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Empire Plan Predeterminations (UnitedHealthcare Empire Plan) fax number

(845) 249-2932

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Empire Plan Predeterminations

Used for: Predetermination submission for medical services (preservice/ pre-authorization)

Fax destination details

Department
Empire Plan Predeterminations
Purpose
Predetermination submission for medical services (preservice/ pre-authorization)
Form
Empire Plan Predetermination Request — Empire Plan Predetermination Request
Address
Empire Plan Predeterminations, UnitedHealthcare, PO Box 1600, Kingston, NY 12402-1600

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Submit this form via uhcprovider.com. If unable to submit via uhcprovider.com, fax to (845) 249-2932 or mail to Empire Plan Predeterminations, UnitedHealthcare, PO Box 1600, Kingston, NY 12402-1600.

Official form instructions are published as a downloadable file on the organization's website.

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