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United Pain Center fax number

(612) 262-4077

Customer Service

Used for: Submitting Workers' Compensation (W/C) / Motor Vehicle Accident (MVA) / Third Party Liability (TPL) information to United Pain Center for billing and claims processing.

Fax destination details

Department
Customer Service
Purpose
Submitting Workers' Compensation (W/C) / Motor Vehicle Accident (MVA) / Third Party Liability (TPL) information to United Pain Center for billing and claims processing.
Form
WC/MVA/TPL Information Form — Workers’ Compensation / Motor Vehicle Accident / Third Party Liability Information
Address
United Pain Center, Department of United Hospital, 255 Smith Avenue N., Suite 100, St. Paul, MN 55102
Voice phone
651-241-7246

Before you send

  • Confirm that this exact department handles your document or request.
  • 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.
  • Keep the delivery confirmation with your submission records.

Provide the requested W/C/MVA/TPL information and fax the completed form to 612-262-4077 Attn: Customer Service, or call 612-262-9000 for assistance.

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

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