Po box 211440 eagan mn 55121

PO Box 21099 Eagan, MN 55121 Recoupment for After 1/1/2021 Dates of Service • Check for the applicable amount paid to: Maryland Physicians Care • Original Explanation of Payment ... PO Box 1104 Portland, ME 04104 Fax: 833-656-0648 Appeals sent to any other address will be returned

%PDF-1.4 %âãÏÓ 445 0 obj > endobj xref 445 70 0000000016 00000 n 0000002222 00000 n 0000002381 00000 n 0000007831 00000 n 0000008287 00000 n 0000008723 00000 n 0000009227 00000 n 0000009695 00000 n 0000009744 00000 n 0000009793 00000 n 0000009842 00000 n 0000009891 00000 n 0000010421 00000 n 0000010687 00000 n …Find the mailing address for different types of mailings from Excellus BlueCross BlueShield, such as Qualified Health Plan, Medicare, Medicaid, Child Health Plus and Essential …PO Box 21482. Eagan, MN 55121. If the claim form is not properly completed, it cannot be processed, and it will be returned. For additional information, contact EMI Health’s customer service department at 801-262-7475 or toll free at 800-662-5851.P.O. Box 211308 Eagan, MN 55121-2908 . To mail premium payments, address to: Fallon Health P.O. Box 847231 Boston, MA 02284-7231 Or, pay online. Corporate office Fallon Health 10 Chestnut St. Worcester, MA 01608 1-508-799-2100 1-800-333-2535 Monday through Friday, 8 a.m. to 5 p.m. Public Relations/Media inquiries Melissa Randall …Mar 2, 2022 · Saint Cloud Post Office. 517 10th Ave S Waite Park, MN 56387 View detail; Stillwater Post Office. 216 Myrtle St W Stillwater, MN 55082 View detail; Oak Park Hts Carrier Annex Post Office. 5520 Memorial Ave N Stillwater, MN 55082 View detail

If you are not able to submit electronic claims, please update your records to make sure you’re using the correct addresses for the type of claim you’re submitting –. PPO – HealthEOS by MultiPlan, P.O. Box 6090, De Pere, WI 54115-6090. All other claims (Badger Care Plus and non-PPO) – Quartz, P.O. Box 211221, Eagan, MN 55121.P.O. Box 21913 Eagan, MN 55121 John Muir Physician Network: Office Ally Payer ID: JMH01 P.O. Box 5107 Walnut Creek, CA 94596 Meritage Medical Network: Bay Area Office Ally Payer ID: IP097 PO Box 2160 Oakland, CA 94621 Providence Medical Network: Office Ally Payer ID: STJOE P.O. Box 70013 Anaheim, CA 92825-0013P.O. Box 21406 Eagan, MN 55121 I Address Change: _____ _ IMPORTANT: EVERY ITEM MUST BE CHECKED OR ANSWERED BEFORE CLAIM CAN BE PROCESSED GIVE THE FOLLOWING INFORMATION ABOUT PATIENT 1. Claim is made for: 2. Patient's Name 3. Date of Birth 4. Sex 0 Husband 0 Self OM OF 0 Wife 0 Unmarried 0 Other Son/Daughter 5. Full Time Student AttendingP.O. Box 21341 Eagan, MN 55121. WPS Administrative Services WPS Health Plan P.O. Box 21352 Eagan, MN 55121. Additional Contact Information. Correspondence (medical records, notes, etc.) Wisconsin Physicians Insurance P.O. Box 8190 Madison, WI 53708-8190. EDI (Electronic Data Interchange)(651) 688-9600 Visit Website Map & Directions Po Box 211533 Saint Paul, MN 55121 Write a Review. Is this your business? Customize this page. Claim This Business Hours.P.O. Box 21146 Eagan, MN 55121. In the faxed or mailed written request please include that this is an Initial Organization Determination request and provide the following: Member Name and ID; Member Phone Number; ... PO Box 4717 Syracuse, New York 13221. Send it to us by fax: 1-315-671-6656.P.O. Box 211747 Eagan, MN 55121. Sales & Product Inquiries. Lakeshore Benefit Alliance, LLC Phone: (205) 703-9300. Links. Kaiser Health News; Modern Healthcare; The New York Time – Health Care Reform News; Healthcare …

Harvard Pilgrim Health Care, Inc. c/o Stride Claims Processing. P.O. Box 211067. Eagan, MN 55121. This address has replaced all previous addresses in Lubbock, TX (P.O. Boxes 16755, 93430, and 6748). Any correspondence sent to these addresses for Harvard Pilgrim Stride SM (HMO)/ (HMO-POS) Medicare Advantage will be forwarded to the new PO …For information about Innovation Health, please call our toll-free number at 1-855-228-0510.Check claims, benefits, or eligibility. Ask questions about your bill or make payment. Ask questions about your pharmacy benefits. 1-800-662-5851. 1-801-262-7475. [email protected]. 6:00 am to 6:00 pm MT Monday-Friday Emails and texts are monitored during business hours only. Access benefits, claims, and eligibility information 24/7 online with ...PO Box 211472 Eagan, MN 55121 Electronic Claims Submission Payer ID: CX087 Customer Service Phone # Phone: 800-927-9197 Hours: Monday - Friday, 7:00 a.m. - 7:00 p.m. (CST) IVR is available 24/7/365 Benefit Information Register for the provider web portal where you can submit claims, receive claim paymentPO Box 211698 Eagan, MN 55121 Intra-clinic Mailing Address: Health Care Flexible Spending Account Claims Mayo Support Center North SN 3 Phone: 6-6360 (on Mayo Clinic campus) (77)6-6360 (on other Mayo Clinic campus) 507-266-5580 (local) 1-800-635-6671 (toll-free),1-800-407-2442 (TDD)P.O Box 3340 Spring Hill, FL 34606 Dental/Vision Claims Submission EDI Payor ID: Argus Send Paper Claims to: Argus Dental & Vision Attn: Claims P.O. Box 211276 Eagan, MN 55121 Claims Payment Disputes To address claim denials for issues ... Prior Authorization Dept., PO Box 25183, Santa Ana, CA 92799. Expedited requests can be completed by ...

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for questions regarding benefits or payments, please contact... aither health: po box 211440: eagan mn 55121: 833.408.4080: for questions regarding network providers, please contact...PO Box 21542. Eagan, MN 55121-0542. Visit Website (877) 434-2336. Customer Reviews. 1.21/5 stars. Average of 19 Customer Reviews. Read Reviews Start a Review. Customer Complaints.po box 21548 eagan mn 55121 8888030081 0006800 a1 healthcare 6800 weiskopf ave suite 150 mckinney 75070 8002693563 0003307 aaic dba bright idea dental 101 parklane blvd suite 301 ... po box 211440 8447512226 0007728 alacrity healthcare 1715 main st woodward 73801 5802540117 0001718 alamosa pcs p o box 53070 lubbock P.O. Box 64560 St. Paul, MN 55164-0560. ... Eagan, MN 55121-1644. See map. Blue Cross and Blue Shield of Minnesota Foundation. 3400 Yankee Drive Eagan MN 55121-1627. The Home Depot credit card payment address is: Home Depot Credit Services PO Box 182676 Columbus, OH 43218-2676. This is the address to which all credit payments are made, regardle...EVOLUTIONS MEMBER SERVICES. 800.308.2749. 727.938.2222. [email protected]. NOMINATE A PROVIDER. ONLINE FORM. PRINT AND BRING ALONG. TO CONTINUE PROVIDER SEARCH, PLEASE SELECT YOUR LOCATION...

PO Box 211435 Eagan, MN 55121. BCBS AZ providers submit to payer ID 53589. Mayo Clinic providers submit to payer ID 71890. Attachment/Appeal Fax# 952-992-3024 . Claim Adjustment or Appeal Request Form (DOC) Claim Numbers . 13 digits Electronic Appeal Submission : Log in to Medica Provider Portal. Electronic Data Interchange (EDI)Paper claim submission address: Limited Benefit Group Supplemental Plan P.O. Box 211196 Eagan, MN 55121. Please include the following: EOB from the Patients Major Medical Plan. UB-04 Form or CMS-1500 Form. Provider’s Name and Address. Diagnosis Code ICD-10. Procedure Code (CPT) Place of Service Code. Charges/Cost of each …(651) 688-9600 Visit Website Map & Directions Po Box 211533 Saint Paul, MN 55121 Write a Review. Is this your business? Customize this page. Claim This Business Hours. Regular Hours. Mon - Fri: 9:00 am - 5:00 pm: Places Near Saint Paul with Similar Businesses. Mendota (5 miles) Lilydale (9 miles) Find network doctors and hospitals throughout the U.S. at the Independence Administrators online provider directory. Entercom employees and their covered spouses and dependents may contact us at the following telephone number and address: Customer Service. 1-888-356-7899. Contact us via email. P.O. Box 211747 Eagan, MN 55121. Sales & Product Inquiries. Lakeshore Benefit Alliance, LLC Phone: (205) 703-9300. Links. Kaiser Health News; Modern Healthcare; The New York Time – Health Care Reform News; Healthcare …Sep 4, 2020 · o Mail: Send paper claims to SOMOS IPA, LLC, P.O. Box 21432, Eagan, MN 55121 • Emblem: o Electronically: Use SOMOS Payer ID 81336 through Change Healthcare or another approved EDI vendor o Mail: Send paper claims to SOMOS IPA, LLC, P.O. Box 211473, Eagan, MN 55121 P.O. Box 21146 Eagan, MN 55121. In the faxed or mailed written request please include that this is an Initial Organization Determination request and provide the following: Member Name and ID; Member Phone Number; ... PO Box 4717 Syracuse, New York 13221. Send it to us by fax: 1-315-671-6656.Med Claims: P.O. Box 211375, Eagan, MN 55121 Rx Claims: OptumRx P.O. Box 650287, Dallas, TX 75265-0287 For Pharmacists: 1-877-889-6510 Behavioral Health: 1-844-978-8100 front front back back Sample member ID cards for illustration only; actual information varies depending on payer, plan and other requirements. 2024 UnitedHealthcare UCard

P.O. Box 21660, Eagan, MN 55121-0660 Fax: 402-496-8199 How to file a claim When you visit your provider, they’ll likely offer to file your claim for you. They might also ask that you pay your share of the cost at the time of your appointment. Either way, if you want them to file your claim, you’ll need to show them your Medico insurance card.

Oct 1, 2021 · P.O. Box 211713 Eagan, MN 55121. Claims Inquiries and Administrative Reviews (Provider Disputes): Highmark Wholecare P.O. Box 535191 Pittsburgh, PA 15253-5191. Send us a request by fax to: All Providers 1-844-207-0334. Clinical Provider Appeals: Highmark Wholecare Attention: Provider Appeals Department P.O. Box 22278 Pittsburgh, PA 15222 Get ratings and reviews for the top 6 home warranty companies in New Brighton, MN. Helping you find the best home warranty companies for the job. Expert Advice On Improving Your Ho...Get ratings and reviews for the top 6 home warranty companies in New Brighton, MN. Helping you find the best home warranty companies for the job. Expert Advice On Improving Your Ho... EVOLUTIONS MEMBER SERVICES. 800.308.2749. 727.938.2222. [email protected]. NOMINATE A PROVIDER. ONLINE FORM. PRINT AND BRING ALONG. TO CONTINUE PROVIDER SEARCH, PLEASE SELECT YOUR LOCATION... PO Box 21482. Eagan, MN 55121. If the claim form is not properly completed, it cannot be processed, and it will be returned. For additional information, contact EMI Health’s customer service department at 801-262-7475 or toll free at 800-662-5851.PO Box 211435 Eagan, MN 55121. BCBS AZ providers submit to payer ID 53589. Mayo Clinic providers submit to payer ID 71890. Attachment/Appeal Fax# 952-992-3024 . Claim Adjustment or Appeal Request Form (DOC) Claim Numbers . 13 digits Electronic Appeal Submission : Log in to Medica Provider Portal. Electronic Data Interchange (EDI) Independent. Aither Health is a healthcare solutions company offering a full suite of innovative products and services for third-party administrators and risk bearing entities such as self-funded employers, health plans and providers. P.O. Box 211256 Eagan, MN 55121. Corporate Address Mail correspondence to: Univera Healthcare 205 Park Club Lane Buffalo, NY 14221PO Box 21747. Eagan, MN 55121. ELECTRONIC. Payer ID. 65241. NETWORK. We use the MultiPlan/PHCS Specific Services network. IN NETWORK. OUT OF NETWORK. Most, but not all, MEC plans use reference-based pricing (RBP) for out-of-network claims for covered services. APPEALS. Please include the following information in your written …

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EVOLUTIONS MEMBER SERVICES. 800.308.2749. 727.938.2222. [email protected]. NOMINATE A PROVIDER. ONLINE FORM. PRINT AND BRING ALONG. TO CONTINUE PROVIDER SEARCH, PLEASE SELECT YOUR LOCATION... RCI treats us like we are their #1 customer...They always have prompt, friendly service. Regional community hospital. RCI cares! They are wonderful to work with. I would highly recommend them. County health care center. RCI is incredibly quick to respond to questions, regardless of who is contacted. They are very upbeat and easy to work with.PO Box 21051 Eagan, MN 55121-0051. For Medica members with Payer ID #71890, 53589 or 88090, send the Claim Adjustment/Appeal Request Form with supporting documentation to: Medica Health Plan Solutions PO Box 211435 Eagan, MN 55121-0051. For Medica members with Payer ID #MEDM1, send the Claim Adjustment/Appeal Request Form with supporting ...Mercy Benefit Administrators. Mercy is changing the healthcare experience for members, employers, and physicians. “The Families First Coronavirus Response Act requires …SGIC will be here to help you when you need us most. We’ve designed innovative insurance with innovative solutions for you. We are dedicated to the total satisfaction of our policyholders and partners and are constantly developing ways to use technology to make your insurance experience smoother. P.O. Box 211184 Eagan, MN 55121 Valid and registered NPI is required. Electronic (837I) Loop 2010AA NM108 = XX NM109 = NPI # Paper (UB-04) Blue Cross® Independence NPI # – Box 56 QCA Traditional Blue Cross® Blue Shield® 54704 54704 Claims Receipt Center P.O. Box 211184 Eagan, MN 55121 QCC Concurrent Major Medical P.O. BOX 211446. Eagan, MN 55121. Send Us A Message. NameRequired. EmailRequired. PhoneRequired. Message. (501) 682-1001. (501) 682-8820. Helpful …HealthPlus: Electronically: Use SOMOS Payer ID 81508 through Change Healthcare or another approved EDI vendor. Mail: Send paper claims to SOMOS IPA, …Providers must submit the applicable, completed and legible forms to: ElderServe Health, Inc. d/b/a RiverSpring Health Plans. PO Box 211465. Eagan, MN 55121. Providers may also submit and track paper claims through Smart Data Stream at no cost. To use this option, providers must register on the site with the following link:Saint Cloud Post Office. 517 10th Ave S Waite Park, MN 56387 View detail; Stillwater Post Office. 216 Myrtle St W Stillwater, MN 55082 View detail; Oak Park Hts Carrier Annex Post Office. 5520 Memorial Ave N Stillwater, MN 55082 View detail888-920-7526. Available Mon-Fri 7:00 AM - 6:00 PM MST. Contact Planstin Administration for all your employee benefits needs. Schedule a meeting or login for plan inquiries and support. Connect with us today! ….

P.O. Box 211395. Eagan, MN 55121. Reminder: All claims should be submitted electronically, unless required documentation is. needed to process claim. … • To file a claim by mail: P.O. Box 211422, Eagan, MN 55121 PPO Network • Your patient’s health plan accesses no network. All claims are processed at the Maximum Allowable Charge, generally a certain percentage above your Medicare rate. • No provider contracts are needed, network contracting and 800 aither health 8339092384 p.o.box 211440 eagan mn 55121-0000 d8d alameda alliance for health 5107474500 12401 south loop road alameda alliance looca 94501-0000 102 albany insurance co. 5184452200 c/o 21st century hlth & ben 1760 market st philadelphia pa 19103-0000 540 alicare (mass state health care prof Fax. (855) 613-4102. Detego Health transformed our healthcare benefits spend. Amazing. Jordon Street Core Insurance. I was totally blown away at how good my healthcare experience could be. Paige Payne CEO, Jim Ross Law. For information about Innovation Health, please call our toll-free number at 1-855-228-0510. Find network doctors and hospitals throughout the U.S. at the Independence Administrators online provider directory. Entercom employees and their covered spouses and dependents may contact us at the following telephone number and address: Customer Service. 1-888-356-7899. Contact us via email.P.O. Box 21800 Eagan, MN 55121-0800. Claims refunds address. Baylor Scott & White Health Plan ATTN: Claims Review Dept. P.O. Box 840523 Dallas, TX 75284-0523. Paper claims address. Baylor Scott & White Health Plan c/o Smart Data Solutions 960 Blue Gentian Road Eagan, MN 55121-1500 . P.O. Box 211184 Eagan, MN 55121 Valid and registered NPI is required. Electronic (837I) Loop 2010AA NM108 = XX NM109 = NPI # Paper (UB-04) Blue Cross® Independence NPI # – Box 56 QCA Traditional Blue Cross® Blue Shield® 54704 54704 Claims Receipt Center P.O. Box 211184 Eagan, MN 55121 QCC Concurrent Major Medical Sutter Health Plus. P.O. Box 211314. Eagan, MN 55121. Sutter Health Plus includes the claims submission address for all other services on the back of the member’s identification card. Providers have 180 calendar days from the date of service to submit claims. Sutter Health Plus acknowledges paper claims within 15 business days following receipt. Po box 211440 eagan mn 55121, Our Mailing Address: Excellus BlueCross BlueShield. Attn: Medicare Division. P.O. Box 21146. Eagan, MN 55121. Excellus BlueCross BlueShield is an HMO plan and …, PO Box 211757 Eagan, MN 55121 Claims & Forms. Medical Claim. For submitting medical claims. Prescriptions Claim. For reimbursement of covered prescription drug claims. PT Mini-Claim Form. For Part-timers to submit with EOB or visit summary. Vision Claim. For reimbursement of covered vision care claims. ..., Eagan Post Office. 3145 Lexington Ave S. Eagan, MN 55121. Directions. Public Collection Box 1446 Yankee Doodle Rd. Eagan, MN 55121. Directions. Public Collection Box, • To file a claim by mail: P.O. Box 211422, Eagan, MN 55121 PPO Network • Your patient’s health plan accesses no network. All claims are processed at the Maximum Allowable Charge, generally a certain percentage above your Medicare rate. • No provider contracts are needed, network contracting and, PO Box 21542. Eagan, MN 55121-0542. Visit Website (877) 434-2336. Customer Reviews. 1.21/5 stars. Average of 19 Customer Reviews. Read Reviews Start a Review. Customer Complaints., PO Box 21392. Eagan, MN 55121. EDI # 19753. Pre-Certification Questions: Pre-certify before any planned surgical and hospital admission or within 48 hours of emergency admissions. The Utilization Review Team can be reached Monday through Friday by calling Inetico at 1-877-608-2200., You can send your homestead exemption information to the address or fax number below. Please include your mortgage loan number so we can identify which account the information applies to. U.S. Bank Tax department. …, P.O. Box 211256 Eagan, MN 55121. Corporate Address Mail correspondence to: Univera Healthcare ... , SGIC will be here to help you when you need us most. We’ve designed innovative insurance with innovative solutions for you. We are dedicated to the total satisfaction of our policyholders and partners and are constantly developing ways to use technology to make your insurance experience smoother. With electronic filing available using whatever …, Aither Health is a self-funded health care company that offers direct primary care and traditional plan management services to employers and their employees. The company …, 2023-2024 ID Card Example (MN/WI) Note: Effective 1/1/2024, chiropractic claims for MN/WI should be submitted to EDI# LNDMK or Fulcrum Health, Inc. P.O. Box 981808, El Paso, TX 79998-1808. This information is not reflected on the ID Card. Questions? Contact Fulcrum at 1 (877) 886-4941, option 9, or by e-mail at . providerservices ..., You may submit claims to Surest (365-day timely filing) electronically at Surest payer ID 25463 or by mail to: PO Box 211758, Eagan, MN 55121 After a claim has been submitted, quickly check claims status on UHCprovider.com or call 844-368-6661 to speak with a specially trained Surest Provider Services representative., Med Claims: P.O. Box 211375, Eagan, MN 55121 Rx Claims: OptumRx P.O. Box 650287, Dallas, TX 75265-0287 For Pharmacists: 1-877-889-6510 Behavioral Health: 1-844-978-8100 front front back back Sample member ID cards for illustration only; actual information varies depending on payer, plan and other requirements. 2024 UnitedHealthcare UCard, You may submit claims to Surest (365-day timely filing) electronically at Surest payer ID 25463 or by mail to: PO Box 211758, Eagan, MN 55121 After a claim has been submitted, quickly check claims status on UHCprovider.com or call 844-368-6661 to speak with a specially trained Surest Provider Services representative. , The mailing address of the Ellen DeGeneres Show for fan mail is: The Ellen DeGeneres Show, PO Box 7788; Burbank, California 91522, Attn: Fan Mail. Please note that the above addres..., MultiPlan, PO Box 211342 Eagan, MN 55121-1342. Author: Cochran, Crystal D Created Date: 3/19/2020 8:07:00 AM ..., Sutter Health Plus. P.O. Box 211314. Eagan, MN 55121. Sutter Health Plus includes the claims submission address for all other services on the back of the member’s identification card. Providers have 180 calendar days from the date of service to submit claims. Sutter Health Plus acknowledges paper claims within 15 business days following receipt. , Check claims, benefits, or eligibility. Ask questions about your bill or make payment. Ask questions about your pharmacy benefits. 1-800-662-5851. 1-801-262-7475. [email protected]. 6:00 am to 6:00 pm MT Monday-Friday Emails and texts are monitored during business hours only. Access benefits, claims, and eligibility information 24/7 online with ..., P.O. Box 211424 Eagan, MN 55121. Please Mail Non-Claims Items To: Dominion National P.O. Box 21522 Eagan, MN 55121. Corporate Headquarters: Dominion National 251 …, Check claims, benefits, or eligibility. Ask questions about your bill or make payment. Ask questions about your pharmacy benefits. 1-800-662-5851. 1-801-262-7475. [email protected]. 6:00 am to 6:00 pm MT Monday-Friday Emails and texts are monitored during business hours only. Access benefits, claims, and eligibility information 24/7 online with ..., P.O. Box 211651. Eagan, MN 55121. FedEx & UPS Shipping Address. 960 Blue Gentian Road. Eagan, MN 55121. Corporate Address. 200 W Adams St., Suite 500. Chicago, IL 60606. This address does not receive mail. If you need to mail us documents related to your benefit plan, please use the mailing address above. General Inquires., HealthEZ: PO Box 211186, Eagan, MN 55121 PRIMARY MEDICAL NETWORK: America's PPO AmericasPPO.com TRAVEL MEDICAL NETWORK: PI-ICS Out of Area 800-678-7427, MultiPlan.comlHealthEZ PHARMACY: WellDyne 888-479-2000, WellDyne.com Out Of Area welldyne Administered by: health Policy Holder: Group: Subscriber:, PO Box 211577 Claims Address: Eagan. MN 55121 FAX (855) 752-2222 HEALTH CLAIM FORM Group Number: 2008ALC Claim submitted with completed Alliance Coal Health Claim Form is for (circle one): Employee Spouse Dependent PLEASE COMPLETE FORM COMPLETELY. A HEALTH CLAIM FORM MUST BE COMPLETED FOR EACH CLAIM SUBMITTED. ATTACH ALL, There, claims submission information is broken out by prefix/product name. The following address should be used for claims related to outer counties: Outer County Claims – Lehigh, Lancaster, Northampton, and Berks County Claims Receipt Center P.O. Box 211184 Eagan, MN 55121. Claims submission information for providers., P.O. Box 21406 Eagan, MN 55121 I Address Change: _____ _ IMPORTANT: EVERY ITEM MUST BE CHECKED OR ANSWERED BEFORE CLAIM CAN BE PROCESSED GIVE THE FOLLOWING INFORMATION ABOUT PATIENT 1. Claim is made for: 2. Patient's Name 3. Date of Birth 4. Sex 0 Husband 0 Self OM OF 0 Wife 0 …, P.O. Box 211395 Eagan, MN 55121. Reminder: All claims should be submitted electronically, unless required documentation is needed to process claim. Find our EDI vendor information through one of the following: 1. Office Ally Payer ID: HPSJ1 866-575-4120. 2. Change Healthcare (EMDEON) Payer ID: 68035 877-469-3263, 0070-00 po box 1447 cedar rapids ia 52406 bay bridge bcs insurance company beacon health options benefit & risk managent services 4359-00 80 iron point circle folsom ca 95630 benefit administration services 4232-00 p o box 21515 eagan mn 41205 benefit administration services,ltd 0868-00 613 crescent circle ridgeland ms 39157 benefit ..., P.O. Box 21146 Eagan, MN 55121. In the faxed or mailed written request please include that this is an Initial Organization Determination request and provide the following: Member Name and ID; Member Phone Number; ... PO Box 4717 Syracuse, New York 13221. Send it to us by fax: 1-315-671-6656., PO Box 21531 Eagan, MN 55121. Providers Here are the options: 1) Fax:877-877-0078 2) Mail(Claims ONLY): PO Box 21531 Eagan, MN 55121 Electronic Payor ID:73066. ALL OTHER CORRESPONDENCE,PLEASE MAIL OR FAX TO: MedMutual Protect PO Box 26620 Oklahoma City, Oklahoma 73126-9958 Fax: 405.254.2111 or 1.877.877.0078 . …, PO Box 21482. Eagan, MN 55121. If the claim form is not properly completed, it cannot be processed, and it will be returned. For additional information, contact EMI Health’s customer service department at 801-262-7475 or toll free at 800-662-5851., Po Box 211533 Eagan, MN 55121 (651) 454-1124; Business Categories Event Venues. Company Info. No. of Employees 500. No. of Locations 25. Year Founded 1985. You May Also Consider. Abbington 3S002 IL Route 53 Corner of Route 53 and Butterfield Rd Glen Ellyn, IL 60137 0.0 No Ratings View Profile., P.O. Box 211308 Eagan, MN 55121-2908 . To mail premium payments, address to: Fallon Health P.O. Box 847231 Boston, MA 02284-7231 Or, pay online. Corporate office Fallon Health 10 Chestnut St. Worcester, MA 01608 1-508-799-2100 1-800-333-2535 Monday through Friday, 8 a.m. to 5 p.m. Public Relations/Media inquiries Melissa Randall …