United Healthcare Vision Claim Form - Sign in to your health plan account and go to the “claims & accounts” tab, then select the “submit a claim” tab. Box 30978 salt lake city, ut 84130 fax: Web to view your benefit or claim information, simply enter the required information. Web state health benefit plan. If you can’t find the form or document you’re looking for below, sign in to your member site to find more. Sign in to your health plan account to find your submission form. Salt lake city, ut 84130. There, you’ll be able to select the medical claims submission form to download and print. Web view the links below to find member forms you can download, making it quicker to take action on claims, reimbursements and more. Medical reimbursement and claim forms.
Web to view your benefit or claim information, simply enter the required information. There, you’ll be able to select the medical claims submission form to download and print. Web view the links below to find member forms you can download, making it quicker to take action on claims, reimbursements and more. If you can’t find the form or document you’re looking for below, sign in to your member site to find more. Salt lake city, ut 84130. Web view and download claim forms by following the link to the global resources portal opens in new window and clicking on my claims. Sign in to your health plan account to find your submission form. You will be able to view your eligibility and general plan information. Box 30978 salt lake city, ut 84130 fax: Medical reimbursement and claim forms. Sign in to your health plan account and go to the “claims & accounts” tab, then select the “submit a claim” tab. Select your plan to sign in. Web state health benefit plan. Submit your claim by mail.