Webattach proof that you are the member’s legal representative (for example, Power of Attorney). We can’t accept this form without it. First name Middle initial Last name Address City State ZIP code Telephone number – – Where to send this form Mail to: Or, fax to: UnitedHealthcare, PO Box 30769, Salt Lake City, UT 84130-0769 1-888-950-1169 ... http://www.cms1500claimbilling.com/2015/12/ub-04-fl-67-poa-indicator-missing-denial.html

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WebThe POA Indicator guidelines are not intended to provide guidance on when a condition should be coded, rather to provide guidance on how to apply the POA Indicator to the final set of diagnosis codes that have been assigned in accordance with Sections I, II, and III of the official coding guidelines. WebComplete list of Payer id and mailing address for UHCInsurance NameUnited Healthcare Claims AddressPayer IDUnited HealthcareClaims Address –PO BOX 30555 SALT LAKE … WebInsurance Plans Medicare and Medicaid plans Medicare For people 65+ or those under 65 who qualify due to a disability or special situation Medicaid For people with lower … ethanol shield fuel stabilizer 24 oz