877 801 3507: Fill out & sign online

Here's how it works

01. Edit your 877 801 3507 online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send unitedhealth claims transmittal via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out uhc health claim transmittal form with our platform

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Click ‘Get Form’ to open the UHC Health Claim Transmittal Form in the editor.
Begin by entering the Employer Name, which is 'Georgia Department of Community Health', in the designated field.
Next, locate the Group Number field and input '702030' accurately to ensure proper processing of your claim.
Fill out any additional required fields such as patient information, claim details, and service dates as prompted by the form.
Review all entered information for accuracy before proceeding to sign or submit your form through our platform.

Start using our platform today for free to streamline your UHC health claim submission!

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Contact us

What is a claim form in insurance?

The most common types include the CMS 1500 form, the UB-04 form, and the ADA Dental form. CMS 1500 or HCFA-1500 form, this is the standard form used by healthcare professionals and suppliers to bill Medicare carriers and durable medical equipment regional carriers.

What are the different types of claim forms?

As a medical billing company for various doctors and facilities, we understand that knowing which form to use is the first step to filing a successful claim. UB-40 and CMS-1500 are the two most common claim forms for submitting to insurance companies.

How to submit a claim to health insurance?

How do I file a claim with my insurer? Youll find a claim form on most health insurers websites, along with information on how to submit the claim. Look at your health insurance card for your insurers website or a phone number to call for information about filing a claim.

What is timely filing for UHC medical claims?

Submit Facility Claims Submit claims using claim submission tool on UHCprovider.com. 90 calendar days from the date of service (DOS). Non-Contracted Providers Timely Filing 90 calendar days from (DOS). Newborn Claims Timely Filing 180 calendar days from (DOS).

How do I send a claim to Unitedhealthcare?

How to submit claims in 2 steps Sign in to your health plan account to find your submission form. Sign in to your member account and go to the Claims Accounts tab, then select the Submit a Claim tab. Submit your claim by mail.

8778013507

Uhc health claim transmittal form pdf Uhc health claim transmittal form online Uhc health claim transmittal form download

Related forms

be ready to get more

Complete this form in 5 minutes or less

Get form

What are health insurance claim forms?

In simpler terms, a medical claim form is a formal written request that a healthcare provider submits to an insurance company, Medicare or Medicaid, or another affiliated entity seeking compensation for the healthcare services provided to a patient.

Uhc health claim transmittal form 2025

Here's how it works

How to use or fill out uhc health claim transmittal form with our platform

Complete this form in 5 minutes or less

Got questions?

What is a claim form in insurance?

What are the different types of claim forms?

How to submit a claim to health insurance?

What is timely filing for UHC medical claims?

How do I send a claim to Unitedhealthcare?

Complete this form in 5 minutes or less

People also ask

What are health insurance claim forms?

Related links

Try more PDF tools