Part C Organization Determinations, Appeals and Grievances

 

If you would like to file a Part C Appeal or Grievance, choose an option below:

  • Call UCare Customer Services at 1-877-523-1515 (for individual Medicare plans) or 1-877-447-4385 (for group Medicare plans), 24 hours a day, seven days a week
  • Call UCare Appeals and Grievances at 612-676-6841 or 1-877-523-1517, 8:00 a.m. to 4:30 p.m. Monday through Friday
  • TTY users call: 612-676-6810 or 1-800-688-2534 (toll free)
  • Fax the request for an appeal or grievance to UCare Appeals and Grievances at 612-884-2021 or 866-283-8045
  • Mail the request for an appeal or grievance to:
    UCare Appeals and Grievances
    P.O. Box 52
    Minneapolis, MN 55440-0052

You can also file a complaint with Medicare using the Medicare Complaint Form (external site).

Get More Information

For more information on appointing a representative, requesting an authorization or submitting a request for reimbursement:

UCare Medicare and UCare Medicare with Fairview & North Memorial

Instructions for Appointing a Representative (PDF)
Medicare Authorizations
Medicare Claim Reimbursement Form - UCare Medicare (PDF)
Medicare Claim Reimbursement Form - UCare Medicare w/ Fairview & North Memorial (PDF)

EssentiaCare

Instructions for Appointing a Representative (PDF)
Medicare Authorizations
Medicare Claim Reimbursement Form (PDF)

UCare's MSHO and UCare Connect + Medicare

Instructions for Appointing a Representative (PDF)
Medicare Authorizations


H2456_H5937 061918 DHS Approved (06272018) CMS Approved (07202018)
Y0120_B_061918 CMS Approved (07202018)
June 2018