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You must file your appeal within 60 days from the date on the letter you receive. To obtain an aggregate number of the plan's grievances, appeals and exceptions please contact UnitedHealthcare.
All other group numbers, mail the form with any related attachments to: UnitedHealthcare Member Inquiry/Appeals PO Box 30432 Salt Lake City, UT 84130-0432. You will receive a written response to your submission within the timeframe required by law.
It must include a statement as to why you believe the denial was incorrect, as well as all relevant facts. Supporting documents -- such as a copy of the Explanation of Benefits denial letter, medical records, medical review sheets, payment receipts and correspondence -- also are required.
If you disagree with the outcome of a processed claim (payment, correction or denial), you can appeal the decision by first submitting a Claim Reconsideration Request. Submit claims in the UnitedHealthcare Provider Portal. For more information and necessary forms, visit uhcprovider.com/claims.
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