Get Uhc Community Plan Reconsideration Form

The Uhc Community Plan Reconsideration Form is designed to assist health care professionals in requesting a review of previously denied claims for members enrolled in plans administered by UnitedHealthcare Community Plan. This guide provides clear and detailed instructions to help you complete the form effectively online.

Follow the steps to fill out the form correctly online.

1. Click 'Get Form' button to access the Uhc Community Plan Reconsideration Form and open it for editing.
2. Indicate your professional designation by selecting one option: Physician, Hospital, or Other health care professional.
3. Check the appropriate benefit plan under which the member is enrolled: Medicare, Medicaid, or MIChild.
4. Provide the date the form is completed in the specified field.
5. In the section titled 'Reason for request,' select the reason for the reconsideration from the provided options and include any necessary explanations.
6. Attach any supporting documentation relevant to the claim reconsideration, such as confirmation of claim submission or EOBs.
7. Once all fields are completed, review the form to ensure all information is accurate and complete.
8. Finally, save your changes, download a copy of the completed form, and print or share it as necessary.

Take action now and complete the Uhc Community Plan Reconsideration Form online to ensure timely processing of your claims.