UnitedHealthcare Claim Reconsideration Request Form FINAL
Mail all UnitedHealthcare Community Plan Dual Complete Provider Appeal requests to: Provider Appeals Department - Dual Complete UnitedHealthcare Community and State P.O. Box 30991 Salt Lake City, UT 84130-0991 Please refer to the following disclaimer about the use of the UnitedHealthcare Claim Reconsideration Request Form. ................
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