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UnitedHealthcare fax number

(866) 373-1081

Medical Services Appeals and Grievances

Used for: Expedited medical care appeals (urgent) for services not yet provided; standard appeals may also be applicable depending on the case.

Fax destination details

Department
Medical Services Appeals and Grievances
Purpose
Expedited medical care appeals (urgent) for services not yet provided; standard appeals may also be applicable depending on the case.
Form
MRAMR5049FM_N — Medicare Appeals and Grievances Form
Address
P.O. Box 6106, Cypress, CA 90630-0360
Voice phone
1-800-407-9069

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Complete the Medical Services Appeals and Grievances section, indicate if expedited is needed, attach supporting documents, and submit via mail to Cypress, CA or fax to the expedited fax number. Expedited decisions are typically intended for urgent cases and aim to be resolved promptly (e.g., within 72 hours for expedited medication or medical service appeals).

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

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