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  • Employee Enrollment Application Form All Savers Alternate Funding

Get Employee Enrollment Application Form All Savers Alternate Funding

All SaversEmployee Enrollment Application Form All Savers Alternate FundingPlease send correspondence to P.O. Box 19032, Green Bay, WI 543079032 18002912634(Please fill out the entire enrollment application.

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You must obtain prior authorization of your hospitalization within 48 hours of the day your coverage begins, or as soon as is reasonably possible. For plans that have a Network Benefit level, Network Benefits are available only if you receive Covered Health Care Services from Network providers.

Referrals are not needed to see the following providers as long as they are in the Navigate network: • Obstetricians/gynecologists (OB/GYNs) • Behavioral health or substance use disorder clinicians • Convenience care clinics • Urgent care centers • You should validate that a referral has been entered prior to seeing a ...

Alternate Funding products are marketed under the All Savers brand. Excess Loss insurance coverage is provided by All Savers Insurance Company, a UnitedHealthcare company. The underlying medical coverage for the Alternate Funding products is not an insured product.

Sign in to your health plan account and go to the “Claims & Accounts” tab, then select the “Submit a Claim” tab. There, you'll be able to select the Medical Claims Submission form to download and print.

► The plan is a “level-funded” plan, so your company will make the same monthly claims funding payment throughout the plan year. You won't have to pay any more for claims at the end of the plan year, even if you have high claims costs.

Excess Loss insurance coverage is provided by All Savers Insurance Company, a UnitedHealthcare company.

The removal of prior authorization requirements for a range of procedure codes will be phased in beginning Sept. 1, with additional changes implemented Nov. 1. UnitedHealthcare commercial, Oxford, Medicare Advantage, Individual Exchange, and Community plans are those affected.

Please submit paper claims to: All Savers P.O. Box 31375 Salt Lake City, UT 84131-0375 Fax: Please fax claims to 801-478-7582. Phone: Please call Provider Services at 877-842-3210 or All Savers Customer Care at 800-291-2634.

► The plan is a “level-funded” plan, so your company will make the same monthly claims funding payment throughout the plan year. You won't have to pay any more for claims at the end of the plan year, even if you have high claims costs.

All Savers plans have access to the UnitedHealthcare Navigate®, UnitedHealthcare Charter®, UnitedHealthcare Choice Plus, Choice, Core and Core Essential network of doctors and hospitals. (Doctors and hospitals that are not part of this network are considered out-of-network, and may result in higher out-of-pocket costs.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232