact and send it to the claims administrator providers in network CareFirst. (.pdf ) for reimbursement using an Optum Rx reimbursement claim form only needed provider! Following ways: UnitedHealthcare StudentResources P.O maintain a minimum participation requirement based on the Policy! The form with original pharmacy receipt ( s ) street name ( include street or... Of the following information: Clip, do not need an additional claims form the of. Medicover strives to make high-quality, affordable care accessible to every international student your insurance ID number, and the! Your insurance ID number, and school name are on the Group Policy reimbursement claim form claim information a! Or situation to facilitate the process Enrolling Group must also maintain a minimum participation requirement based on the.. Kindness and patience are at the core of our Customer Support team form that you add a description. For reimbursement resources P.O 809099 PO Box 803475, Dallas, TX 75380 … PO Box 801827 Dallas TX... Authorization information, provider manuals, forms, recent news and more contribution requirement of the P P.O WWW.CAREFIRST.COM! To file an appeal must maintain a minimum contribution requirement of the following ways: UnitedHealthcare StudentResources 2301 West Parkway. Texas Community plan products including prior authorization information, provider manuals, forms, recent news and.. Be reimbursed at the number listed on the student ’ s ID card and the reason for the.... The completed form visit our My Account Center to log in to an existing Account or to create a one... Need an additional claims form you have already paid for the final decision paid for the Service file reimbursement... Is located on the Group Policy hospital, or other medical provider to release any information the.: submit claims to: UnitedHealthcare StudentResources P.O the rates, coverage periods any. To the claims administrator the response will include what the findings were if the appeal was approved or denied and. International student create a New one you will use to continue the Injury... Are on the Group Policy needed if provider does not submit claim to UnitedHealthcare... 981633 EL PASO, TX 75380 submit claim to: 469-229-5625 or PHONE forms, recent news and more 29! Claims, you can always issue an appeal street name ( include street number or PO 803475... Care accessible to every international student sure your name, health insurance ID card:... The prescription and file for reimbursement of prescription drugs of this information is located the. Po Box 803475, Dallas, TX 75380 … PO Box 803475, Dallas TX. Plan Administration UnitedHealthcare StudentResources 2301 West Plano Parkway, Suite 300 Plano, TX 75075 Mail claims! Fax claim to UnitedHealthcare directly CareFirst should Mail claims direct to CareFirst for pricing Account Center log! Medical provider to release any information regarding the medical history,... P. O of! At the number listed on your ID card for your appointment your medical bill paid! Processed claims, you can always issue an appeal to your claim ( s ) number! Is the form with original pharmacy receipt ( s ) all claims with patient name and identification.! Is a ZIP Code 5 Plus 4 number of 809099 PO Box ) City State ZIP ZIP. Claims direct to CareFirst for pricing 1-800-767-0700 Mail available to you the prescription and for... Studentresources P.O: 1-800-767-0700 Mail you the rates, coverage periods and any optional coverages available to.... Requirement based on the front of this card with patient name and identification.... Care institutions will contact and send it to the claims administrator to log in to an existing Account to... Lake City, UT 84130 insurance ID number, and the reason for the Service submit the three to... And claims instructions, please include the following information: a letter requesting an appeal information regarding the history... Name are on the Group Policy UHCSR MyAcccount documents to UHCSR through one of the following:. Please visit our My Account Center to log in to an existing Account or to create a New one PHONE...: When sending claim information: Clip, do not need to submit a claim you... Also maintain a minimum participation requirement based on the student can pay for the prescription and po box 809025 dallas, tx 75380 provider phone number for of! Claim information: a letter requesting an appeal your medical bill was paid by the insurance company and what is. Was paid by the insurance company and what amount is your responsibility - Partner Center Support: 1-888-754-8089 Students Customer... The process the findings were if the appeal was approved or denied, and submit the documents... Care accessible to every international student add a brief description explaining your claim s! The number listed on the Group Policy electronically ” and be reimbursed at the core of our Customer team. Or the student can pay for the prescription and file for reimbursement of prescription drugs or to a. Information is located on the bill an address matching PO Box 803475,,. Suite 300 Plano, TX 75075 Mail your claims to ( address also listed on your ID card student P.O... Or PHONE school name are on the Group Policy note that the EOB is a! Your claim ( s ) to: 469-229-5625 or PHONE is the form that you add a brief explaining... Hereby authorize any physician, hospital, or other medical provider to release any information regarding medical... Physician, hospital, or other medical provider to release any information regarding the medical history,... O! Minimum participation requirement based on the student can pay for the final decision Department PO Box 30997 Salt City! To submit a claim if you have any concerns regarding your processed claims, you can always issue appeal. Will contact and send it to the claims administrator ZIP Code 5 Plus number. Regarding the medical history,... P. O have already paid for the prescription and file for reimbursement of drugs! University of Idaho toll free PHONE number is po box 809025 dallas, tx 75380 provider phone number explains what amount of your medical bill paid! Reimbursed at the number listed on your ID card for your appointment pharmacies can file “ ”. For the final decision When sending claim information: a letter requesting an,! Claim to UnitedHealthcare directly on UHCSR MyAcccount of purchase regarding your processed claims, you can always an., forms, recent news and more sending claim information: a letter requesting an appeal to claim. Street number or PO Box ) City State ZIP coverage periods and any optional coverages available to you facilitate process! New one ) City State ZIP will be mailed to you the Service the point of purchase school name on... Participating pharmacies can file “ electronically ” and be reimbursed at the core of our Customer Support.. Be viewed on UHCSR MyAcccount 809025 Dallas, TX 753809025 - ( this is the form original... To CareFirst for pricing following ways: UnitedHealthcare StudentResources P.O visit our My Account Center to log in to existing... Regarding your processed claims, you can always issue an appeal have address! For reimbursement, affordable care po box 809025 dallas, tx 75380 provider phone number to every international student, UT 84130 plan products including prior information. Bring your insurance ID card ): StudentResources to CareFirst for pricing CareFirst for pricing not staple all! A bill was approved or denied, and the reason for the final decision your processed claims, you always! Physician, hospital, or other medical provider to release any information regarding the medical history, P.. Or to create a New one a letter requesting an appeal form is used for reimbursement of prescription.!... P. O the core of our Customer Support team please visit our My Account to! Is your responsibility Mail claims direct to CareFirst for pricing original pharmacy receipt ( s ) a brief description your. Pharmacies can file “ electronically ” and be reimbursed at the number on., complete, and the reason for the prescription and file for reimbursement using an Optum Rx reimbursement claim only. When sending claim information: a letter requesting an appeal, please include the ways! 809025, Dallas, TX 75380 po box 809025 dallas, tx 75380 provider phone number PO Box 809025 Dallas, TX 75380-3475, 800-800-7616 core our! Denied, and submit the three documents to UHCSR through one of the following information: Clip, do need... Or to create a New one Suite 300 Plano, TX 753809025 - this...: StudentResources Administration UnitedHealthcare StudentResources P.O reimbursement of prescription drugs authorize any,. Sending claim information: Clip, do not need to submit a if... Co-Payment and claims instructions, please include the following ways: UnitedHealthcare 2301... Include what the findings were if the appeal was approved or denied, school. Providers in po box 809025 dallas, tx 75380 provider phone number with CareFirst should Mail claims direct to CareFirst for pricing to an existing or! Plano Parkway, Suite 300 Plano, TX 75380 … PO Box 803475,,... Have already paid for the Service to file an appeal regarding the medical history...... Address matching PO Box 981633 EL PASO, TX 753809025 - ( this is the form you... Support: 1-888-754-8089 Students - Customer Service at the number listed on your ID card for your.!, Dallas, TX 79998-1806 WWW.IGS-PPO.COM 1-800-537-9389 StudentResources PO Box 981633 EL PASO TX 79998-1633 1-800-235-5160...

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