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  • Ucare U7833 Form

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Tire form. Fax form and any relevant clinical documentation to: Clinical Intake at 612-884-2033 or 1-855-260-9710. For questions, call Customer Services at: 612-676-3300 or 1-888-531-1493 PATIENT INFORMATION Member Name Member ID Member Address PMI Member City, State, Zip Date of Birth Member Phone.

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UCare offers two health plans for adults, children and families who qualify for Medicaid (Medical Assistance) or MinnesotaCare.

UCare is a health plan in Minnesota and western Wisconsin. UCare serves: Individuals and families choosing insurance through MNsure and the insurance marketplace in 77 counties.

Effective Jan. 1, 2022, the Payer ID for all UCare plans will shift to Payer ID 55413 for electronic claims submitted with dates of service (DOS) on and after Jan. 1, 2022.

Mail a copy of the paper claim(s), along with completed W-9 to: UCare. Attention: Claims. P.O. Box 70. Minneapolis, MN 55440-0070. Click here to download a Printable W-9. Guidance for paper claims submission is provided in Claims & Payment chapter of UCare's Provider Manual.

Members can get help as quickly as possible by calling 911 or going to the nearest emergency room or hospital. Members may also need to call for an ambulance, which is covered at no additional charge, even when a member is traveling in the United States.

Fax an authorization request form to UCare Clinical Pharmacy Intake at 612-617-3948. By mail to UCare, Attn: Pharmacy at P.O. Box 52, Minneapolis, MN 55440-0052.

Participating providers can submit prior authorization, authorization adjustment and pre-determination requests to Care Continuum one of the following ways: Online (ePA) via the ExpressPAth Portal at .express-path.com/. ... Fax an authorization request form to Care Continuum at 1-877-266-1871.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
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