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Utah Department of Workforce Services – Imaging Operations fax number

(877) 313-4717

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Imaging Operations

Used for: Submitting Medicaid/UPP eligibility verifications and related documents (including COBRA Health Insurance Information forms) to Imaging Operations via fax 1-877-313-4717 for processing.

Fax destination details

Department
Imaging Operations
Purpose
Submitting Medicaid/UPP eligibility verifications and related documents (including COBRA Health Insurance Information forms) to Imaging Operations via fax 1-877-313-4717 for processing.
Form
COBRA Health Insurance Information Form — COBRA Health Insurance Information
Address
Imaging Operations, PO Box 143245, Salt Lake City, UT 84114-3245
Voice phone
801-526-0950

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.

Have the employer/COBRA provider complete the form and return it to Imaging Operations; include your name and case number on all documents.

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

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