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UnitedHealthcare (Empire BlueCross BlueShield) / UnitedHealthcare Appeals Unit fax number
(845) 336-7989
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Appeals Unit (Health Information Release)
Used for: Release of health information to UnitedHealthcare for claims/appeals processing
Fax destination details
- Department
- Appeals Unit (Health Information Release)
- Purpose
- Release of health information to UnitedHealthcare for claims/appeals processing
- Form
- Empire Authorization for Release of Health Information — Empire Authorization for Release of Health Information Form
- Address
- UnitedHealthcare Appeals Unit, P.O. Box 1600, Kingston, NY 12401
- Website
- Visit organization website
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Fill member details, describe the purpose of disclosure, sign and date. If required, have a witness sign for Illinois residents, and return to UnitedHealthcare Appeals Unit at the address below.
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