Online Provider Claim Reconsideration Form (Use if you have a UCare Provider Portal account)
Online Provider Claim Reconsideration Form (Use if you do not have a UCare Provider Portal account)
Legacy Provider Claim Reconsideration Request Form
(PDF, Fax: 612-884-2186)
Tips for Using the Online Claim Reconsideration Form
Minnesota based non-contracted providers who deliver services to a UCare member will need to follow the process below before submitting a claim to UCare:
IMPORTANT NOTES:
Non-contracted providers who practice outside of Minnesota but deliver services to a UCare member will need to follow the mail or online process listed below before submitting a claim to UCare:
IMPORTANT NOTE:
Mail:
UCare
Attention: Claims
P.O. Box 70
Minneapolis, MN 55440-0070
Click here to download a Printable W-9 .
Online:
612-676-3300 or 1-888-531-1493 (toll free)
Hours: 8 am to 5 pm, Monday through Friday
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