Claims should be submitted to: OptumHealth SM Behavioral Solutions. P O Box 30755. Salt Lake City UT 84130-0755. When Medicare is the primary payer, and will not cover your services, call the Plan at 703-729-4677 or 888-636-NALC (6252) to obtain benefits. Claims for Medicare-primary patients should be submitted to:Health Reimbursement Arrangement Claim Form. This form is for GEHA High Deductible Health Plan (HDHP) members who have health reimbursement arrangements (HRAs). Use this form to get reimbursement from your HRA for qualified out-of-pocket medical expenses that are not submitted to GEHA by your doctor, hospital, dentist or pharmacy.Whether you are a member, a provider, an employer, a broker, or a media representative, you can find the best way to contact Aetna on this page. You can also access the online chat, the FAQs, the mailing address, and the social media links. Aetna is committed to helping you achieve your health goals and answer your questions.Technical issue should be resolved in a matter of hours, or 1-2 business days. I personally believe this is related to the UHC/change healthcare ransomware attack since GEHA sold out this year to UHC. It could be weeks until this is resolved according to the news reports if it is related.Appeals (866) 518-3285 7:00 am to 5:00 pm CT M-F . Iowa WPS GHA Appeals Department P.O. Box 7665 Madison, WI 53707-7665 . Kansas WPS GHA Appeals DepartmentContact Clinical Operations. We are here for you. Please complete the form below for help from GEHA's Clinical Operations team, including locating an in-network provider.To become a member: You join simply by signing a completed Standard Form 2809, Health Benefits Registration Form, evidencing your enrollment in the Plan. Membership dues: There are no membership dues for the Year 2024. Enrollment codes for this Plan: 311 High Option - Self Only. 313 High Option - Self Plus One. 312 High Option - Self and Family.• File claim via fax or mail: Claim forms may also be filed either via fax or U.S. Mail and sent to the following locations: Fax: 877-353-9236, U.S. Mail: CLAIMS ADMINISTRATOR, P.O. Box 14053, Lexington, KY, 40512 • Claim processing time: Claims will be processed within two business days after receipt of the form.New in 2024: Coverage for prefabricated porcelain/ceramic crowns on primary teeth, limited to one per patient, per tooth, per lifetime. Vision benefit: $5 routine eye exam plus frames, contact lens and Lasik discounts*. GEHA's 2024 Dental Benefits: No waiting period for Medicare, seniors, families and individuals. Need help choosing a plan?Have you ever wondered if you have unclaimed money or assets waiting for you? It’s not uncommon for people to forget about old bank accounts, insurance policies, or even inheritanc...Affiliates and Strategic Alliances - UHCprovider.comGEHA offers discounts on prescriptions to help you save on your medical costs where you can. Depending on the medication, you will pay a set amount as a copay or a percentage of the cost. Generic drugs typically cost less than brand-name medications. Another savings option includes a lesser copay amount by getting a 90-day supply through CVS ...This brochure describes the Connection Dental Plus Plan (“Connection Dental Plus”) benefits that are part of the Government Employees Health Association, Inc. Voluntary Welfare Benefit Plan (“Plan”). The Plan is intended to comply with and be governed by the Employee Retirement Income Security Act of 1974 (ERISA).Use this form if you receive vision services from an out-of-network eye doctor and you have out-of-network benefits. If your plan does not include out-of-network benefits, please see the Network Exceptions form, claim form 2, for separate processing instructions. If you are a Medicare member, you may use this form or just submit a written ...The instructions for finding the claims address for Cigna are located at www.cigna.com; select the Member Rights and Responsibilities tab, followed by the customer forms option fro...Then, enter our GEHA toll-free number: 877.320.9469. Do not dial a "1" before the 877. Because time zone differences may make it difficult to reach us, you can access GEHA through this website. We have an email address for the use of our members outside the United States. Send a secure email to GEHA via secured email form by clicking …Dental Coordination of Benefits Form (PDF) If the online form won't work for you, you can download this PDF version to print, complete and return to GEHA by fax or by mail. Fillable PDF.I have tried to submit claims as a secondary policy for 2022, but GEHA sends secure mail, then says they dont receive my responses. The amount of the provider charges for all claims is $5,261.04.OUT-OF-NETWORK VISION SERVICES CLAIM FORM. Claim Form Instructions. To request reimbursement, please complete and sign the itemized claim form. Return the completed form and your itemized paid receipts to: First American Administrators, Inc. Attn: OON Claims, P.O. Box 8504, Mason, OH 45040-7111. Birth …Please complete the form below for help from GEHA's Clinical Operations team, including locating an in-network provider. All fields are required unless noted as (optional) Member first nameFederal regulations require that a claim submitted by a provider must be filed on a CMS-1500 form. If you need to submit a medical claim yourself and you have an itemized bill, please attach and mail to PO Box 21542, Eagan, MN 55121. If you need assistance with completing this form, please contact GEHA at (800) 821-6136.Federal regulations require that a claim submitted by a provider must be filed on a CMS-1500 form. If you need to submit a medical claim yourself and you have an itemized bill, please attach and mail to PO Box 21542, Eagan, MN 55121. If you need assistance with completing this form, please contact GEHA at 800.821.6136. FE-WEB-0221-001 508.210-531-USAA (8722) 800-531-USAA (8722) Shortcut Mobile Number. #USAA (8722) Works with most carriers. USAA Main Mailing Address. USAA. 9800 Fredericksburg Rd. …Do you want to sue someone for money you feel you’re owed? The small claims court process can vary from state to state, so this guide is a general overview designed to help you dec... Submit claims to the network address on the back your GEHA ID card, for both in- and out-of-network claims. Submit Medicare primary claims or out-of-network charges that you have paid in full to: GEHA P.O. Box 21542 Eagan, MN 55121 Note: All claims submitted to GEHA should include itemized bills that show the following information: Our Customer Care call center is open from 7 a.m. to 7 p.m. Central Time, Monday through Friday, excluding holidays. GEHA Connection Dental Federal members outside the United States can call us using a dedicated phone number. In addition, GEHA will accept collect calls from our members overseas. Then enter our GEHA toll-free number: 877.320.9469. If you would like GEHA to reconsider our initial decision on your benefit claim, please complete this appeal form. You must write to us within 6 months of the date of our decision. You can mail, fax or email your request to GEHA: Mail your request to Appeals Department, GEHA, P.O. Box 21542, Eagan, MN 55121; Fax your request to the Appeals ... Remember me Forgot your password? OKTA IdentityCheck the member’s ID card for contact information. For eligibility, summary of benefits, precertification requirements and claim status, visit uhss.umr.com open_in_new or call 1 of the following: Traditional Plans Provider Services at 877-343-1887. Elevate Plans Provider Services at 844-586-7309.In addition, when our providers complete directory updates in a timely manner and submit address change forms, this helps payors identify the correct claim payment mailing address. For more information about directory updates, please contact us at 1.800.505.8880 or visit our website at connectiondental.com. .Paper claim and encounter submission addresses. Humana medical claims: Humana Claims P.O. Box 14601 Lexington, KY 40512-4601 . HumanaDental® claims: HumanaDental Claims P.O. Box 14611 Lexington, KY 40512-4611 . Humana encounters: Humana Encounters P.O. Box 14605 Lexington, KY 40512-4605. Claim overpayments: …If you have not paid your out-of-network bill in full, mail your claim form to: UnitedHealthcare Shared Services PO Box 30783 Salt Lake City, UT 84130-0783 If you have already paid your out-of-network bill in full, mail your claim form to: GEHA. P.O. Box 21542 Eagan, MN 55121. What happens next. After processing your claim, you’ll receive an ...GEHA claims address. Please ensure you have GEHA’s current claims submission address. A delay in processing may occur if claims are not sent to: GEHA PO Box 21542 Eagan, MN 55121 Electronic Submittal: Payor #: 44054. Directory requirements and importance of updating your information.Independent claims adjusters are often referred to as independent because they are not employed directly by an agency, reveals Investopedia. Instead, they work as a third-party who...GEHA offers discounts on prescriptions to help you save on your medical costs where you can. Depending on the medication, you will pay a set amount as a copay or a percentage of the cost. Generic drugs typically cost less than brand-name medications. Another savings option includes a lesser copay amount by getting a 90-day supply through CVS ...One of the giants of the American medical claims processing industry is Express Scripts. This 100 billion dollar company is responsible for pharmaceutical claims processing and dis...Prescription Reimbursement Claim Form. Always allow up to 30 days from the time you receive the response to allow for claims processing and delivery. Keep a copy of all documents submitted for your records. Do not staple receipts or attachments to this form. Reimbursement is not guaranteed and other contractor will review the claims subject to ...GEHA would send a letter to the medical service provider to resubmit to the correct address rather than rerouting it to the proper department internally. I found them difficult to work with and the medical coverage was minimal. Claims took significantly longer the complete, so we would often be left paying the higher rate and then reimbursed ...Remember me Forgot your password? OKTA IdentityIf you have a Choice Home Warranty plan, it’s important to understand the process of filing a claim and what to expect when you need to use your warranty. When you encounter an iss...The clinical guidelines are intended to inform network providers and GEHA medical plan members of the medical plan's position on the treatment of certain common conditions. These guidelines apply to HDHP, Standard and High medical plan members. Explore some frequently asked questions about obtaining prior authorization. GEHA's Provider ...Affiliates and Strategic Alliances - UHCprovider.comThe form is designed so that the name and address (Item 3) of the third-party payer receiving the claim (insurance company/dental benefit plan) is visible in a standard #9 window envelope (window to the left). Please fold the form using the ‘tick-marks’ printed ... GEHA Dental Claim Form Created Date: 5/20/2019 8:47:48 AM ...Claim Status/Patient Eligibility: (866) 518-3285 24 hours a day, 7 days a week. Claim Corrections: (866) 518-3253 ... USPS Mailing Address WPS GHA Medicare Provider Enrollment P.O. Box 8248 Madison, WI 53708-8248. Overnight Delivery WPS GHA Medicare Provider Enrollment 1717 W. BroadwayINTERNATIONAL CLAIM FORM. You may use the GEHA International Claim Form to submit institutional and professional claims for benefits for services received outside the United States. Please include the Provider’s itemized bill(s) with this form. Name of Subscriber: GEHA ID Number: Name of Patient: Patient’s date of birth:Are you tired of paying too much in taxes? Did you know that there are certain expenses you can claim back on your tax return? By taking advantage of these deductions, you can maxi...GEHA Appeals Department P.O. Box 21542 • Eagan, MN 55121-9930 Fax 816.257.3268 • Email [email protected] DAF0817 AD. Dental Appeal Form . If you would like GEHA to reconsider our initial decision on your benefit claim, please complete this appeal form. You must write to us within 6 months of the date of our decision.Get more information for GEHA Holdings, Inc in Lees Summit, MO. See reviews, map, get the address, and find directions. Search MapQuest. Hotels. Food. Shopping. Coffee. Grocery. Gas. GEHA Holdings, Inc. Open until 7:00 PM (816) 257-5500 ... The company s goal is to pay 80 percent of members claims in 10 calendar days. GEHA is a self-insured …Authorized Representative Designation for Claims Form. This form is for enrollees and dependents covered by the GEHA health and/or Connection Dental Plus plans who want to designate an Authorized Representative.If you have a niece who lives with you, you may be able to claim her as a dependent. If your niece is a minor you may be able to claim her as a "qualifying child," while if she's o...• File claim via fax or mail: Claim forms may also be filed either via fax or U.S. Mail and sent to the following locations: Fax: 877-353-9236, U.S. Mail: CLAIMS ADMINISTRATOR, P.O. Box 14053, Lexington, KY, 40512 • Claim processing time: Claims will be processed within two business days after receipt of the form.GEHA Benefit Plan Government Employees Health Association www.geha.com 800-821-6136 2024 A Fee-for-Service (High and Standard Options) health plan with a Preferred Provider Network IMPORTANT • Rates: Back Cover • Changes for 2024: Page 14 • Summary of Benefits: Page 137 This plan's health coverage qualifies as minimum …If you have recently purchased a MyPillow and are experiencing issues with its quality or performance, you may be wondering what options are available to you. Fortunately, MyPillow...This form is for GEHA High Deductible Health Plan (HDHP) members who have health reimbursement arrangements (HRAs). Use this form to get reimbursement from your HRA for qualified out-of-pocket medical expenses that are not submitted to GEHA by your doctor, hospital, dentist or pharmacy. Qualified expenses submitted by your provider are ...To refill a prescription, follow the steps below: Phone: Call Member Services at 844.4.GEHA.RX or 844.443.4279. Have your prescription bottle with the prescription information ready. Mail: Simply mail the GEHA Mail Service Order Form and copayment to CVS Caremark, PO Box 659541, San Antonio, TX 78265-9541. Online: Visit caremark.com.How to submit a paper claim Please ensure you have GEHA’s current claims submission address. A delay in processing may occur if not sent to the below address. GEHA P.O. Box 21542 Eagan, MN 55121 Title documents re: action needed for claims submissions Please include a title describing the action needed for your claim submission(s) and documents. All claims and payments are being processed in chronological order. Migrating to a new solution takes time and thorough quality assurance to ensure no additional unintended impacts to member and provider services. To address this, our teams have implemented a phased, and measured, rollout to resume normal operations. I have tried to submit claims as a secondary policy for 2022, but GEHA sends secure mail, then says they dont receive my responses. The amount of the provider charges for all claims is $5,261.04.• File claim via fax or mail: Claim forms may also be filed either via fax or U.S. Mail and sent to the following locations: Fax: 877-353-9236, U.S. Mail: CLAIMS ADMINISTRATOR, P.O. Box 14053, Lexington, KY, 40512 • Claim processing time: Claims will be processed within two business days after receipt of the form.How to submit a paper claim Please ensure you have GEHA’s current claims submission address. A delay in processing may occur if not sent to the below address. GEHA P.O. …Appeals (866) 518-3285 7:00 am to 5:00 pm CT M-F . Iowa WPS GHA Appeals Department P.O. Box 7665 Madison, WI 53707-7665 . Kansas WPS GHA Appeals DepartmentIf you would like GEHA to reconsider our initial decision on your benefit claim, please complete this appeal form. You must write to us within 6 months of the date of our decision. You can mail, fax or email your request to GEHA: Mail your request to Appeals Department, GEHA, P.O. Box 21542, Eagan, MN 55121; Fax your request to the Appeals ...1. When GEHA members have dental claims that will be reimbursed by GEHA medical and dental plans, please only send one claim to GEHA for the services rendered. • We will make sure both medical and dental plans process the claim. • When a provider sends the same claim to both GEHA medical and GEHA dental plans, this may add to our backlog.Other Ways to Contact Us. Members 877.277.6872. Dental providers 800.505.8880. Business Development 877.477.6872. Email [email protected] ensure you have GEHA’s current claims submission address. A delay in processing may occur if not sent to the below address.INTERNATIONAL CLAIM FORM. You may use the GEHA International Claim Form to submit institutional and professional claims for benefits for services received outside the United States. Please include the Provider’s itemized bill(s) with this form. Name of Subscriber: GEHA ID Number: Name of Patient: Patient’s date of birth:This form is for GEHA High Deductible Health Plan (HDHP) members who have health reimbursement arrangements (HRAs). Use this form to get reimbursement from your HRA for qualified out-of-pocket medical expenses that are not submitted to GEHA by your doctor, hospital, dentist or pharmacy. Qualified expenses submitted by your provider are ...Paper claim and encounter submission addresses. Humana medical claims: Humana Claims P.O. Box 14601 Lexington, KY 40512-4601 . HumanaDental® claims: HumanaDental Claims P.O. Box 14611 Lexington, KY 40512-4611 . Humana encounters: Humana Encounters P.O. Box 14605 Lexington, KY 40512-4605. Claim overpayments: … All claims and payments are being processed in chronological order. Migrating to a new solution takes time and thorough quality assurance to ensure no additional unintended impacts to member and provider services. To address this, our teams have implemented a phased, and measured, rollout to resume normal operations. If you have not paid your out-of-network bill in full, mail your claim form to: UnitedHealthcare Shared Services PO Box 30783 Salt Lake City, UT 84130-0783 If you have already paid your out-of-network bill in full, mail your claim form to: GEHA. P.O. Box 21542 Eagan, MN 55121. What happens next. After processing your claim, you’ll receive an ... Federal regulations require that a claim submitted by a provider must be filed on a CMS-1500 form. If you need to submit a medical claim yourself and you have an itemized bill, please attach and mail to PO Box 21542, Eagan, MN 55121. If you need assistance with completing this form, please contact GEHA at (800) 821-6136. If you need benefits, coverage, or claims information, please contact your insurance carrier or benefits administrator directly.GEHA (Government Employees Health Association) is a self-insured, not-for-profit association providing medical and dental plans to federal employees and retirees and their families through the Federal Employees Health Benefits program and the Federal Employees Dental and Vision Insurance Program (FEDVIP).. GEHA provides benefits to …A thesis statement is defined as a statement in a paper or essay that states the claim of the argument presented. Sometimes a thesis statement includes a brief summary of the reaso...Wednesday, Apr 3, 2024. Cyber security and IT concept for health information (Getty Images). Federal employees, retirees and dependants covered by GEHA health care are …GEHA is committed to fighting health care fraud, waste, abuse and helping you get the best value for your medical and dental care. We need your help in this fight. Please report suspected health care fraud, waste or abuse – including identity theft – to the following phone number or website: Phone: 877.865.8254. The clinical guidelines are intended to inform network providers and GEHA medical plan members of the medical plan's position on the treatment of certain common conditions. These guidelines apply to HDHP, Standard and High medical plan members. GEHA's Provider resources includes authorization forms, clinical guidelines and coverage policies. If you would like GEHA to reconsider our initial decision on your benefit claim, please complete this appeal form. You must write to us within 6 months of the date of our decision. You can mail, fax or email your request to GEHA: Mail your request to Appeals Department, GEHA, P.O. Box 21542, Eagan, MN 55121; Fax your request to the Appeals ...Federal regulations require that a claim submitted by a provider must be filed on a CMS-1500 form. If you need to submit a medical claim yourself and you have an itemized bill, please attach and mail to PO Box 21542, Eagan, MN 55121. If you need assistance with completing this form, please contact GEHA at (800) 821-6136.• Reimbursement is not guaranteed. Claims are subject to limitations, exclusions and provisons of the plan. • Do not use this claim form to request reimbursement for other prescription drug claims. STEP 1 Card Holder/Patient Information This section must be fully completed to ensure proper reimbursement of your claim. Card Holder InformationPrescription Reimbursement Claim Form. Always allow up to 30 days from the time you receive the response to allow for claims processing and delivery. Keep a copy of all documents submitted for your records. Do not staple receipts or attachments to this form. Reimbursement is not guaranteed and other contractor will review the claims subject to ... Prescription Reimbursement Claim Form. Always allow up to 30 days from the time you receive the response to allow for claims processing and delivery. Keep a copy of all documents submitted for your records. Do not staple receipts or attachments to this form. Reimbursement is not guaranteed and other contractor will review the claims subject to ... If you would like GEHA to reconsider our initial decision on your benefit claim, please complete this appeal form. You must write to us within 6 months of the date of our decision. You can mail, fax or email your request to GEHA: Mail your request to Appeals Department, GEHA, P.O. Box 21542, Eagan, MN 55121; Fax your request to the Appeals ...GEHA Appeals Department P.O. Box 21542 • Eagan, MN 55121-9930 Fax 816.257.3268 • Email [email protected] DAF0817 AD. Dental Appeal Form . If you would like GEHA to reconsider our initial decision on your benefit claim, please complete this appeal form. You must write to us within 6 months of the date of our decision.There isn’t anyone who’s happy about the idea of being in a situation where an insurance claim needs filling. However, if this is your case, making mistakes could be costly. Theref... INTERNATIONAL CLAIM FORM. You may use the GEHA International Claim Form to submit institutional and professional claims for benefits for services received outside the United States. Please include the Provider’s itemized bill(s) with this form. Name of Subscriber: GEHA ID Number: Name of Patient: Patient’s date of birth: We have a family of plans to choose from as your seasons of life change. GEHA has the right care at the right time. Customized plans for federal workers. All the benefits you need, without paying for the extras you don’t. We know federal, because we only provide benefits for federal. GEHA’s Medical Benefits 2024.Dental Claim Form. Connection Dental Plus members, providers or office personnel may use this form to submit dental claims to GEHA. For more information on filing claims, click How to File a Claim for Connection Dental Plus. GEHA is the second-largest national health plan and the second-largest national dental plan serving federal employees ...We announced a new mailing address in September 2023 for faster claims processing and responses. If you haven’t updated your records yet, please take note of this new address for commercial paper claims and inquiries: Blue Cross and Blue Shield of Illinois. P.O. Box 660603. Dallas, TX 75266-0603.
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If you find the claim needs to be submitted and mailed to GEHA by you, please complete a Medical Claim Form. When you’re ready to mail your out-of-network medical claim to GEHA, send it to the following address: PO Box 21542 Eagan, MN 55121. If you are filing an out-of-network claim yourself, visit filing an out-of-network medical claim with ...When you make a claims inquiry, you will see a list of your plan claims processed by GEHA. Click on an individual claim to view the online version of a GEHA explanation of benefits (EOB) form. The claim detail includes the date of service and the dollar amounts for charges and benefits. Member Eligibility – When you make an eligibility ...2023 Elevate Plus and Elevate Options Medical Plan Brochure. This brochure (RI 71-018) describes the benefits, exclusions, limitations and maximums of the Elevate and Elevate Plus medical plans for 2023. PDF. • File claim via fax or mail: Claim forms may also be filed either via fax or U.S. Mail and sent to the following locations: Fax: 877-353-9236, U.S. Mail: CLAIMS ADMINISTRATOR, P.O. Box 14053, Lexington, KY, 40512 • Claim processing time: Claims will be processed within two business days after receipt of the form. MEDICAL APPEAL FORM. If you would like GEHA to reconsider our initial decision on your benefit claim, please complete this appeal form. You must write to us within 6 months of the date of our decision. You can mail, fax or email your request to GEHA: Mail your request to GEHA, PO Box 21542, Eagan, MN 55121; Fax your request to the Appeals ... Connection Vision Out of Network Claim Form You only need to complete this form if you are visiting a provider that is not a participating provider in the EyeMed network. Please complete and send this form to EyeMed within 24 months from the original date of service at the out-of-network provider’s office. Dental Claim Form. Connection Dental Plus members, providers or office personnel may use this form to submit dental claims to GEHA. For more information on filing claims, click How to File a Claim for Connection Dental Plus. GEHA is the second-largest national health plan and the second-largest national dental plan serving federal employees ...Wednesday, Apr 3, 2024. Cyber security and IT concept for health information (Getty Images). Federal employees, retirees and dependants covered by GEHA health care are …Call 800.262.4342. Already a GEHA member? Enroll in a GEHA Medicare Advantage Plan. Once you are enrolled in a GEHA Standard or High medical plan with Medicare Parts A & B, you qualify for the GEHA Medicare Advantage Plans. Call 1.844.491.9898.Prescription Reimbursement Claim Form. Always allow up to 30 days from the time you receive the response to allow for claims processing and delivery. Keep a copy of all documents submitted for your records. Do not staple receipts or attachments to this form. Reimbursement is not guaranteed and other contractor will review the claims subject to ...If you find the claim needs to be submitted and mailed to GEHA by you, please complete a Medical Claim Form. When you’re ready to mail your out-of-network medical claim to GEHA, send it to the following address: PO Box 21542 Eagan, MN 55121. If you are filing an out-of-network claim yourself, visit filing an out-of-network medical claim with ... Mailing Address: Connection Dental Network PO Box 6707 Lee's Summit, MO 64064. Click on your state on the map to find the Network Development Staff member or Provider Relations Specialist responsible for your area. You can reach your designated staff member by phone, Monday through Friday, 8 a.m. to 4:30 p.m. Central Standard Time. Claims UnitedHealthcare Community Plan Quest Integration P.O. Box 31365 – mailing address Salt Lake City, UT 84131-0365 Payer ID#: 87726 (EDI Claims Submission) … P.O. Box 30783 Salt Lake City, UT 84130-0783. If you have already paid your out-of-network bill in full, mail your claim form to: GEHA. P.O. Box 21542 Eagan, MN 55121. What happens next. After processing your claim, you’ll receive an Explanation of Benefits (EOB). The EOB explains the charges applied to your deductible (the amount you pay for ... Claims UnitedHealthcare Community Plan Quest Integration P.O. Box 31365 – mailing address Salt Lake City, UT 84131-0365 Payer ID#: 87726 (EDI Claims Submission) Claims Optum P.O. Box 30757 – mailing address Salt Lake City, UT 84130-0757 Payer ID#: 87726 (EDI claims submission) Medicare Advantage and Community …Community Plan Claims & medical records P.O. Box 5290 Kingston, NY 12402-5290. Community Plan Behavioral health P.O. Box 30760 Salt Lake City, UT 84130-0760. ACC/DD/Dual Complete 800-445-1638. Dual Complete® (HMO D-SNP) Attn: Provider claim disputes P.O. Box 31364 Salt Lake City, UT 84131-0364. General claim disputes …UnitedHealthcare Shared Services. P.O. Box 30783. Salt Lake City, UT 84130-0783. If you have already paid your out-of-network bill in full, mail your claim form to the address below. In addition, submit your dental, Medicare prime and all other claims (such as Medicaid and prescription claims) to GEHA at: GEHA. P.O. Box 21542..