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PO Box 211543 Eagan, MN 55121. If your patient has an Aetna logo on their ID card and an 8-digit Group # (eg. GRV12345), submit claims to: ... Gravie Administrative Services PO BOX 59212 Minneapolis MN 55459. For prior authorization and medical necessity, contact American Health Holdings: Fax: 866.881.9643 Phone: 833.462.0102. For case ...Florida Community Care Attn: Claims P.O. Box 211322 Eagan, MN 55121. According to our Clean Claims guidelines, all paper claims will be processed within 20 days. For Questions on your claims, please contact our Provider Services Unit at 1-833-322-7526, select option 5 and an Florida Community Care representative will assist you. Thank you for ...All claims should be routed to Surest following the instructions on the member ID card. Electronic claims to: 25463 Paper claims to: Surest PO Box 211758 Eagan, MN 55121. To check claims status, visit the UnitedHealthcare Provider Portal or call Surest Provider Services line at 1-844-368-6661.Once you have filled out the form, you may print and mail the form to: Longevity Health Plan. Appeals and Grievance Department. PO Box 21063. Eagan, MN 55121. You may also send a fax to 1-855-969-5853. For a description of, and information on how to appoint a representative, you may also call Member Services. Contact Us.Or submit an HCFA 1500 (CMS-1500) form to Firefly Health P.O. Box #211639 Eagan, MN 55121. Need to check a claim status? Call us at (888) 897-1887. Request Authorizations‍ Medical: Our utilization management partners at MedWatch process medical authorizations for us. To submit an authorization, you can: Complete an online precertification formP.O. Box 64560 St. Paul, MN 55164-0560. Media contacts: For corporate public relations inquiries, please contact [email protected] or a member of our Public Relations team. ... Eagan MN 55121-1627. See map. RiverPark II. 1800 Yankee Doodle Road Eagan, MN 55121-1644. See map.P.O. Box 21913 Eagan, MN 55121 John Muir Physician Network: Office Ally Payer ID: JMH01 P.O. Box 5107 Walnut Creek, CA 94596 Meritage Medical Network: Bay Area Office Ally Payer ID: IP097 PO Box 2160 Oakland, CA 94621 Providence Medical Network: Office Ally Payer ID: STJOE P.O. Box 70013 Anaheim, CA 92825-0013Check claims, benefits, or eligibility. Ask questions about your bill or make payment. Ask questions about your pharmacy benefits. 1-800-662-5851. 1-801-262-7475. [email protected]. 6:00 am to 6:00 pm MT Monday-Friday Emails and texts are monitored during business hours only. Access benefits, claims, and eligibility information 24/7 …PO Box 21660 Eagan, MN 55121 Phone: 1-800-228-6080 Fax: 1-402-496-8199 CLAIMANT'S PROOF OF LOSS Insured's Name: Date of Birth: Policy No.: Address: Street City State Zip Code ... Box 10386, Des Moines, Iowa 50306-0386. Subject to state and federal laws, information used orPO Box 21702 Eagan, MN 55121. Utilization management. Call 844-996-0329 or fax 888-302-9325 to contact our utilization management team. Use this fax number to submit a prior authorization request. Electronic funds transfer (EFT) and electronic remittance advise (ERA) for individual plans. InstaMed delivers all EFT payments and ERA for ...P.O. Box 21913 Eagan, MN 55121 John Muir Physician Network: Office Ally Payer ID: JMH01 P.O. Box 5107 Walnut Creek, CA 94596 Meritage Medical Network: Bay Area Office Ally Payer ID: IP097 PO Box 2160 Oakland, CA 94621 Providence Medical Network: Office Ally Payer ID: STJOE P.O. Box 70013 Anaheim, CA 92825-0013P.O. Box 21548 • Eagan, MN 55121 • Phone: 888-803-0081 • Fax: 806-783-9991 • Customer Service Email: [email protected]: CLAIM FOR HEALTH CARE BENEFITS: Name of Other Carrier Address: of Other Carrier (City) (State) (Zip) Effective Date of Other Coverage:EAGAN MN 55121-4201. 665 ATLANTIC HILL DR. EAGAN MN 55123-2004. 619 ATLANTIC HILL DR. EAGAN MN 55123-2004. 4269 MEGHAN LN. EAGAN MN 55122-3030. 2809 LONE OAK PKWY. EAGAN MN 55121-1551.If you would like GEHA to reconsider our initial decision on your benefit claim, please complete this appeal form. You must write to us within 6 months of the date of our decision. You can mail, fax or email your request to GEHA: Mail your request to Appeals Department, GEHA, P.O. Box 21542, Eagan, MN 55121; Fax your request to the Appeals ...Discover the #1 rated TPA for health insurance alternatives. Simplify your employee benefits and streamline healthcare management with our expert team!Company, P.O. Box 10386, Des Moines, Iowa 50306-0386 and/or Medico Corp Life Insurance Company, P. O. Box 10482, Des Moines, Iowa 50306-0482. I understand that this authorization will expire 24 months from the date I sign it. I acknowledge that I, or my authorized personal representative, am entitled to and have received a copy of this form.EHS was born from a commitment to superior service to our clients. Our sister company, Edison Healthcare, services hundreds of clients and hundreds of thousands of employees. Over the past few years, Edison witnessed growing client frustration with the their other healthcare vendors. Barriers to excellent member healthcare kept popping up ...Olson & Sons Electric, Inc. PO Box 686, Monticello, MN ... 21660, Muzzy, Chuck, (410) 820-1500, Human Resources ... Eagan, IL, 60451, John Groess, (651) 454-8835 ...PO Box 211609. Eagan, MN 55121 . For Customer Service: (866) 919-9159. Contact Us. Go Up. bottom of page ...PO Box 21660 Eagan, MN 55121-0660 Fax: 1-402-496-8199 Medico® is a servicemark owned and licensed by Medico Insurance Company.Please contact GPS for filing assistance at 888-301-0747. To file dental claims, use EDI#37086 or mail to GPS PO Box 21424 Eagan MN 55121. We do not accept paper claims for Medicare Supplement plan claims. Claims filed with Medicare will electronically transmit to Pekin Life Insurance Company for our Medicare Supplement insureds.PO Box 211151 Eagan, MN 55121. 24-Hour NurseLine. Call 855-339-8123 to speak with a nurse in the event of a non-emergency or if you are unsure of what to do. General correspondence address. Premera Blue Cross Medicare Advantage Plans PO Box 211151 Eagan, MN 55121. Tools. Find a doctor, dentist, or hospital.Claims Department P.O. Box 21013 Eagan, MN 55121 [email protected] (610)933-4122 Fax Contact us with questions at (610) 933-0800 or [email protected] 1. The Claim Form enables us to open a claim for the treatment of your injury. To avoid delays in claim processing please be sure the "other insurance" portion of the claimPO Box 211438 Eagan, MN 55121; Or fax to 608PO Box 21146 Eagan, MN 55121- 0146 ExcellusBCBS.c P.O. Box 211342 Eagan, MN 55121-1342. Claims refunds address. Baylor Scott & White Health Plan ATTN: Claims Review Dept. P.O. Box 840523 Dallas, TX 75284-0523. Strategic Comp Provider Relations. To Send Bill P.O. Box 211713 Eagan, MN 55121. Claims Inquiries and Administrative Reviews (Provider Disputes): Highmark Wholecare P.O. Box 535191 Pittsburgh, PA 15253-5191. Send us a request by fax to: All Providers 1-844-207-0334. Clinical Provider Appeals: Highmark Wholecare Attention: Provider Appeals Department Strategic Limited Partners, LP is a health insuranc

P.O. Box 21660, Eagan, MN 55121-0660 • Fax: 402-496-8199 24 00040 0623 US. Created Date: 7/19/2023 2:49:14 PM ...Claims. Submit claims using the following electronic Payer ID or mailing address: Payer ID: 20501. Mailing address: Intermountain Health. P.O. Box 211375 Eagan, MN 55121. …PO Box 21794 Eagan, MN 55121 [email protected]. Call Center Monday through Friday, 8:30 a.m. to 4:30 p.m. Local: 859-263-2382 Toll Free: 866-664-3261. Correspondence Address 1721 Fortune Court, Suite 150 Lexington, KY 40509 Phone: 859-263-2382 Fax: 630-206-1055 [email protected]. Contact Usanother approved EDI vendor, or mail paper claims to: SOMOS, P.O. Box 21432, Eagan, MN 55121 Note: Your participation in SOMOS IPA does not affect your relationship with Anthem (Empire BCBS) for patients with other lines of business, such as commercial insurance or Medicare Advantage, or dual-eligible Medicare/Medicaid …

833.552.0828. [email protected]. Monday through Friday. 7:00am – 8:00pm Central Time. Have questions about your short term, supplemental health care policy options? The SGIC care team has answers to your questions. Contact us today!P.O. Box 211651 Eagan, MN 55121: Phone: (800) 288-2078; Fax: (312) 906-8359. Employer Information. Employee Information. Employee Name Social Security Number City State Zip [ ] Yes (please provide information below) [ ] No. Other Insurance Carrier or TPA City State Zip. Patient Information. Patient Name Gender• Mail to PO Box 21531 Eagan, MN 55121 • Fax to 877-877-0078 Contact Customer Service 800-654-9106. CLAIM INFORMATION NEEDED BY PRODUCT. List from the pharmacy. PREFERRED. Physician's Home Health. Certification Form. Standard Claim Form. or. Claim receipt that shows details. of the prescription (policyholder. name, drug name, date and RX ...…

Reader Q&A - also see RECOMMENDED ARTICLES & FAQs. P.O. Box 21670. Eagan, MN 55121-0670. (515) 247-2435. Possible cause: • Payer ID 25463 or P.O. Box 211758, Eagan, MN 55121 • Include rendering address if .