Po box 211440 eagan mn 55121

Eagan Post Office Contact Information. Address, Phone Number, and Business Hours for Eagan Post Office. Name Eagan Post Office Address 3145 Lexington Avenue South Eagan, Minnesota, 55121 Phone 651-405-3068 Hours

PO Box 21762 Eagan, MN 55121. If you accidently mail to the Premera commercial PO Box, Premera will forward the claim to Evolent. There’s an option to submit HCFA (CMS 1500) claims on the new Individual secure website, however this function isn't available yet. In the meantime, you can sign up for Office Ally, a full-service …P.O. Box 21146 Eagan, MN 55121. Members - Mail Forms and Payments. Direct Premium Payments. Excellus Health Plan P.O. Box 5267 Binghamton, NY 13902-5267. Group ...P.O. Box 21524 Eagan, MN 55121 Electronic Payer ID: 65-456 All paper claims should include the National Provider Identifier (NPI) and well as the DHMP assigned Provider ... zip code. Abbreviate the state using standard post office abbreviations. Enter the telephone number. Box 2 – Pay-to Name, Address, City, State Inpatient – Required if ...MWG Administrators (888) 888-2519 P.O. Box 211747 Eagan, MN 55121. Sales & Product Inquiries. Lakeshore Benefit Alliance, LLC Phone: (205) 703-9300P. O. Box 21660 Eagan, Minnesota 55121-0660 Fax: 1-402-496-8199 Corporate Office - Omaha, Nebraska Administrative Services - P.O. Box 10386, Des Moines, Iowa 50306-0386 INSURANCE COMPANY. 01 113 0986 0615 US For your protection state law requires the following statements to appear on this form. PO Box 211457 Eagan, MN 55121. Contact Member Services at 800.730.7219 (TTY: 711) if you need help submitting a medical claim. All claims must be submitted within 12 months from the date of service with the exception of claims from certain state and federal agencies. P.O. Box 211256 Eagan, MN 55121 . Mail Forms and Payments. Direct Premium Payments. Univera Healthcare P.O. Box 5267 Binghamton, NY 13902-5267. Claims & Membership Forms. Univera Healthcare P.O. Box 211256 Eagan, MN 55121 . Hidden. Explore Products Individual & Family Plans Sole Proprietor Plans

• To file a claim by mail: P.O. Box 211422, Eagan, MN 55121 PPO Network • Your patient’s PPO network is listed on their Member ID card. • If you are unsure whether you participate with the PPO, we encourage you to reach out to them to verify your network status. • Members of AHPT do not have higher copays or out-of-pocket Southern Guaranty Insurance Company Address: PO BOX 211282 Eagan, MN 55121-0000 Website: https://sgicinsurance.com/ Telephone: 833-552-0828 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.EAGAN Post Office. Address: 3145 LEXINGTON AVE S EAGAN, MN 55121 - 4201. Phone #: 651-405-3068. Hours: Mon-Fri: 09:00 AM - 05:00 PM | Sat: 09:00 AM - 01:00 PM | Sun ...P.O Box 3340 Spring Hill, FL 34606 Dental/Vision Claims Submission EDI Payor ID: Argus Send Paper Claims to: Argus Dental & Vision Attn: Claims P.O. Box 211276 Eagan, MN 55121 Claims Payment Disputes To address claim denials for issues ... Prior Authorization Dept., PO Box 25183, Santa Ana, CA 92799. Expedited requests can be completed by ...Find and Insurance Provider Near Me. Home; Who We Are; Support; © 2024 InsuranceDept.org | All Rights Reserved; Terms of ServiceMWG Administrators (888) 888-2519 P.O. Box 211747 Eagan, MN 55121. Sales & Product Inquiries. Lakeshore Benefit Alliance, LLC Phone: (205) 703-9300P.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 92825-0013

Eagan, Minnesota, 55121 Phone 651-405-3068 Hours Monday:: ... Packaged Stamps Passport Acceptance Passport Photo Pickup Accountable Mail Pickup Hold Mail PO Box Online Priority Mail ... Map of Eagan Post Office at Lexington Avenue South, Eagan MN. View map of Eagan Post Office, and get driving directions from your location. Post …aither health po box 211440 eagan mn 55121. هیچ محصولی در سبد خرید نیست. podcast not showing up on spotify anchor. nfl 2021 2022 roster quiz aither health po box 211440 eagan mn 55121.PO Box 21099 Eagan, MN 55121 Recoupment for After 1/1/2021 Dates of Service • Check for the applicable amount paid to: Maryland Physicians Care • Original Explanation of Payment ... PO Box 1104 Portland, ME 04104 Fax: 833-656-0648 Appeals sent to any other address will be returnedEagan, Minnesota, 55121 Phone 651-405-3068 Hours Monday:: ... Packaged Stamps Passport Acceptance Passport Photo Pickup Accountable Mail Pickup Hold Mail PO Box Online Priority Mail ... Map of Eagan Post Office at Lexington Avenue South, Eagan MN. View map of Eagan Post Office, and get driving directions from your location. Post …

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P.O. Box 211256 Eagan, MN 55121. Corporate Address Mail correspondence to: Univera Healthcare 205 Park Club Lane Buffalo, NY 14221PO Box 211457 Eagan, MN 55121. Contact Member Services at 800.730.7219 (TTY: 711) if you need help submitting a medical claim. All claims must be submitted within 12 months from the date of service with the exception of claims from certain state and federal agencies.WPS Health Plan. P.O. Box 21352. Eagan, MN 55121. WPS Health Insurance. P.O. Box 21341. Eagan, MN 55121. WPS Health Plan. P.O. Box 21352. Eagan, MN 55121. Is …P.O. Box 21146 Eagan, MN 55121. Members - Mail Forms and Payments. Direct Premium Payments. Excellus Health Plan P.O. Box 5267 Binghamton, NY 13902-5267. Group ...P.O. Box 21660, Eagan, MN 55121-0660 Fax: 402-496-8199 How to file a claim When you visit your provider, they’ll likely offer to file your claim for you. They might also ask that you pay your share of the cost at the time of your appointment. Either way, if you want them to file your claim, you’ll need to show them your Medico insurance card.

po box 21548 eagan mn 55121 8888030081 0006800 a1 healthcare 6800 weiskopf ave suite 150 mckinney 75070 8002693563 0003307 aaic dba bright idea dental 101 parklane blvd suite 301 ... po box 211440 8447512226 0007728 alacrity healthcare 1715 main st woodward 73801 5802540117 0001718 alamosa pcs p o box 53070 lubbockFax. (855) 613-4102. Detego Health transformed our healthcare benefits spend. Amazing. Jordon Street Core Insurance. I was totally blown away at how good my healthcare experience could be. Paige Payne CEO, Jim Ross Law.P.O. Box 21522 Eagan, MN 55121. Corporate Headquarters: Dominion National 251 18th Street South Suite 900 Arlington, VA 22202. Print Brochure ; Dental Policy; Health ...approved EDI vendor, or mail paper claims to: SOMOS IPA, LLC, P.O. Box 211473, Eagan, MN 55121 Note: Your participation in SOMOS IPA does not affect your relationship with EmblemHealth for patients with other lines of business, such as commercial insurance or Medicare Advantage, or dual-eligible Medicare/Medicaid patients.EVOLUTIONS MEMBER SERVICES. 800.308.2749. 727.938.2222. [email protected]. NOMINATE A PROVIDER. ONLINE FORM. PRINT AND BRING ALONG. TO CONTINUE PROVIDER SEARCH, PLEASE SELECT YOUR LOCATION...If you are not able to submit electronic claims, please update your records to make sure you’re using the correct addresses for the type of claim you’re submitting –. PPO – HealthEOS by MultiPlan, P.O. Box 6090, De Pere, WI 54115-6090. All other claims (Badger Care Plus and non-PPO) – Quartz, P.O. Box 211221, Eagan, MN 55121.Call us: 1-800-338-6833 (TTY 711) Devoted Guides are here: 8am to 8pm, 7 days a week (October to March) 8am to 8pm, Monday to Friday, and 8am to 5pm, Saturday (April to September) Text us: 866-85. Ask a question about your plan, or just say "Hello!" to get started! Digital Guides are here: 8am to 8pm Eastern time, Monday to Friday.Sutter Health Plus. P.O. Box 211314. Eagan, MN 55121. Sutter Health Plus includes the claims submission address for all other services on the back of the member’s identification card. Providers have 180 calendar days from the date of service to submit claims. Sutter Health Plus acknowledges paper claims within 15 business days following receipt.P.O. Box 211256 Eagan, MN 55121. Corporate Address Mail correspondence to: Univera Healthcare 205 Park Club Lane Buffalo, NY 14221approved EDI vendor, or mail paper claims to: SOMOS IPA, LLC, P.O. Box 211473, Eagan, MN 55121 Note: Your participation in SOMOS IPA does not affect your relationship with EmblemHealth for patients with other lines of business, such as commercial insurance or Medicare Advantage, or dual-eligible Medicare/Medicaid patients.SGIC will be here to help you when you need us most. We’ve designed innovative insurance with innovative solutions for you. We are dedicated to the total satisfaction of our policyholders and partners and are constantly developing ways to use technology to make your insurance experience smoother. With electronic filing available using whatever …PO Box 21051 Eagan, MN 55121-0051. For Medica members with Payer ID #71890, 53589 or 88090, send the Claim Adjustment/Appeal Request Form with supporting documentation to: Medica Health Plan Solutions PO Box 211435 Eagan, MN 55121-0051. For Medica members with Payer ID #MEDM1, send the Claim Adjustment/Appeal Request Form with supporting ...

PO Box 211308 Eagan, MN 55121-2908. For Fallon Preferred Care Claims, please mail the Request for Claim Review form to: Fallon Preferred Care P.O. Box 15207 Worcester, MA 01615-0207 | Back to top | Question: What is the difference between an appeal of a claim and an adjustment of a claim? Answer:

© Regional Care Inc. Home; About RCI; Resources; Contact RCI; Forms; LoginPO Box 211609. Eagan, MN 55121 . For Customer Service: (866) 919-9159. Contact Us. Go Up. bottom of page ...For fastest service, please contact your customer service team by calling the toll-free number on your health plan ID card. If you do not have your health plan ID card, call 1-800-826-9781. For general claim inquiries, call: 1-800-826-9781.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 92825-0013Southern Guaranty Insurance Company Address: PO BOX 211282 Eagan, MN 55121-0000 Website: https://sgicinsurance.com/ Telephone: 833-552-0828 ; Mail Order Disposable ...Dental/ADA Claims. Electronic Attachments. Secondary Claims. Yes. This payer is also known as: 6019 9136. Need to submit electronic claims to this payer? Learn More.MultiPlan's Provider Portal allows healthcare providers to verify network participation, submit billing and network inquiries, and more!There are 5 companies that have an address matching P.O. Box 21405 Eagan, MN 551210405. FINANCIAL RECOVERY SERVICES, INC. FINANCIAL RECOVERY SERVICES, INC. FINANCIAL RECOVERY SERVICES OF MINNESOTA, INC. FINANCIAL RECOVERY SERVICES, INC. FINANCIAL RECOVERY SERVICES, INC. The …

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Oct 1, 2021 · 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 P.O. Box 22278 Pittsburgh, PA 15222 P.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:Find network doctors and hospitals throughout the U.S. at the Independence Administrators online provider directory. Entercom employees and their covered spouses and dependents may contact us at the following telephone number and address: Customer Service. 1-888-356-7899. Contact us via email.Looking for the best restaurants in Minnetonka, MN? Look no further! Click this now to discover the BEST Minnetonka restaurants - AND GET FR Scenic views, refreshing breezes, and m...• To file a claim by mail: P.O. Box 211422, Eagan, MN 55121 PPO Network • Your patient’s health plan accesses no network. All claims are processed at the Maximum Allowable Charge, generally a certain percentage above your Medicare rate. • No provider contracts are needed, network contracting andSep 4, 2020 · o Mail: Send paper claims to SOMOS IPA, LLC, P.O. Box 21432, Eagan, MN 55121 • Emblem: o Electronically: Use SOMOS Payer ID 81336 through Change Healthcare or another approved EDI vendor o Mail: Send paper claims to SOMOS IPA, LLC, P.O. Box 211473, Eagan, MN 55121 On your first log in, you will need to change the temporary password. The new password must contain at least 10 alphanumeric characters with at least one number and no more than two repeating characters. PLEASE NOTE: Internet Explorer 11 must be available on the device you are using for submission. The eCredentialing Portal will not function ...Providers – For Your Provider Operations Representative. Email [email protected]. Please complete the information below and one of our team members will contact you in the next 1 to 2 business days. I need to... First and Last Name *. Email address*. ….

PO Box 211702 Eagan, MN 55121 Phone: 800-261-3371. More claims information. Emergency Room Auto-Pay List. Electronic Claims Submission. Claims and Refunds. ICD-10 Update. PO Box 21455 Eagan, MN 55121 Electronic Submissions: Use Amida Care Submitter ID # 79966. How do I check the status of a claim? Call Provider Services at 1-800-556-0674. P.O. BOX 21887 Eagan, MN 55121 Thank you for contacting us about your mortgage. We would like to provide assistance but we still need additional information from you. Capital One will review the contents of this Financial Solicitation Package and determine if you are eligible for assistance. We Are Here to Help YouPo Box 21347 Eagan, MN 55121 - Clinton Mclagan Attorney At Law Pa, Boundary Litigation Seminars Inc, Interstate Outdoor Advertizing LLC. PO BOX 21347 EAGAN, MN 55121: Sponsored Links. There are 3 companies that have an address matching Po Box 21347 Eagan, MN 55121.Microsoft Word - FoodVendorLett2019.doc. Dakota Center for the Arts Attn: Executive Director PO Box 211609 Eagan, MN 55121-1609. 651-269-ARTS. www.eaganartfestival.org. Dear Food Vendor: The Eagan Art Festival would like to invite you to join us for the 25th Annual Eagan Art Festival.Find the mailing address for different types of mailings from Excellus BlueCross BlueShield, such as Qualified Health Plan, Medicare, Medicaid, Child Health Plus and Essential …PO Box 21747. Eagan, MN 55121. ELECTRONIC. Payer ID. 65241. NETWORK. We use the MultiPlan/PHCS Specific Services network. IN NETWORK. OUT OF NETWORK. Most, but not all, MEC plans use reference-based pricing (RBP) for out-of-network claims for covered services. APPEALS. Please include the following information in your written …Claims mailing address: Premera Blue Cross of Washington. PO Box 21702. Eagan, MN 55121. If you accidently mail to the Premera commercial PO Box, Premera will forward the claim to Evolent. There’s an option to submit HCFA (CMS 1500) claims on the new Individual secure website, however this function isn't available yet.PO Box 853921 Richardson, TX 75085-3921 (877) 232 Web MD/Emdeon #41124 or McKesson/Relay Health #1761 (314) 644-4802 ext. 1000 or toll free -3863 ext. 1000 Essence Healthcare Essence Healthcare ... PO Box 211197 Eagan, MN 55121 Electronic Payor ID #43185 (918) 615-7972 .Sutter Auburn Faith Hospital. Sutter Center For Psychiatry. Sutter Coast Hospital. Sutter Davis Hospital. Sutter Delta Medical Center. Sutter Lakeside Hospital. Sutter Maternity & Surgery Center of Santa Cruz. Sutter Medical Center - Sacramento. Sutter Roseville Medical Center. Po box 211440 eagan mn 55121, Saint Cloud Post Office. 517 10th Ave S Waite Park, MN 56387 View detail; Stillwater Post Office. 216 Myrtle St W Stillwater, MN 55082 View detail; Oak Park Hts Carrier Annex Post Office. 5520 Memorial Ave N Stillwater, MN 55082 View detail, If you have any questions, please call our Provider Assist line at 801-262-7975 locally or toll free at 1-800-644-5411. While you are on our website, sign up to receive EMI Health's quarterly Medical Provider Newsletter via email. You'll find it under the Providers tab on the Resources page., We would like to show you a description here but the site won’t allow us., P.O. Box 211184 Eagan, MN 55121 Valid and registered NPI is required. Electronic (837P) Loop 2010AA NM108 = XX NM109 = NPI # Paper (CMS-1500) NPI # – Box 33A Q1P AmeriHealth NJ – POS, POS NG Q3A AmeriHealth PA – ERISA POS Q3B AmeriHealth PA – ERISA HMO Q3C AmeriHealth PA – HMO and Self-Funded HMO Q3P …, PO Box 211435 Eagan, MN 55121. BCBS AZ providers submit to payer ID 53589. Mayo Clinic providers submit to payer ID 71890. Attachment/Appeal Fax# 952-992-3024 . Claim Adjustment or Appeal Request Form (DOC) Claim Numbers . 13 digits Electronic Appeal Submission : Log in to Medica Provider Portal. Electronic Data Interchange (EDI), P.O. Box 21660, Eagan, MN 55121-0660 Fax: 402-496-8199 How to file a claim When you visit your provider, they’ll likely offer to file your claim for you. They might also ask that you pay your share of the cost at the time of your appointment. Either way, if you want them to file your claim, you’ll need to show them your Medico insurance card., PO Box 21482 Eagan, MN 55121 Payer ID (for EDI claims): SX110. What if I disagree with the way my claim is paid? You may request a review of any adverse claim decision by following the claims review procedure, as outlined in the Provider Handbook. What portion is the insured responsible for paying?, PO Box 211757 Eagan, MN 55121 Claims & Forms. Medical Claim. For submitting medical claims. Prescriptions Claim. For reimbursement of covered prescription drug claims. PT Mini-Claim Form. For Part-timers to submit with EOB or visit summary. Vision Claim. For reimbursement of covered vision care claims. ..., approved EDI vendor, or mail paper claims to: SOMOS IPA, LLC, P.O. Box 211473, Eagan, MN 55121 Note: Your participation in SOMOS IPA does not affect your relationship with EmblemHealth for patients with other lines of business, such as commercial insurance or Medicare Advantage, or dual-eligible Medicare/Medicaid patients., Our Mailing Address: Excellus BlueCross BlueShield. Attn: Medicare Division. P.O. Box 21146. Eagan, MN 55121. Excellus BlueCross BlueShield is an HMO plan and …, Aither Health is a self-funded health care company that offers direct primary care and traditional plan management services to employers and their employees. The company …, P.O. Box 211651. Eagan, MN 55121. FedEx & UPS Shipping Address. 960 Blue Gentian Road. Eagan, MN 55121. Corporate Address. 200 W Adams St., Suite 500. Chicago, IL 60606. This address does not receive mail. If you need to mail us documents related to your benefit plan, please use the mailing address above. General Inquires., If you're a provider or provider's office interested in partnering with Nova to deliver a direct primary care solution, please contact [email protected]. Medical providers (primary care, specialist, or facility), dentists, ophthalmologists and optometrists can enroll in Nova's Provider Information Center to get up-to-date patient ..., 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 P.O. Box 22278 Pittsburgh, PA 15222, EVOLUTIONS MEMBER SERVICES. 800.308.2749. 727.938.2222. [email protected]. NOMINATE A PROVIDER. ONLINE FORM. PRINT AND BRING ALONG. TO CONTINUE PROVIDER SEARCH, PLEASE SELECT YOUR LOCATION..., P.O. BOX 21887 Eagan, MN 55121 Thank you for contacting us about your mortgage. We would like to provide assistance but we still need additional information from you. Capital One will review the contents of this Financial Solicitation Package and determine if you are eligible for assistance. We Are Here to Help You, SGIC will be here to help you when you need us most. We’ve designed innovative insurance with innovative solutions for you. We are dedicated to the total satisfaction of our policyholders and partners and are constantly developing ways to use technology to make your insurance experience smoother. With electronic filing available using whatever …, PO Box 21593 Addison, Eagan, MN 55121. Utilization Management. Phone. Email. 1-855-855-0759 (TTY 711) option 3. [email protected]. Nativus Pharmacy Helpdesk. Phone. Email. 1-866-270-3877 (TTY 711) EZ-Net Support. Phone. Email. [email protected]. Network Support., For fastest service, please contact your customer service team by calling the toll-free number on your health plan ID card. If you do not have your health plan ID card, call 1-800-826-9781. For general claim inquiries, call: 1-800-826-9781., If you have claims or plan specific questions please call 844.388.8268., ZIP Codes for EAGAN, Minnesota. Use our address lookup or code list to find the correct 5-digit or 9-digit (ZIP+4) code for your postal mails destination. ... EAGAN MN 55121-1551. Map. Census data for EAGAN, MN. Demographic and housing estimates in EAGAN, MN. Total population; Total population: 66,363: Male: 32,263: Female: 34,100:, (651) 688-9600 Visit Website Map & Directions Po Box 211533 Saint Paul, MN 55121 Write a Review. Is this your business? Customize this page. Claim This Business Hours. Regular Hours. Mon - Fri: 9:00 am - 5:00 pm: Places Near Saint Paul with Similar Businesses. Mendota (5 miles) Lilydale (9 miles), You may submit claims to Surest (365-day timely filing) electronically at Surest payer ID 25463 or by mail to: PO Box 211758, Eagan, MN 55121 After a claim has been submitted, quickly check claims status on UHCprovider.com or call 844-368-6661 to speak with a specially trained Surest Provider Services representative., For information about Innovation Health, please call our toll-free number at 1-855-228-0510. , Mercy Benefit Administrators. Mercy is changing the healthcare experience for members, employers, and physicians. “The Families First Coronavirus Response Act requires private health plans (including insured, self-insured, and grandfathered, as defined in section 1251 (e) of the Patient Protection and Affordable Care Act)) and government ..., PO Box 21762 Eagan, MN 55121. If you accidently mail to the Premera commercial PO Box, Premera will forward the claim to Evolent. There’s an option to submit HCFA (CMS 1500) claims on the new Individual secure website, however this function isn't available yet. In the meantime, you can sign up for Office Ally, a full-service …, 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., Physical Address: AmFirst Insurance Company 500 Steed Road Ridgeland, MS 39157 Statutory Home Office: AmFirst Insurance Company , EVOLUTIONS MEMBER SERVICES. 800.308.2749. 727.938.2222. [email protected]. NOMINATE A PROVIDER. ONLINE FORM. PRINT AND BRING ALONG. TO CONTINUE PROVIDER SEARCH, PLEASE SELECT YOUR LOCATION..., P.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:, P.O. Box 21406 Eagan, MN 55121 I Address Change: _____ _ IMPORTANT: EVERY ITEM MUST BE CHECKED OR ANSWERED BEFORE CLAIM CAN BE PROCESSED GIVE THE FOLLOWING INFORMATION ABOUT PATIENT 1. Claim is made for: 2. Patient's Name 3. Date of Birth 4. Sex 0 Husband 0 Self OM OF 0 Wife 0 …, © Regional Care Inc. Home; About RCI; Resources; Contact RCI; Forms; Login, P.O Box 3340 Spring Hill, FL 34606 Dental/Vision Claims Submission EDI Payor ID: Argus Send Paper Claims to: Argus Dental & Vision Attn: Claims P.O. Box 211276 Eagan, MN 55121 Claims Payment Disputes To address claim denials for issues ... Prior Authorization Dept., PO Box 25183, Santa Ana, CA 92799. Expedited requests can be completed by ...