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Surest (a UnitedHealthcare health plan) fax number

(801) 994-1058

Surest Appeals (Medical Necessity & Coverage)

Used for: Medical necessity and coverage appeals; expedited/urgent appeal process

Fax destination details

Department
Surest Appeals (Medical Necessity & Coverage)
Purpose
Medical necessity and coverage appeals; expedited/urgent appeal process
Form
Complaint and Appeal Form for Insurance Members — Complaint and Appeal Form for Insurance Members (Minnesota)
Address
Surest Appeals, P.O. Box 31270, Salt Lake City, UT 84131
Voice phone
1-866-683-6440

Before you send

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  • Check the organization website or call its main line for the current fax number.
  • Include a cover sheet and any case, member, claim, or form reference required.
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Submit the complaint or appeal using the provided form; you may file within 180 calendar days of the initial determination; mail or fax the form to the Surest Appeals address; expedited review is available for urgent requests.

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

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