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Mountain Health CO-OP fax number

(800) 781-6260

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Claims Administrator

Used for: Submitting medical insurance claims and related documentation; the organization accepts claim packets and supporting documentation via fax at this number (claims submission and potential appeals).

Fax destination details

Department
Claims Administrator
Purpose
Submitting medical insurance claims and related documentation; the organization accepts claim packets and supporting documentation via fax at this number (claims submission and potential appeals).
Form
Medical Claim Form — Medical Claim Form
Address
P.O. Box 30311, Salt Lake City, UT 84130
Voice phone
1-800-299-6080

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  • Confirm that this exact department handles your document or request.
  • Check the organization website or call its main line for the current fax number.
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Submit one claim form per patient, attach itemized bills, include patient identification, dates of treatment, description of service, and amounts; mail to P.O. Box 30311, Salt Lake City, UT 84130 or fax to 1-800-781-6260.

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

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