Po box 21660 eagan mn 55121

P.O. Box 211282 Eagan, MN 55121 EDI Payor ID # 11789. MEDICARE SUPPLEMENT PLANS 833.552.0828 [email protected] Monday through Friday 7:00am – 8:00pm Central Time.

How to fill out po box 21146 eagan. 01. To fill out PO Box 21146 Eagan, follow these steps: 02. Write your full name on the first line. 03. Write the street address of the post office where the PO Box is located on the second line. 04. Write 'PO Box 21146' on the third line.PO Box 91059 Seattle, WA 98111-9159 Claim payer IDs Direct submission: Professional and Institutional 00430; Dental 47570 ... PO Box 21702 Eagan, MN 55121. Care management. Phone: 844-996-0329. Fax: 888-302-9325. 2024 holiday closures. January 1; May 27; July 4; September 2; November 28; November 29;If you are unable to submit your claim electronically, you can email, fax or mail your completed claim form (“Medical, Wellness and Vision Claim Form”, Pages 2 through 4) and copies of supporting documentation. Submit claims by: Email: Fax: Mail: [email protected] +1.949.271.2330 Global Benefits Group. PO Box 211008, Eagan, MN 55121.Med Claims: P.O. Box 211375, Eagan, MN 55121 Rx Claims: OptumRx P.O. Box 650287, Dallas, TX 75265-0287 For Pharmacists: 1-877-889-6510 Behavioral Health: 1-844-978-8100 front front back back Sample member ID cards for illustration only; actual information varies depending on payer, plan and other requirements. 2024 UnitedHealthcare UCardWellCare. 1-800-960-2530. Faxed claims no longer processed. P.O. Box 31372, Tampa, TX 33631. Western United Life. 800-877-7703. 713-583-2738. PO Box 925568, Houston, TX 77292. Carrier Numbers for Medical Providers.EHS was born from a commitment to superior service to our clients. Our sister company, Edison Healthcare, services hundreds of clients and hundreds of thousands of employees. Over the past few years, Edison witnessed growing client frustration with the their other healthcare vendors. Barriers to excellent member healthcare kept popping up ...po box 21660 eagan mn 55121-0660: 800-822-9993: medilodge of montrose: 9317 w vienna rd montrose mi 48457: 810-639-6171: medivest benefit advisors inc: 2100 alafya trail oviedo fl 32765: 877-725-8467: meemic insurance company: po box 530429 livonia mi 48153: 248-373-5700: mega health and life ins:

833.552.0828. [email protected]. Monday through Friday. 7:00am - 8:00pm Central Time. Have questions about your short term, supplemental health care policy options? The SGIC care team has answers to your questions. Contact us today!Title: 22_11126_KH_Kemper Health Forms-flyer-v2.pdf Author: Madeline Franz Keywords: DAFbUazD9JA,BADFC-I4BRg Created Date: 20230707204142ZPO Box 21392. Eagan, MN 55121. EDI # 19753. Pre-Certification Questions: Pre-certify before any planned surgical and hospital admission or within 48 hours of emergency admissions. The Utilization Review Team can be reached Monday through Friday by calling Inetico at 1-877-608-2200.Please call 866-386-4447 . For claims submissions*:. EDI Payer ID: 27034. Peak TPA PO Box 21631. Eagan, MN 55121. *New vendors must submit ...P.O. Box 21660 Eagan, MN 55121 Fax: 402-496-8199 We're here for you: If you have any questions, please call us at 800-228-6080, Monday - Friday, 7:30 a.m. to 5 p.m. Central time. Our secure customer portal and Wellabe: Be Well mobile app provide 24/7 access to your plan. You can view planZip Code 55121 Map. Zip code 55121 is located mostly in Dakota County, MN.This postal code encompasses addresses in the city of Saint Paul, MN.Find directions to 55121, browse local businesses, landmarks, get current traffic estimates, road conditions, and more.. Nearby zip codes include 55120, 55150, 55123, 55077, 55111.P.O. Box 211595 Eagan, MN 55121. Providers can now submit via fax to 608-327-6332 instead of mailing. For new and corrected claims, please do not include a fax cover sheet. You may fax just the claim form or just the Corrected Claim Form and normal supporting documents (PRA). ... P.O. Box 2906 Milwaukee, WI 53201-2906 Phone: …PO Box 21542 Eagan, MN 55121 Payor ID 44054. New features added to the IVR (Interactive Voice Response) system. We have added new automated features to make verifying your provider information quick and easy. You can now access the following through our IVR system, after following the requested phone prompts: Fee schedule fax back; Location ...

P.O. Box 21545 Eagan, MN 55121. Payer ID provider number reference — Facility Rev. April 2023 Use this guide as a reference tool when submitting facility claims. This information was current at the time of publication. We will announce changes on the Provider News Center and the Provider Engagement, Analytics & Reporting (PEAR) portal.About PeakTPA. PeakTPA offers a full suite of health plan management and back office services that optimize financial management and fulfill financial management and regulatory requirements.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 Offices Nearby ...Post Office City: Saint Paul, MN (View All Cities) County: Dakota County: Timezone: Central (5:24pm) Area code: 651 (Area Code Map) Coordinates: 44.84, -93.17 ... Eagan, MN 55121 Grade Level: Primary/Elementary District: West St. Paul-Mendota Hts.-Eagan School District Trinity Lone Oak Lutheran School

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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.P.O. Box 21516 • Eagan, MN 55121 Electronic claims submissions: Use VillageCareMAX Change HealthCare payer ID: 26545 • For MLTC claims, if VillageCareMAX is not primary, submit the claim within 90 days of the date on the Explanation of Payment (EOP)/Remittance Notice and include EOP with your claim.Fax. (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.Post Office City: Saint Paul, MN (View All Cities) County: Dakota County: Timezone: Central (5:24pm) Area code: 651 (Area Code Map) Coordinates: 44.84, -93.17 ... Eagan, MN 55121 Grade Level: Primary/Elementary District: West St. Paul-Mendota Hts.-Eagan School District Trinity Lone Oak Lutheran School

P.O. Box 21660 Eagan, MN 55121-0660 • Via fax: 402-496-8199 34 00039 0623 US. Created Date: 3/10/2023 3:24:50 PM ...Po Box 21446 Eagan, MN 55121 : Address Types: Principal: Registered Agent: CT Corporation System: Filing Date: June 27, 1996: File Number: 1996061517: Contact Us About The Company Profile For Preferred Care, Inc. PREFERRED CARE, INC. CONNECTICUT DOMESTIC PROFIT CORPORATION: WRITE REVIEW: Address: Po Box 21446approved 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.P.O. Box 211747 Eagan, MN 55121 Standard Life & Accident Insurance Company P.O. Box 211748 Eagan, MN 55121 Claims Payment: If you send documentation showing you have paid the provider along with the EOBs and the provider statement, we will pay the benefit to you. Claims info can be sent to MWG Administrators via: ...You can submit an email to [email protected]. When using email for communication, turnaround times may take up to 21 business days for a response. Sending Documents or Forms. You can also mail information to the below addresses or use our Secure File Upload tool. Claims.Better Living Now - Health Care Products, Programs and Services. BAS/PHCS Address: PO BOX 211637 EAGAN, MN 55121-0000. Telephone: 866-868-4139.P.O. Box 211747 Eagan, MN 55121. Sales & Product Inquiries. Lakeshore Benefit Alliance, LLC Phone: (205) 703-9300. Links. Kaiser Health News; Modern Healthcare; The New York Time – Health Care Reform News; Healthcare …Get accurate info on Po Box 21131 Saint Paul Mn 55121 or any other address 100% free. NAME PHONE ADDRESS Close Free Search. Close Free Search. Close Free Search. Search Properties Near Me. ... Eagan MN 55121 Phone: Cell/Mobile/Wireless and/or landline telephone numbers for Regina Bolden in Rockford, IL. (815) 965-2920 (815) 962-2433PO Box 211609. Eagan, MN 55121 . For Customer Service: (866) 919-9159. Contact Us. Go Up. bottom of page ...P.O. Box 211747 Eagan, MN 55121. Sales & Product Inquiries. Lakeshore Benefit Alliance, LLC Phone: (205) 703-9300. Links. Kaiser Health News; Modern Healthcare; The New York Time - Health Care Reform News; Healthcare Bluebook; Commonwealth Fund; Noteworthy Headlines.PO Box 211551. Eagan, MN 55121-2751 . Payment Dispute Address . UMWA Health and Retirement Funds. PO Box 211225. Eagan, MN 55121-2625 *This page was last updated 07.10.2023* Funds' Call Center: (800) 291-1425. Pharmacy: (800) 294-4741. Precertification: (800) 292-2288. Provider Services Claims: (888) 865-5290.

To submit this form by mail, return to PO Box 21146, Eagan, MN 55121 Claim adjustments, if completed, will be reflected on your next remittance and online at Provider.ExcellusBCBS.com. A nonprofit independent licensee of the BlueCross BlueShield Association Rev. August 2021

P.O. Box 21516 • Eagan, MN 55121 Electronic claims submissions: Use VillageCareMAX Change HealthCare payer ID: 26545 • For MLTC claims, if VillageCareMAX is not primary, submit the claim within 90 days of the date on the Explanation of Payment (EOP)/Remittance Notice and include EOP with your claim.P.O. Box 21545 Eagan, MN 55121 Coverages issued by AmeriHealth HMO, Inc. and/or AmeriHealth Insurance Company of New Jersey. Payer ID provider number reference — Professional Rev. April 2023 Use this guide as a reference tool when submitting professional claims. This information was current at the time of publication. We will announce changes ...WellCare. 1-800-960-2530. Faxed claims no longer processed. P.O. Box 31372, Tampa, TX 33631. Western United Life. 800-877-7703. 713-583-2738. PO Box 925568, Houston, TX 77292. Carrier Numbers for Medical Providers.How Do I Submit a Claim For Reimbursement? - Lucent Health. Let's Talk. Previous Next. Complete a Health Claim Reimbursement Form. Submit the completed form with a copy of a superbill from your provider and a receipt of your payment to: email: [email protected]. or. fax: 615-255-6654, attn: mailroom.PO Box 21545|Eagan, MN 55121 Fax ##215-784-0672. Approval Process. After the request is submitted, the service or drug is reviewed to determine if it: is covered by the health plan, and; meets the health plan's definition of "medically necessary." The prior authorization is then completed, and the results are sent to the provider.P.O. Box 890035 Camp Hill, PA 17089-0035. Precertification. 1-800-258-8809 Option # 2. Mental Health/Substance Use Disorder Precertification. ... P.O. Box 211457 Eagan, MN 55121-3057. Customer Service. Medical: 1-800-779-6945 . Hospital: 1-800-344-5446. 2500 Elmerton Avenue. Harrisburg, PA 17177. Precertification . 1-800-471-2242 .Dec 10, 2012 ... Eagan, MN 55121. 2400 86th Street Suite 22 ... P.O. Box 5887 Mail Code 50-2-1-A4. Denver, CO ... 21660 West National Avenue. New Berlin, WI 53146.Carefirst. PO Box 10104 Fairfax, VA 22038-8004 Member Services: 1-800-458-8253 www.member.carefirst.com. Healthsmart Accel / Preferred. PO Box 21133 Eagan, MN 55121How to fill out po box 21146 eagan. 01. To fill out PO Box 21146 Eagan, follow these steps: 02. Write your full name on the first line. 03. Write the street address of the post office where the PO Box is located on the second line. 04. Write 'PO Box 21146' on the third line.

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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: 1-800-826-9781.1w. Bankers Fidelity has updated their claims address to (effectively immediately): PO Box 211701 Eagan, MN 55121 This is different from Bankers Life (and Colonel Penn). Their address remains (the ...P.O. Box 21660 Eagan, MN 55121-0660 Fax: 402-496-8199 We’re here for you: If you have any questions, please call us at 800-228-6080, Monday - Friday, 7:30 a.m. to 5 p.m. Central time. Our secure customer portal and Wellabe: Be Well mobile app provide 24/7 access to your plan. You can view planP.O. Box 21516 • Eagan, MN 55121 Electronic claims submissions: Use VillageCareMAX Change HealthCare payer ID: 26545 • For MLTC claims, if VillageCareMAX is not primary, submit the claim within 90 days of the date on the Explanation of Payment (EOP)/Remittance Notice and include EOP with your claim.PO Box 21931 Eagan, MN 55121. Providers are highly encouraged to use a trackable mailing method such as USPS Priority Mail when sending documents to this address. This will allow for the package to be tracked and provide proof of timely claim submission. Acceptance of PaymentFind information on claims, benefits, or eligibility quickly and easily with the My EMI Health portal. You may also contact Provider Assist at. 800-644-5411 or [email protected] .All claims should be routed to Surest following the instructions on the member ID card. Electronic claims to: 25463 Paper claims to: Surest PO Box 211758 Eagan, MN 55121. To check claims status, visit the UnitedHealthcare Provider Portal or call Surest Provider Services line at 1-844-368-6661.P.O. Box 211468 Eagan, MN 55121 • Filing deadline is 90 days from the date of service. • Professional services (CPT) must be submitted on a CMS-1500 claim form. • Inpatient services must be submitted on a UB-04 claim form. • Handwritten submissions will be rejected. • Do not use labels, stickers, or stamps on the claim form.Welcome to JHS Community, where you will discover the advantages of a Health Care Sharing Ministry. JHS Community consists of individuals and families inspiring grace and compassion as we work hard to serve one another with our friendly team and our cost-effective programs. Here at JHS Community, we work to provide reliable, caring alternatives to traditional health insurance. We offer several ...The screen that you have attempted to access requires that you first login into the system. Username. Password. Authentication Token (if you have one) Have an Account Verification Code? Forgot Password? For assistance contact us at [email protected] or 855-297-4436. By logging into QuickClaim, you are agreeing to comply with the policies ... ….

According to our records, this business is located at PO Box 21482 in Eagan (in Dakota County), Minnesota 55121, the location GPS coordinates are: 44.8041322 (latitude), -93.1668858 (longitude). R-Kids Of Minnesota is categorized under Social Service and Welfare Organizations (SIC code 8322). The company employs approximately 6 people.PO Box 21660 Eagan, MN 55121-0660 Fax: 1-402-496-8199 Medico® is a servicemark owned and licensed by Medico Insurance Company.PO Box 21531 Eagan, MN 55121. Providers Here are the options: 1) Fax:877-877-0078 2) Mail(Claims ONLY): PO Box 21531 ... PO Box 26620 Oklahoma City, Oklahoma 73126-9958P.O. Box 211651 Eagan, MN 55121 E [email protected] Group Number Employer Location (if applicable) Employee UID or SSN Flex Plan Year Address City State Zip Dental/Vision Provider's Signature (or attach receipt)-----I have not and will not itemize and deduct nor claim credit for these expenses on my income tax returns.Customer Success. [email protected]. Supplemental health insurance: 800-228-6080. Preneed Funeral insurance: 800-995-9010. Final Expense insurance: 800-733-5454.P.O. Box 211424 Eagan, MN 55121. Vision Benefits. Our plans offer affordable vision benefits that include: ... PO Box 2187 Clifton, NJ 07015. Hearing Benefits Worried About Hearing Loss? You're not alone. We got you covered. In fact, hearing loss is pretty common as we age. About one-third of people between the ages of 65 and 74 experience it.PO Box 211151 Eagan, MN 55121. 24-Hour NurseLine. Call 855-339-8123 to speak with a nurse in the event of a non-emergency or if you are unsure of what to do. General correspondence address. Premera Blue Cross Medicare Advantage Plans PO Box 211151 Eagan, MN 55121. Tools. Find a doctor, dentist, or hospital.member's assigned Medical Group at P.O. Box 211624, Eagan, MN 55121. A complete description of the dispute process can be found at the bottom of the Remittance Advice. Pursuant to California Code of Regulations Title 28, Sections 1300.71 and 1300.71.38, a providerWelcome to JHS Community, where you will discover the advantages of a Health Care Sharing Ministry. JHS Community consists of individuals and families inspiring grace and compassion as we work hard to serve one another with our friendly team and our cost-effective programs. Here at JHS Community, we work to provide reliable, caring alternatives to traditional health insurance. We offer several ...NEW Mailing Address (Provider Alert 9.5.2019) Health Plan of San Joaquin (HPSJ) has a new mailing address for initial and corrected paper claim (s) submissions. Effective October 1, 2019 all paper claim submissions should be mailed to: Health Plan of San Joaquin (HPSJ) Paper Processing Facility P.O. Box 211395 Eagan, MN 55121 All claims should ... Po box 21660 eagan mn 55121, 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:, PO Box 21112 Eagan, MN 55121 . Important: • To be eligible for reimbursement the dependent care expense must be incurred during the plan year, regardless of when payment is made or when billed. • Reimbursement cannot be requested until after the last day of the service period., P.O. Box 24711 Seattle, WA 98124-0711 Electronic Payer ID: 84-133 DHMP CHP Plus P.O. Box 24992 Seattle, WA 98124-0992 Electronic Payer ID: 84-135 DHMP Elevate P.O. Box 24631 Seattle, WA 98124-0631 Electronic Payer ID: 84-135 DHMP Medicare Choice/Select P.O. Box 24992 Seattle, WA 98124-0992 Electronic Payer ID: 84-131 Cofinity P.O. Box 21524 ..., P.O. Box 211276 Eagan, MN 55121 Claims Payment Disputes To address claim denials for issues related to untimely filing, incidental procedures, unlisted ... Coverage Determinations can be mailed to OptumRX, Attn: Prior Authorization Dept., PO Box 25183, Santa Ana, CA 92799. Expedited requests can be completed by calling (800) 311-7517 or by ..., To file a Provider Dispute with Devoted Health Plan , please fax (1-877-358-0711) or mail ( Devoted Health - Appeals & Grievances, PO Box 21327 Eagan, MN 55121) a written dispute that include the following information: Name and address. Devoted Health Member ID (on Member's Health card), 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., Or submit an HCFA 1500 (CMS-1500) form to Firefly Health P.O. Box #211639 Eagan, MN 55121. Need to check a claim status? Call us at (888) 897-1887. Request Authorizations‍ Medical: Our utilization management partners at MedWatch process medical authorizations for us. To submit an authorization, you can: Complete an online precertification form, How to submit the completed claim form. Mail: Type your answers and print the form, or print the form and handprint your responses using blue or black ink—sign it—and mail the form with the bill and any related documents to: Medical Claims Processing PO Box 211457 Eagan, MN 55121-3057., The city for 55121 is usually the name of the main post office. When mailing your package or letter, always include the preferred or acceptable cities. Using any city in the list of unacceptable cities may result in delays. Primary/preferred city: Saint Paul, MN Acceptable: Eagan Stats and Demographics for the 55121 ZIP Code, member's assigned Medical Group at P.O. Box 211624, Eagan, MN 55121. A complete description of the dispute process can be found at the bottom of the Remittance Advice. Pursuant to California Code of Regulations Title 28, Sections 1300.71 and 1300.71.38, a provider, Better Living Now - Health Care Products, Programs and Services. Products / Services. Diabetes. Accepted Insurances Healthcare Professionals. Resources. Support. Medico Corp. Life Insurance Company Medicare Supplemental Address: P.O. Box 21660 Eagan, MN 55121-0000 Telephone: 800-228-6080. Mail Order Disposable Medical Supplies., Med Claims: P.O. Box 211375, Eagan, MN 55121 Rx Claims: OptumRx P.O. Box 650287, Dallas, TX 75265-0287 For Pharmacists: 1-877-889-6510 Behavioral Health: 1-844-978-8100 front front back back Sample member ID cards for illustration only; actual information varies depending on payer, plan and other requirements. 2024 UnitedHealthcare UCard, Billing Address: P.O. Box 21036 Eagan, MN 55121 Plan Products: Commercial Self-Funded, TriWest CCN Co-payments: Refer to Member ID Card Benefit Questions: Refer to Member ID Card Referral / Precertification: Refer to Member ID Card Timely Filing: 120 Days from Date of Service Timely Payment: 30 Days from Receipt of …, Mar 2, 2022 · 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, P.O. Box 211184 Eagan, MN 55121 Valid and registered NPI is required. Electronic (837I) Loop 2010AA NM108 = XX NM109 = NPI # Paper (UB-04) Blue Cross® Independence NPI # - Box 56 QCA Traditional Blue Cross® Blue Shield® 54704 54704 Claims Receipt Center P.O. Box 211184 Eagan, MN 55121 QCC Concurrent Major Medical, Providers must submit the applicable, completed and legible forms to: ElderServe Health, Inc. d/b/a RiverSpring Health Plans. PO Box 211465. Eagan, MN 55121. Providers may also submit and track paper claims through Smart Data Stream at no cost. To use this option, providers must register on the site with the following link:, 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..., ... EAGAN MANUFACTURING CO INC. 5167, 2944WMRCNG27PEN ... BOX CO INC. 6171, 46992THFRD775MA, FORD METER BOX CO ... 21660, 92106SNVYN140SY, US DEPARTMENT OF DEFENSE., PO Box 211256 Eagan, MN 55121- 2656 UniveraHealthcare.com . Dental Claims Processing Made Easier. We have some exciting updates coming to our dental claims processing system for groups currently covered under the dental plan. The new system will improve the overall member experei nce in the following ways:, This completed and signed claim form. Proof of services rendered. Proof of payment for the services being requested for reimbursement. Reimbursement will be sent to the member at the address Capital Blue Cross has on record. If you believe your address is different than the address of record, please call Member Services at 866.987.4213., The screen that you have attempted to access requires that you first login into the system. Username. Password. Authentication Token (if you have one) Have an Account Verification Code? Forgot Password? For assistance contact us at [email protected] or 855-297-4436. By logging into QuickClaim, you are agreeing to comply with the policies ..., Corporate phone. 800-858-0723. Address. Prime Therapeutics, LLC 2900 Ames Crossing Road Eagan, MN 55121, P.O. Box 21522 | Eagan, MN 55121-0522. AFFILIATIONS AND RECOGNITION ©2024 Dominion National Dominion National is the brand name for the Dominion group of companies. Dental plans are underwritten by Dominion Dental Services, Inc. (DDSI). Dominion Dental Services USA, Inc. (DDSUSA) is a licensed administrator of dental and vision benefits., Customer Success. [email protected]. Supplemental health insurance: 800-228-6080. Preneed Funeral insurance: 800-995-9010. Final Expense insurance: 800-733-5454., The mailing address of the Ellen DeGeneres Show for fan mail is: The Ellen DeGeneres Show, PO Box 7788; Burbank, California 91522, Attn: Fan Mail. Please note that the above addres..., P.O. Box 21522 | Eagan, MN 55121-0522. AFFILIATIONS AND RECOGNITION ©2024 Dominion National Dominion National is the brand name for the Dominion group of companies. Dental plans are underwritten by Dominion Dental Services, Inc. (DDSI)., PO BOX 21063 Eagan, MN 55121 Electronic Claims Submission Information State EDI Payer ID Colorado LCO01 Florida LFL01 Illinois LIL01 Michigan LMI01 New Jersey LNJ01 New York LNY01 North Carolina LNC01 . Important Numbers State Call Center (Previously known as Member & Provider Services) ..., P.O. Box 21516 • Eagan, MN 55121 Electronic claims submissions: Use VillageCareMAX Change HealthCare payer ID: 26545 • For MLTC claims, if VillageCareMAX is not primary, submit the claim within 90 days of the date on the Explanation of Payment (EOP)/Remittance Notice and include EOP with your claim., You may submit claims to Surest (365-day timely filing) fully by Surest payer LICENSE 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 shout 1-844-368-6661 toward address with one specially skilled Steady Provider Services representative., Medico Insurance Company. P. O. Box 21660 Eagan, Minnesota 55121-0660 Fax: 1-402-496-8199. Note: Your Policy has a 6 Month Pre-Existing Conditions Limitation and a 2 Year Policy Contestability Period. A claim happening during the first two years may require additional information., AMERICAN LIFE CARE CODE. CARRIER ADDRESS-LINE 2. 3083-00 PO BOX 5347 3161-00 PO BOX 16708 4293-00 250 BERRYHILL RD #311 3495-00 PO BOX 93670 3981-00 PO BOX 1188 BOISE JACKSON COLUMBIA. LUBBOCK BRENTWOOD 1584-00 3099 EAST WASHINGTON AVE MADISON 0027-00 PO BOX 25523 0839-00 PO BOX 660238 OKLAHOMA CITY DALLAS 0033-00 1776 AMERICAN HERITAGE DR ..., PO Box 21931 Eagan, MN 55121. Providers are highly encouraged to use a trackable mailing method such as USPS Priority Mail when sending documents to this address. This will allow for the package to be tracked and provide proof of timely claim submission. Acceptance of Payment, About PeakTPA. PeakTPA offers a full suite of health plan management and back office services that optimize financial management and fulfill financial management and regulatory requirements.