Po box 211758 eagan mn 55121

The authorized official of this NPI record is Richard Magnuson (Cfo) NPI. 1780980599. Provider Name. ALLINA HEALTH SYSTEM. Location Address. 1110 YANKEE DOODLE RD EAGAN, MN 55121. Location Phone. (651) 454-3970.

Po box 211758 eagan mn 55121. Commercial IFP for the states of CA, GA, TX, UT, and VA: (2022 services effective 1/1) Bright HealthCare Claims P.O. Box 211502 Eagan, MN 55121.

P.O. Box 211164 Eagan, MN 55121. Claims Inquiries and Administrative Reviews (Provider Disputes): Highmark Wholecare P.O. Box 535191 Pittsburgh, PA 15253-5191. Clinical Provider Appeals: Highmark Wholecare Attention: Provider Appeals Department P.O. Box 22278 Pittsburgh, PA 15222. Send us a request by fax to:

2855 Eagandale Blvd Eagan MN 55121 (651) 456-5600. Claim this business (651) 456-5600. Website. More. Directions Advertisement. Founded in 1928, Hanco Corporation is a distributor of tire repair supplies and service equipment for commercial, auto, agriculture and off-the-road vehicles. It provides a complete selection of specialty tires and ...Highmark Wholecare Attn: Member Appeals Department P.O. Box 22278 Pittsburgh, PA 15222 Fax: 412-255-4503 Fraud, Waste, and Abuse: If you suspect Fraud, Waste, or Abuse please click here.If the patient has Medicare primary coverage, mail to GEHA: GEHA FEHB Medical. P.O. Box 21542. Eagan, MN 55121. Mental Health, Behavioral Health, and Substance Use Disorder Claims rendered by in and/or out-of-network providers: EDI Payor #39026. UnitedHealthcare Shared Services. PO Box 30783. Salt Lake City, UT 84130-0783.P.O. Box 21146 Eagan, MN 55121. Excellus BlueCross BlueShield is an HMO plan and PPO plan with a Medicare contract. Enrollment in Excellus BlueCross BlueShield depends on contract renewal. Submit a complaint about your Medicare plan at www.Medicare.gov or learn about filing a complaint by contacting the Medicare …Jul 10, 2023 · 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. ...

P.O. Box 836 Portland, ME 04104 Claims Bright HealthCare Claims P.O. Box 16275 Reading, PA 19612-6275 EDI Payer ID: BRGHT Bright HealthCare Claims PO Box 211502 Eagan, MN 55121 Member complaints & grievances Bright HealthCare Appeals and Grievances P.O. Box 16275 Reading, PA 19612 Bright HealthCare Appeals and …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. If you do not have a current account with Fringe Benefit Group, please contact our Customer Care department at [email protected] to obtain your registration code. No Surprises Act Inquiries: Send a secure email to [email protected]. If you have additional questions, you can contact us at 1-855-452-1400.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 1-844-368-6661Participating Providers: Commercial HMO Claims Submission. 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.Aither Health is a healthcare solutions company offering a full suite of innovative products and services for third-party administrators and risk bearing entities such as self-funded employers, health plans and providers.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 …

3145 Lexington Ave S, Eagan MN 55121. About. Address: 3145 Lexington Ave S, Eagan MN 55121 Large Map & Directions ; Phone: 651-405-3068; Fax: 651-454-9478; TTY: 877-889-2457; ... PO Box Online; Lot Parking; Eagan Post Office Map. Reviews & Feedback. Have you visited this branch before?While we highly encourage electronic claim submissions, should you find that you can only submit a claim on paper, please submit the claim via certified mail to: Cook Children's Health Plan, P O Box 21271, Eagan MN 55121-0271. Providers should submit paper claims in accordance with the billing guidelines outlined in the Texas Medicaid Provider ...P.O. Box 211184 Eagan, MN 55121 Valid and registered NPI is required. Electronic (837I) Loop 2010AA NM108 = XX NM109 = NPI # Paper (UB-04) NPI # – Box 56 Blue Cross® Independence QCA Traditional Blue Cross® Blue Shield® 54704 54704 Claims Receipt Center P.O. Box 211184 Eagan, MN 55121 QCC Concurrent Major MedicalP.O. Box 16275 Reading, PA 19612-6275 Bright HealthCare Provider Disputes P.O. Box 836 Portland, ME 04104 Claims Bright HealthCare Claims P.O. Box 16275 Reading, PA 19612-6275 EDI Payer ID: BRGHT Bright HealthCare Claims PO Box 211502 Eagan, MN 55121 Member complaints & grievances Bright HealthCare Appeals and Grievances P.O. Box 16275Claims Department P.O. Box 21013 Eagan, MN 55121 [email protected] (610)933-4122 Fax Contact us with questions at (610) 933-0800 or [email protected] 1. The Claim Form enables us to open a claim for the treatment of your injury. To avoid delays in claim processing please be sure the “other insurance” portion of the claim

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P.O. Box 21185 Eagan, MN 55121 Customer Service Toll free: 1-800-461-0430 Worldwide: 317-818-2867 Collect: 317-818-2809 Claims Fax: 317-575-6467 Email: usdos ...For issues with logging in or to set up a new login account: Call the Zelis Provider Service Line: 877-828-8770 [email protected]. Accelerate payment – Receive payment 11-14 days faster than check. Reduce risk – electronic payments are more secure, traceable and monitored. Streamline workflow – reduce manual processes ...P.O. Box 211758 Eagan, MN 55121 Payer: Surest Payer ID: 25463 Thanks for choosing the Surest plan. Surest P.O. Box 211758 Eagan, MN 55121 Insurance coverage for fully insured plans is provided byAll Savers Insurance Company (for FL, GA, OH, UT and VA) or by UnitedHealthcare Insurance Company (for AZ, MI, MN, MO, SC and TN).ThesePO Box 211435 Eagan, MN 55121 Electronic pay ID: 71890. Medica Behavioral Health claims should be submitted to: Medica PO Box 30757 Salt Lake City, UT 84130 Electronic pay ID: 87726. Medica Chiropractic claims should be submitted to: Medica PO Box 212 Minneapolis, MN 55440-0212 Electronic pay ID: 41161619 ATLANTIC HILL DR EAGAN MN 55123-2004 4269 MEGHAN LN EAGAN MN 55122-3030 2809 LONE OAK PKWY EAGAN MN 55121-1551 Map Census data for EAGAN, MN Demographic and housing estimates in EAGAN, MN Social characteristics in EAGAN, MN Economic characteristics in EAGAN, MN

Customer Success. [email protected]. Supplemental health insurance: 800-228-6080. Preneed Funeral insurance: 800-995-9010. Final Expense insurance: 800-733-5454.If the patient has Medicare primary coverage, mail to GEHA: GEHA FEHB Medical. P.O. Box 21542. Eagan, MN 55121. Mental Health, Behavioral Health, and Substance Use Disorder Claims rendered by in and/or out-of-network providers: EDI Payor #39026. UnitedHealthcare Shared Services. PO Box 30783. Salt Lake City, UT 84130-0783.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. How do I check member benefit eligibility? ... PO Box 31270 Salt Lake City, UT 84131. Urgent Appeal Fax Line: 1-866-748-7304Bind Benefits Inc 25463 N PO Box 211758 Eagan MN 55121. BLUE CARE NETWORK HMO - HM710 N PO BOX 68767 GRAND RAPIDS MI 49516. BCBS MI BLUE CROSS BLUE SHIELD AZ ...PO Box 21051 Eagan, MN 55121-0051. Note: When submitting claims under this payer ID, use only the 10-digit member ID. If you include the 2-digit suffix for the member, the claim will reject as “member not on file” Attachment/Appeal Fax# 1-952-992-1427 . Claim Adjustment or Appeal Request Form (DOC) Electronic Appeal SubmissionYou 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 211342 Eagan, MN 55121-1342 Electronic submission. 2023 Provider Reference Guide Commercial & Medicare Medicaid Payment Methods ... PO Box 211342 Eagan, MN 55121 -1342 Medical Benefit Prior Authorization PA List and Request Form BSWHP Health Services Division 888.316.7947 or 254.298.3088You 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 …For paper claims, mail to Surest at P.O. Box 211758, Eagan, MN 55121 Please include the subscriber ID and rendering address on the claim to help us confirm the copay/member price. Check eligibility and coverage To check eligibility and benefits, visit the UHC Provider Portal or call UHC Provider Services at 844-368-6661.

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Aither Health is a healthcare solutions company offering a full suite of innovative products and services for third-party administrators and risk bearing entities such as self-funded employers, health plans and providers.For issues with logging in or to set up a new login account: Call the Zelis Provider Service Line: 877-828-8770 [email protected]. Accelerate payment – Receive payment 11-14 days faster than check. Reduce risk – electronic payments are more secure, traceable and monitored. Streamline workflow – reduce manual processes ...P.O. Box 21185 Eagan, MN 55121 Customer Service Toll free: 1-800-461-0430 Worldwide: 317-818-2867 Collect: 317-818-2809 Claims Fax: 317-575-6467 Email: usdos ...While we highly encourage electronic claim submissions, should you find that you can only submit a claim on paper, please submit the claim via certified mail to: Cook Children's Health Plan, P O Box 21271, Eagan MN 55121-0271. Providers should submit paper claims in accordance with the billing guidelines outlined in the Texas Medicaid Provider ... For paper claims, mail to Surest at P.O. Box 211758, Eagan, MN 55121; Please include the subscriber ID and rendering address on the claim to help us confirm the copay/member price. Note that if you submit a Surest plan claim to UnitedHealthcare, it’ll be denied. Check eligibility and coverage2900 HIGHWAY 25. BUFFALO MN 55313-5310. USA. 21200 VERNON ST. ELK RIVER MN 55330-8837. USA. EAGAN ZIP Codes are 55121, 55122, 55123,etc. This page contains EAGAN 9-digit ZIP Code list, EAGAN population, schools, museums, libraries, universities, hospitals, post offices, and EAGAN random addresses. If the patient has Medicare primary coverage, mail to GEHA: GEHA FEHB Medical. P.O. Box 21542. Eagan, MN 55121. Mental Health, Behavioral Health, and Substance Use Disorder Claims rendered by in and/or out-of-network providers: EDI Payor #39026. UnitedHealthcare Shared Services. PO Box 30783. Salt Lake City, UT 84130-0783.For paper claims, mail to Surest at P.O. Box 211758, Eagan, MN 55121; Please include the subscriber ID and rendering address on the claim to help us confirm the copay/member price. Check eligibility and coverage. To check eligibility and benefits, visit the UHC Provider Portal or call UHC Provider Services at 844–368–6661.

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You can find a 9-digit ZIP Code by a full address. ZIP Code 5 Plus 4, Address. 55121-0001, PO BOX 21001 (From 21001 To 21002) ...P.O. Box 211758 Eagan, MN 55121 Phone: +1 866 683 6440 Website: Benefits.Surest.com ... PO Box 15112 Worcester, MA 01615-0112 Fax: +1 866 562 4794 Coordination of Benefits. Claims Form (Not For FSA/HSA/HRA/DCAP) Accident Form. Appointment of Personal Representative Form. Dependent Care Reimbursement Form. Select Flex/HSA/HRA/MERP Reimbursement Form. New Provider Access. Employee Recognition. 1095 Worksheet – Sample.Bind Benefits, Inc., may be entered as the “insurance” carrier (dependent on provider processing system). All claims should be routed to Bind Benefits, Inc., following the instructions on the Member ID card. Claims address: Bind · PO Box 211758 · Eagan, MN 55121. This payer ID may be attached to multiple networks. Examples of these include: 1400 Corporate Center Curv Ste 100, Eagan, MN 55121 2020-01-29: Swisher International, Inc 655 Lone Oak Dr Bldg A, Saint Paul, MN 55121 2008-07-01: Cerasis, Inc Po Box 21248, Saint Paul, MN 55121 1997-12-15: Fv Leasing Company 1715 Yankee Doodle Rd, Eagan, MN 55121 2012-01-01: Real Estate Equities Development, LLCP.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 PlansNow with a new name, Surest aims to create a better health plan that gives people power over their health experience.Eagan, MN 55121 : 952 -992 3024 PO Box 211435 . Eagan, MN 55121 . Minnesota Department of Human Services . 651-431-7786 . DHS does not accept mailed Appeal form and attachments. N/A : It is the preferred practice to call … ….

Claims: Please send claims to us electronically using Surest Payer ID 25463 or by mail to Surest, P.O. Box 211758, Eagan, MN 55121. Include the subscriber ID and rendering address on the claim to help us confirm the copay/member price. Check the status of your claims in the UnitedHealthcare Provider Portal.PO Box 211758 Eagan, MN 55121. To: [email protected]. Subject: Continuity or Transition of Care Application Attn: Continuity or Transition of Care Team: 612-605-0035 5. After receiving your request, Bind will review and evaluate the information provided and send you a letter to let you know if your request was approved or denied. po box 211758 eagan mn 55121: black lung benefits act – dept. of lab: 200 constitution nw washington dc 20210: 301 731 5116: blugrass family health: po box 22889 lexington ky 40522 2738: 800 787 2680: bma management administrators: 11550 1-10 san antonio tx: 210 697 9900: bmag/mcmc:Premium Payments Mailing Address: PO Box 14998, Oklahoma City, OK 73113 Agent Services Phone: (888) 524-3629 Mailing Address: PO Box 14498, Oklahoma City, OK 73113 Claims Phone: (888) 524-3629 Fax: (385) 207-7883 Mailing Address: Medicare Supplement Claims PO Box 211635 Eagan, MN 55121With pdfFiller, you may easily complete and sign po box 211698 eagan mn 55121 online. It lets you modify original PDF material, highlight, blackout, erase, and write text anywhere on a page, legally eSign your document, and do a lot more. Create a free account to handle professional papers online.Ask questions about your pharmacy benefits. 1-800-662-5851. 1-801-262-7475. Text: 1-801-436-8243. [email protected]. 6:00 am to 6:00 pm MT Monday-Friday Emails and texts are monitored during business hours only. Access benefits, claims, and eligibility information 24/7 online with. My EMI Health . All Savers Insurance Contact Information 3100 AMS Boulevard PO Box 19032 Green ... PO Box 211758 Eagan, MN 55121. Contact UnitedHealthcare for individual or ...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 ...You may submit claims to Surest (365-day timely filing) electronically at Certain payer ID 25463 or by mail until: PO Box 211758 Eagan, MN 55121 After a claim has been submitted, quickly check claims status on UHCprovider.com or call 844-368-6661 on speak equipped a specially trained Surest Provider Services representing. Po box 211758 eagan mn 55121, For more than 30 years, Fringe Benefit Group has designed programs that simplify the benefits process for employers with hourly workers. We offer products from the nation's leading carriers, and we are known for our full-service suite of tools and services that greatly reduce the burden of plan enrollment and administration., 2700 Blue Water Rd Ste 400, Saint Paul, MN 55121 2004-10-01: Village Cooperative of Century Hills 1400 Corporate Center Curv Ste 100, Eagan, MN 55121 2020-01-29: Swisher International, Inc 655 Lone Oak Dr Bldg A, Saint Paul, MN 55121 2008-07-01: Cerasis, Inc Po Box 21248, Saint Paul, MN 55121 1997-12-15: Fv Leasing Company, M-F 6:00am - 9:00pm CST. 1-866-683-6440. English, Please contact: Inside the U.S. 1-855-481-6647. Outside the U.S. +1-610-254-5850. Call from 8am - 8pm ET. Email: [email protected]. GeoBlue is a leader in providing international students with access to Blue Cross Blue Shield health insurance coverage. , P.O. Box 21185 Eagan, MN 55121 Customer Service Toll free: 1-800-461-0430 Worldwide: 317-818-2867 Collect: 317-818-2809 Claims Fax: 317-575-6467 Email: usdos ..., FCE Benefit Administrators, Inc. 4515 Walzem Road, Suite 300 San Antonio, TX 78218. (800) 298-7269. Leading provider of outsourced Health and Welfare benefit solutions to government contractors. FCE Corporate Office: 1528 S. El Camino Real, Ste 407 San Mateo, CA 94402., P.O. Box 211758. Eagan, MN 55121. Specialized Bicycle Components, Inc. Bind Benefits, Inc. The information in this On-demand Health Insurance Benefits Booklet ..., Foundational to the suite of Health Choices’ administration and medical management services, is expertise that comes from being deeply rooted in our own health system. Our intimate understanding of provider systems uniquely positions us to create a network that leverages your delivery system, and then manage care within that network. Let us ..., PO Box 211543 Eagan, MN 55121. If your patient has an Aetna logo on their ID card and an 8-digit Group # (eg. GRV12345), submit claims to: Payer ID: 41147. Mail to: Gravie Administrative Services PO BOX 59212 Minneapolis MN 55459. For prior authorization and medical necessity, contact American Health Holdings:, P.O. Box 211597 Eagan, MN 55121 FAX: 608-327-6332 (do not include cover sheet) Wisconsin Family Care c/o WPS Health Insurance P.O. Box 211595 Eagan, MN 55121, 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 …, P.O. Box 21185 Eagan, MN 55121 Customer Service Toll free: 1-800-461-0430 Worldwide: 317-818-2867 Collect: 317-818-2809 Claims Fax: 317-575-6467 Email: [email protected]. 303 Congressional Blvd. Carmel, Indiana 46032. Careers. Contact Us. Connect. Our Markets. Consumer Insurance; Government Solutions;, 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 Premium Payments. Excellus Health Plan P.O. Box 5266 Binghamton, NY 13902-5266. Claims & Membership Forms. Excellus BlueCross BlueShield P.O. Box 21146, P. 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., While we highly encourage electronic claim submissions, should you find that you can only submit a claim on paper, please submit the claim via certified mail to: Cook Children's Health Plan, P O Box 21271, Eagan MN 55121-0271. Providers should submit paper claims in accordance with the billing guidelines outlined in the Texas Medicaid Provider ... , PO Box 211342 Eagan, MN 55121 Prior Authorization: Visit the provider portal Fax: 800-626-3042 Phone: 866-384-3488 Provider Portal: swhpprovider.firstcare.com Card Issue Date: 09/01/2020 FOR MEMBERS Possession of this card or obtaining precertification does not guarantee coverage or payment for the service or procedure reviewed. Important ..., Payer ID: H0657 Mailing/Claims Address: Friday Health Plans, PO Box 21594, Eagan, MN 55121 (If you send a claim to the Sidney, NE PO Box, it will be forwarded). Provider Service: 844-521-7999 Provider Support Email: [email protected] Referrals and Prior Auth: 833-727-2600 (fax) or email at [email protected] ..., We think the more you know about the Surest health plan, the more you’ll love it. If you’re a broker or employer exploring the Surest plan, fill out the form to connect with us and learn why Surest is the fastest growing employer-sponsored health plan at UnitedHealthcare., Surest payer ID and address For digital claims, use 25463 For paper claims, mail to Surest at P.O. Box 211758, Eagan, MN 55121 Please include the subscriber ID and rendering address on the claim to help us confirm the copay/member price. Note that if you submit a Surest plan claim to UnitedHealthcare, it'll be denied. Check eligibility and coverage, 619 ATLANTIC HILL DR EAGAN MN 55123-2004 4269 MEGHAN LN EAGAN MN 55122-3030 2809 LONE OAK PKWY EAGAN MN 55121-1551 Map Census data for EAGAN, MN Demographic and housing estimates in EAGAN, MN Social characteristics in EAGAN, MN Economic characteristics in EAGAN, MN, 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. , Jan 27, 2011 · 1780980599: Provider Name: ALLINA HEALTH SYSTEM: Location Address: 1110 YANKEE DOODLE RD EAGAN, MN 55121: Location Phone (651) 454-3970: Mailing Address: PO BOX 43 MAIL ROUTE 10860 MINNEAPOLIS, MN 55440 , Bind On-Demand for SmartHealth Launches. January 15, 2020. If your patient has Bind On-Demand Health Insurance for SmartHealth, please refer to the following for provider services, claims submission and prior authorization information. For provider services, call 833-384-5898. For claims submission, submit claims to: Bind, Payer ID: 25463., You may submit claims to Surest (365-day timely filing) electronically under Surest payors ID 25463 or by mail to: PO Box 211758 Eagan, MN 55121 After a declare has been submitted, quickly check claims status on UHCprovider.com or call 1-844-368-6661 to speak with a specially taught Surest Retailer Services representative., 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 …, 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 …, 11 S 12TH ST. MINNEAPOLIS MN 55403-2008. USA. 5100 14TH AVE. MINNEAPOLIS MN 55417-1802. USA. EAGAN ZIP Codes are 55121, 55122, 55123,etc. This page contains EAGAN 9-digit ZIP Code list, EAGAN population, schools, museums, libraries, universities, hospitals, post offices, and EAGAN random addresses., P.O. Box 211758. Eagan, MN 55121. Specialized Bicycle Components, Inc. Bind Benefits, Inc. The information in this On-demand Health Insurance Benefits Booklet ..., While we highly encourage electronic claim submissions, should you find that you can only submit a claim on paper, please submit the claim via certified mail to: Cook Children's Health Plan, P O Box 21271, Eagan MN 55121-0271. Providers should submit paper claims in accordance with the billing guidelines outlined in the Texas Medicaid Provider ..., 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 Premium Payments. Excellus Health Plan P.O. Box 5266 Binghamton, NY 13902-5266. Claims & Membership Forms. Excellus BlueCross BlueShield P.O. Box 21146, P.O. Box 400046 Member Appeals Department San Antonio, TX 78229 P.O. Box 211758 Phone: (866)-365-3334 Eagan, MN 55121 Fax: (888)-615-6584 Prescription Drug Product Denials Medical Necessity & Contact Coverage UnitedHealthcare Appeals c/o Optum RX PO Box 30573 Salt Lake City, UT 84130-0573 , 2700 Blue Water Rd Ste 400, Saint Paul, MN 55121 2004-10-01: Village Cooperative of Century Hills 1400 Corporate Center Curv Ste 100, Eagan, MN 55121 2020-01-29: Swisher International, Inc 655 Lone Oak Dr Bldg A, Saint Paul, MN 55121 2008-07-01: Cerasis, Inc Po Box 21248, Saint Paul, MN 55121 1997-12-15: Fv Leasing Company, Bind Benefits Inc 25463 N PO Box 211758 Eagan MN 55121. BLUE CARE NETWORK HMO - HM710 N PO BOX 68767 GRAND RAPIDS MI 49516. BCBS MI BLUE CROSS BLUE SHIELD AZ ...