Submit paper claims to: CenterLight Healthcare. P.O. Box 21546. Eagan, MN 55121. Providers should submit all claims within ninety (90) days of the date of service for prompt adjudication and payment. For any questions regarding claims status, please call Provider Services at 1-800-761-5602, Monday through Friday, from 9 AM to 5 PM.PO Box 211609. Eagan, MN 55121 . For Customer Service: (866) 919-9159. Contact Us. Go Up. bottom of page ...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 55121How to submit the completed claim form. Mail: Type your answers and print the form, or print the form and handprint your responses using blue or black ink—sign it—and mail the form with the bill and any related documents to: Medical Claims Processing PO Box 211457 Eagan, MN 55121-3057.Legal Notice : All products are underwritten and issued by Freedom Life Insurance Company of America, National Foundation Life Insurance Company and Enterprise Life Insurance Company, wholly owned subsidiaries of USHEALTH Group, Inc. All products not available in all states. Contact a Licensed Insurance Agent for additional information.MultiPlan's Provider Portal allows healthcare providers to verify network participation, submit billing and network inquiries, and more!P.O. Box 211713 . Eagan, MN 55121 . PA Medicare (medical and behavioral health claims): Claims Administrator . P.O. Box 211164 . Eagan, MN 55121 . Paper claims submitted to the old address will be forwarded until July 16, 2023. Paper claims submitted after that date will not be forwarded and can result in denials for timely filing.Submit Corrected Claims. Mail Claims to: Claims. PO Box 211438. Eagan, MN 55121. Or fax to 608-276-9119 Attention: New claims. For other claims correspondence use the Claims Resubmission Form (located below) and submit it via secure file upload by clicking on the button below. Secure File Upload.p.o. box 211184 eagan, mn 55121 receipts here i. patient's name (first, middle, last) identification number sex birth date member/ patient present address street city state zip code relationship of patient to member ii. • confirm services for which you are requesting benefits at this time. must correspond with itemized receipt.P.O. Box 211322 Eagan, MN 55121 Please remember that Medicaid is secondary and will generally not pay more than the Medicaid allowable. Therefore, if Medicare, or a Medicare Advantage Plan has paid greater than the Medicaid allowable, then no secondary payment is due to a provider, pursuant to Florida Administrative Code 59G-1.052(8)(b)1.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 18th Street South Suite 900 Arlington, VA 22202. Print Brochure ; Dental Policy; Health Facts; Disclaimer; Contact us; Web Accessibility ;If you are looking for Po Box 211282 Eagan Mn you've arrived at the perfect location. We have 20 images about po box 211282 eagan mn adding images, photos, pictures, wallpapers, and more. In such webpage, we also have number of images available. Such as png, jpg, animated gifs, pic art, symbol, blackandwhite, transparent, etc.PO Box 211551. Eagan, MN 55121-2751 . Payment Dispute Address . UMWA Health and Retirement Funds. PO Box 211225. Eagan, MN 55121-2625 *This page was last updated 07.10.2023* Funds' Call Center: (800) 291-1425. Pharmacy: (800) 294-4741. Precertification: (800) 292-2288. Provider Services Claims: (888) 865-5290.Submit Corrected Claims. Mail Claims to: Claims. PO Box 211438. Eagan, MN 55121. Or fax to 608-276-9119 Attention: New claims. For other claims correspondence use the Claims Resubmission Form (located below) and submit it via secure file upload by clicking on the button below. Secure File Upload.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 18th Street South Suite 900 Arlington, VA 22202. Print Brochure ; Dental Policy; Health Facts; Disclaimer; Contact us; Web Accessibility ;P.O. Box 211468 Eagan, MN 55121 • Filing deadline is 90 days from the date of service. • Professional services (CPT) must be submitted on a CMS-1500 claim form. • Inpatient services must be submitted on a UB-04 claim form. • Handwritten submissions will be rejected. • Do not use labels, stickers, or stamps on the claim form.PO Box 21545|Eagan, MN 55121 Fax ##215-784-0672. Approval Process. After the request is submitted, the service or drug is reviewed to determine if it: is covered by the health plan, and; meets the health plan's definition of "medically necessary." The prior authorization is then completed, and the results are sent to the provider.P.O. Box 211468 Eagan, MN 55121 • Filing deadline is 90 days from the date of service. • Professional services (CPT) must be submitted on a CMS-1500 claim form. • Inpatient services must be submitted on a UB-04 claim form. • Handwritten submissions will be rejected. • Do not use labels, stickers, or stamps on the claim form.National Provider Identifier (NPI) Get your NPI, register it with AmeriHealth, and enable electronic claims submission. Learn more. Tools, resources, and guides to assist AmeriHealth network providers with claims and billing.P.O. Box 211184 Eagan, MN 55121 PPO PROGRAM OUT-OF-NETWORK CLAIM FORM (see reverse side for instructions) 09517 (03/09) H S T MEMBER'S NAME (First, Middle, Last) IDENTIFICATION NUMBER GROUP NUMBER PRESENT ADDRESS STREET D NEW ADDRESS CITY STATE ZIP CODE NAME (First,Middle, Last) RELATIONSHIP OF PATIENT TO MEMBERAs of June 30th, there will no longer be access to the secure member portal. If you have claims or plan specific questions please call 844.388.8268.Choice 65 PPO, P.O. Box 7799, Philadelphia, PA 19101-7799. Submit paper medical claims to: Claims Receipt Center P.O. Box 211184 Eagan, MN 55121 Submit prescription claims to Prescription Drug Claims P.O. Box 650287 Dallas, TX 75265-0287. Visit www.ibxmedicare.com for benefit information Shipper ID: 00000000 Insert #1 Insert #2PO Box 211316 Eagan, MN 55121 If you request disenrollment, you must continue to get all medical care from Univera ... Please read the following statements carefully and check the box if the statement applies to you. By checking any of the following boxes you are certifying that, to the best of your knowledge, ...P.O. Box 211184 Eagan, MN 55121 PPO PROGRAM OUT-OF-NETWORK CLAIM FORM (see reverse side for instructions) 09517 (03/09) H S T MEMBER'S NAME (First, Middle, Last) IDENTIFICATION NUMBER GROUP NUMBER PRESENT ADDRESS STREET D NEW ADDRESS CITY STATE ZIP CODE NAME (First,Middle, Last) RELATIONSHIP OF PATIENT TO MEMBERPO Box 21762 Eagan, MN 55121. If you accidently mail to the Premera commercial PO Box, Premera will forward the claim to Evolent. There’s an option to submit HCFA (CMS 1500) claims on the new Individual secure website, however this function isn't available yet.Post a Comment. Po Box 211282 Eagan Mn. Box 211184 mn 55121 blue cross® independence qca traditional blue cross® blue ®shield 54704 qce 54704 12x26 claims receipt center p.o. Group benefit services claim department p.o. American School Of Nursing And Allied Health Reviews from weightlossmaintain.blogspot.com.Submit Corrected Claims. Mail Claims to: Claims. PO Box 211438. Eagan, MN 55121. Or fax to 608-276-9119 Attention: New claims. For other claims correspondence use the Claims Resubmission Form (located below) and submit it via secure file upload by clicking on the button below. Secure File Upload.P.O. Box 211597 Eagan, MN 55121 FAX: 608-327-6332 (do not include cover sheet) Wisconsin Family Care c/o WPS Health Insurance P.O. Box 211595 Eagan, MN 55121 FAX: 608-327-6332 (do not include cover sheet) What is the Payer ID? Please refer to our Receiver and Payer ID codes document.PO Box 21455 Eagan, MN 55121 Electronic Submissions: Use Amida Care Submitter ID # 79966. How do I check the status of a claim? Call Provider Services at 1-800-556-0674. How can I appeal a claim denial? You have 60 days from the date of a claim denial to submit an appeal. To file an appeal, mail the Statement of Remittance (SOR) denial that you ...P.O. Box 21974 Eagan, MN 55151. ... PO Box 1748 Southeastern, PA 19399-1748 USA. Sales for Large Group Programs - Study Abroad groups with more than 10 students - Inbound International groups with more than 5 students. Please contact: Toll free: 833-532-6894 | Local: 610-254-8704P.O. Box 21545 Eagan, MN 55121 Note: Submit AmeriHealth Administrators new claims or adjustment requests directly to AmeriHealth ... P.O. Box 41820 Philadelphia, PA 19101 Inpatient Facility Appeals P.O. Box 13985 Philadelphia, PA 19101-3985 Provider Claims Appeals - NJ HMO/PPOpo box 21854 eagan mn 55121 provider phone number. You are here: Home. Uncategorized. po box 21854 eagan mn 55121 provider phone number ...888-920-7526. 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!PO Box 211116 Eagan, MN 55121. Dental, Vision, and Hearing Claims. Phone. 833-653-6338. Fax. 833-517-1852. Email. [email protected]. Mailing Address. Careington Benefit Solutions PO Box 21681 Eagan, MN 55121. FedEX/UPS. Mailing Address. LifeShield National Insurance Co 5500 N. Western Ave, Suite 200P.O. Box 211184 Eagan, MN 55121 TO BE COMPLETED BY PATIENT PATIENT INFORMATION: 1. PATIENT’S NAME (LAST) (FIRST) (MIDDLEINITIAL) 2. PATIENT’S ADDRESS (STREET) (CITY) (STATE) (ZIP CODE) ... Polish UWAGA: Jeżeli mówisz po polsku, możesz skorzystać z bezpłatnej pomocy językowej. Zadzwoń pod numer 1-800 …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.Get ratings and reviews for the top 10 lawn companies in Champlin, MN. Helping you find the best lawn companies for the job. Expert Advice On Improving Your Home All Projects Featu...P.O. Box 211034 Eagan, MN 55121 Phone: 877-804-4629 Other Coverage Verification COMPLETION OF THIS INFORMATION WILL HELP TO AVOID UNNECESSARY CLAIM DELAYS EMPLOYEE INFORMATION: Employee Name: Employee Identification Number: VERIFICATION OF OTHER MEDICAL COVERAGE:If you are unable to submit your claim electronically, you can email, fax or mail your completed claim form (“Medical, Wellness and Vision Claim Form”, Pages 2 through 4) and copies of supporting documentation. Submit claims by: Email: Fax: Mail: [email protected] +1.949.271.2330 Global Benefits Group. PO Box 211008, Eagan, MN 55121.P.O. Box 211184 Eagan, MN 55121 Contact your insurance provider directly if you haven't received a reimbursement check in the mail after 3-4 weeks. Please note: If your claim is denied, you should go through your insurance provider's appeal process. Should you want to escalate the denial, you can contact HHS at Contraception_Complaints@cms ...P.O. Box 21552 Eagan, MN 55121 MEMBER NAME MAILING ADDRESS CITY, ST, ZIP Customer Service: Patient: Member Identification: Group Name: Group ID: Product: Product Type: 1(800)817-3056 MEMBER NAME 999999999 LWWA LIFEWISE OFF EXCHANGE 1000000 LifeWise Health Plan of Washington Individual Your Total Responsibility $93.00 Pay your provider directly ...Mail disputes to: Provider Disputes, PO Box 211624, Eagan MN 55121. For electronic instructions and submission, visit Sutter Link. Check your claim's status online. Explanation of Payment (PDF) ... P.O. Box 272640 Chico, CA 95927-2640. UnitedHealthCare P.O. Box 6106 MS CA 124-0157P.O. Box 211468 Eagan, MN 55121 • Filing deadline is 90 days from the date of service. • Professional services (CPT) must be submitted on a CMS-1500 claim form. • Inpatient services must be submitted on a UB-04 claim form. • Handwritten submissions will be rejected. • Do not use labels, stickers, or stamps on the claim form.PO Box 21542 Eagan, MN 55121 Payor ID 44054. New features added to the IVR (Interactive Voice Response) system. We have added new automated features to make verifying your provider information quick and easy. You can now access the following through our IVR system, after following the requested phone prompts: Fee schedule fax back; Location ...If you are unable to submit your claim electronically, you can email, fax or mail your completed claim form (“Medical, Wellness and Vision Claim Form”, Pages 2 through 4) and copies of supporting documentation. Submit claims by: Email: Fax: Mail: [email protected] +1.949.271.2330 Global Benefits Group. PO Box 211008, Eagan, MN 55121.PO Box 211316 Eagan, MN 55121 A nonprofit independent licensee of the Blue Cross Blue Shield Association Y0028_8271_C M10B If you request disenrollment, you must continue to get all dental care from your Medicare Optional Supplemental Dental plan until the effective date of disenrollment.PO Box 21112 Eagan, MN 55121 . Important: • To be eligible for reimbursement the dependent care expense must be incurred during the plan year, regardless of when payment is made or when billed. • Reimbursement cannot be requested until after the last day of the service period.P.O. Box 21013 Eagan, MN 55121 For Indiana Residents Who Purchased an Accident and Sickness Product and those covered by a Blanket Accident and Sickness Policy issued in Indiana: You may at any time ask Us or Our Administrator for an estimate of the amount We will pay for or reimburse to you for nonemergency health care services that have been …P.O. Box 211184 Eagan, MN 55121 Appeals mailing addresses Inpatient Appeals P.O. Box 13985 Philadelphia, PA 19101-3985 Member Appeals P.O. Box 41820 Philadelphia, PA 19101-1820 Medicare Advantage HMO and PPO Member Appeals Medicare Member Appeals Department P.O. Box 13652 Philadelphia, PA 19101-3652 Provider Billing Disputes/GrievancesPO Box 211342 Eagan, MN 55121-1342 Provider Portal my.FirstCare.com 1. Providers may complete a Provider Claims Redetermination Request Form. 2. Provider should attach any pertinent supporting documentation (i.e. retro authorization, proof of timely filing, surgical notes, office visit notes, pathology reports, and/or medical records. 3.Saint Paul, MN 55121 - Peer Comparisons by Rank and Percentile. The table below compares 55121 to the other 878 ZIP Codes in Minnesota by rank and percentile using July 1, 2023 data. The location Ranked # 1 has the highest value. A location that ranks higher than 75% of its peers would be in the 75th percentile of the peer group.Looking for the best restaurants in Roseville, MN? Look no further! Click this now to discover the BEST Roseville restaurants - AND GET FR Rich in exciting attractions and vibrant ...Mercy Benefit Administrators. Mercy is changing the healthcare experience for members, employers, and physicians. “The Families First Coronavirus Response Act requires private health plans (including insured, self-insured, and grandfathered, as defined in section 1251 (e) of the Patient Protection and Affordable Care Act)) and government ...PO Box 211609. Eagan, MN 55121 . For Customer Service: (866) 919-9159. Contact Us. Go Up. bottom of page ...P.O. Box 211184 Eagan, MN 55121 Blue Cross ® Independence QMO MedigapFreedom 54704 SX083 Claims Receipt Center P.O. Box 211184 Eagan, MN 55121 Blue Shield ® Highmark QCA QCC Traditional Blue Cross® Blue Shield® Concurrent Major Medical 54771 SB865 Highmark Blue Shield P.O. Box 890062 Camp Hill, PA 17089-0062 Security 65®, 65 Special, and ...You may submit a request outside of regular business hours and on weekends at: 1-877-883-9577 (TTY: 711) You may fax a request to: 1-877-203-9401. You may mail a request to: Univera Healthcare. Attention: Utilization Management. P.O. Box 211256. Eagan, MN 55121.EMI Health. PO Box 21482. Eagan, MN 55121. As a reminder, claims that do not include attachments must be submitted electronically. We work with all major clearinghouses that submit through the Utah Health Information Network (UHIN). EMI Health's payer ID is SX110. It's possible your clearinghouse may assign us a custom payer ID.PO Box 21931 Eagan, MN 55121. Providers are highly encouraged to use a trackable mailing method such as USPS Priority Mail when sending documents to this address. This will allow for the package to be tracked and provide proof of timely claim submission. Acceptance of PaymentMultiPlan's Provider Portal allows healthcare providers to verify network participation, submit billing and network inquiries, and more!NPI # - Box 33A Blue Cross® Independence QMO MedigapFreedom 54704 54704 Claims Receipt Center P.O. Box 211184 Eagan, MN 55121 Blue Shield® Highmark QCA QCC Traditional Blue Cross® Blue Shield® Concurrent Major Medical 54771 54771 Highmark Blue Shield P.O. Box 890062 Camp Hill, PA 17089-0062 QCE Security 65®, 65 Special, and ...Call us: 1-800-338-6833 (TTY 711) Devoted Guides are here: 8am to 8pm, 7 days a week (October to March) 8am to 8pm, Monday to Friday, and 8am to 5pm, Saturday (April to September) Text us: 866-85. Ask a question about your plan, or just say "Hello!" to get started! Digital Guides are here: 8am to 8pm Eastern time, Monday to Friday.po box 21456 eagan, mn 55121 provider phone number. a compass always points to hunters ed test ...P.O. Box 211256 Eagan, MN 55121 . Univera Healthcare is an HMO plan and PPO plan with a Medicare contract. Enrollment in Univera Healthcare depends on contract renewal. Submit a complaint about your Medicare plan at www.Medicare.gov or learn about filing a complaint by contacting the Medicare Ombudsman. Y0028_9776_C.3145 Lexington Ave S, Eagan MN 55121. About. Address: 3145 Lexington Ave S, Eagan MN 55121 Large Map & Directions ; Phone: 651-405-3068; Fax: 651-454-9478; TTY: 877-889-2457; ... PO Box Online; Lot Parking; Eagan Post Office Map. Reviews & Feedback. Have you visited this branch before? Let others know what you think.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.How to submit the completed claim form. Mail: Type your answers and print the form, or print the form and handprint your responses using blue or black ink—sign it—and mail the form with the bill and any related documents to: Medical Claims Processing PO Box 211457 Eagan, MN 55121-3057.PO Box 21660 Eagan, MN 55121-0660 Fax: 1-402-496-8199 Medico® is a servicemark owned and licensed by Medico Insurance Company. Created Date: 3/14/2016 3:57:30 PM ...Call us: 1-800-338-6833 (TTY 711) Devoted Guides are here: 8am to 8pm, 7 days a week (October to March) 8am to 8pm, Monday to Friday, and 8am to 5pm, Saturday (April to September) Text us: 866-85. Ask a question about your plan, or just say "Hello!" to get started! Digital Guides are here: 8am to 8pm Eastern time, Monday to Friday.P.O. Box 21548 • Eagan, MN 55121 • Phone: 888-803-0081 • Fax: 806-783-9991 • Customer Service Email: [email protected]: CLAIM FOR HEALTH CARE BENEFITS: Name of Other Carrier Address: of Other Carrier (City) (State) (Zip) Effective Date of Other Coverage:MEDICARE SUPPLEMENT PLANS. 833.552.0828. [email protected]. Monday through Friday. 7:00am - 8:00pm Central Time. Have questions about your short term, supplemental health care policy options? The SGIC care team has answers to your questions. Contact us today!Public Collection Box 3400 Yankee Dr. Eagan, MN 55121. Directions. Public Collection Box 3390 Coachman Rd. Eagan, MN 55121. Directions. Public Collection Box 1299 Promenade Pl. ... Eagan, MN 55121. Directions. Public Collection Box 3432 Denmark Ave. Saint Paul, MN 55123. Directions. Public Collection Box 1278 Town Centre Dr. Saint Paul, MN 55123.P.O. Box 211747 Eagan, MN 55121 Standard Life & Accident Insurance Company P.O. Box 211748 Eagan, MN 55121 Claims Payment: If you send documentation showing you have paid the provider along with the EOBs and the provider statement, we will pay the benefit to you.P.O. Box 21099 Eagan, MN 55121 Claims sent to any other address will be returned When MPC is secondary, provider has 12 months from the date of service • COB claims are accepted up to 6 months after a Remittance Advice date up to 18 months from the date of service • Original Claim Explanation of Payment or Remittance AdviceWe serve thousands of employers and more than 125,000 participants. Explore products individual & family plans sole proprietor plans. Bind is making health insurance easier to understand for our members. Emdeon, ingenix, netwerkes, sds : Box 211597 eagan, mn 55121 wisconsin family care c/o wps health insurance p.o. Saturday …To file the Request for Claim Review Form , mail or fax to: Mail: Fallon Health. Attn: Request for Claim Review/Provider Appeals. PO Box 211308. Eagan, MN 55121-2908. Fax: 1-508-368-9890. For more information about the collaborative, visit www.hcasma.org . If you have any questions, call us at 1-866-275-3247, prompt 4.Please call 866-386-4447 . For claims submissions*:. EDI Payer ID: 27034. Peak TPA PO Box 21631. Eagan, MN 55121. *New vendors must submit ...Helps you with out-of-pocket costs that often arise when you have a covered accident such as a fracture, dislocation, or laceration.P.O. Box 211424 Eagan, MN 55121. Vision Benefits. Our plans offer affordable vision benefits that include: ... PO Box 2187 Clifton, NJ 07015. Hearing Benefits Worried About Hearing Loss? You're not alone. We got you covered. In fact, hearing loss is pretty common as we age. About one-third of people between the ages of 65 and 74 experience it.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. ...Or submit an HCFA 1500 (CMS-1500) form to Firefly Health P.O. Box #211639 Eagan, MN 55121. Need to check a claim status? Call us at (888) 897-1887. Request Authorizations Medical: Our utilization management partners at MedWatch process medical authorizations for us. To submit an authorization, you can: Complete an online precertification formP.O. Box 211184 Eagan, MN 55121 Valid and registered NPI is required. Electronic (837P) Loop 2010AA NM108 = XX NM109 = NPI # Paper (CMS-1500) NPI # - Box 33A Q1P AmeriHealth NJ - POS, POS NG Q3A AmeriHealth PA - ERISA POS Q3B AmeriHealth PA - ERISA HMO Q3C AmeriHealth PA - HMO andThe form is designed so that the name and address (Item 3) of the third-party payer receiving the claim (insurance company/dental benefit plan) is visible in a standard #9 window envelope (window to the left). Please fold the form using the 'tick-marks' printed in the margin.mailed to: Mutual of Omaha PO Box 211472 Eagan, MN 55121 Q. Where can I submit a change of address? A. Inform your Human Resources/Benefits Department of your new information. They will provide us with the necessary information to make the changes in our systems. Q. I've recently married. How do I add my new spouse to my plan?P. O . Bo x 211406 E ag an , MN 55121 J033-23002 (updat ed 1/ 1/ 2023) 8278 B ellaire B lvd, S t e B | Houst on, T X 77036 www. vanlangipa. com 8278 B ellaire B lvd, S t e B | Houst on, T X 77036 ... P.O. Box 211406 Eagan, MN 55121 Cl ai ms S t at us w w w. t e c q pa r t n e r s . c o m ( Paye r s ys t e m )P.O. Box 24992 Seattle, WA 98124-0992 Electronic Payer ID: 84-135 Denver Health Medicaid Choice ... P.O. Box 21524 Eagan, MN 55121 Electronic Payer ID: 65-456Find information on claims, benefits, or eligibility q, Mail claims to: ClearChain Health. EDI# 19753. P.O. Box 21392. Eagan, M, Mar 28, 2022 · How Do I Submit a Claim For Reimbursement? - Lucent Health. Let's Talk. Previous Next. Compl, Saint Paul, MN 55121 - Peer Comparisons by Rank and Percentile. The table below comp, PO Box 21482 Eagan, MN 55121 Payer ID (for EDI claims): SX110. What if I disagree with the way my claim is paid? Y, PO Box 211698 Eagan, MN 55121 Intra-clinic Mailing Address: Health Care Flexible Spend, PO Box 211404 Eagan, MN, 55121. Attachment/Appeal Fax# Fax to 9, If you are unable to submit your claim electronically, you can email,, You can file a grievance in the following ways: In pers, PO Box 211760 Eagan, MN 55121 EMAIL customerservice@sevenc, PO Box 13652 Philadelphia, PA 19101-3652; Complete the Req, PO Box Online; Lot Parking; Visit our ... Our zip , National Provider Identifier (NPI) Get your NPI, register it wit, for questions regarding benefits or payments, please contact, Outer County Claims – Lehigh, Lancaster, Northampton, and Berks Coun, P.O. Box 21660, Eagan, MN 55121-0660 Fax: 402-496-, P.O. Box 211184 Eagan, MN 55121 . Y0041_HM_17_47643 Accepted 10/14/2, To fill out PO Box 21146 Eagan, follow these steps: 02. Wri.