WebHPI — Corporate Headquarters • PO Box 5199 • Westborough, MA 01581 • 800-532-7575 • 508-756-1382 (fax) StandardPreAuthRequest_061422 Please direct any questions regarding this form to HPI. The Standardized Prior Authorization Form is not intended to replace payer -specific prior authorization procedures, policies and documentation WebP. O. Box 5199 Westborough, MA 01581 Access America (Service performed outside of MA, ME and NH) UnitedHealth Integrated Services PO BOX 30783 Salt Lake City, UT 84130 -0783 StrideSM (HMO) Medicare Advantage Plans . HPHC Inc. c/o Stride Claims Processing P.O. Box 93430 : Lubbock, TX 79493

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WebPO Box 5199 Westborough, MA 01581 Boston Sales Office 300 TradeCenter, Suite 2500 Woburn, MA 01801 781-279-1000 Toll-free: 800-987-6151 Fax: 781-279-3000 Directions … WebClaims can be mailed to us at the address below. Health Plans, Inc. PO Box 5199 Westborough, MA 01581 You can also submit your claims electronically using HPHC payor ID # 04271 or WebMD payor ID # 44273. Are you … banqueta bulk

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WebStandard Managed Care Get the free po box 5199 westborough ma 01581 form Description of po box 5199 westborough ma 01581 PO Box 5199 West borough, MA 01581 1-800-532-7575 Fax 508-754-9664 www.healthplansinc.com SUPPLEMENTAL CLAIM FORM Instructions Please complete items 1 through 6 below and attach any receipts, bills WebHPI — Corporate Headquarters • PO Box 5199 • Westborough, MA 2 of 2 01581 •800-532-7575 . Page. ProvAppeal_HPI-HPHC _website_form+QRG. Quick Reference Guide . … WebOverview for PO Box 5199 Westborough, MA 01581. We have found 1 companies and 21 people at this address. The companies and people listed on this page at one time used … pray 4 you jhene aiko