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Misdirected Claim Returns to the Health Plan Coversheets

UnitedHealthcare West

If the Health Plan forwarded claims to you that you believe are the Health Plan’s responsibility according to the Division of Financial Responsibility (DOFR), please return the claims with the appropriate cover sheet below.  This will ensure the claims get to the correct team for processing:

Non UnitedHealthcare West

If the Health Plan forwarded claims to you that you believe are the Health Plan’s responsibility according to the Division of Financial Responsibility (DOFR), please return the claims with the appropriate cover sheet below.  This will ensure the claims get to the correct team for processing: