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New York - Premium Payments Important payment information for New York CHIP members.

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For Medical, Dental, Vision and Hearing Expenses, submit your insurance carrier’s explanation of benefits (EOB) statement with your completed form. When applicable your insurance claim must be …

Member Service Request Form Instructions At UnitedHealthcare, we continuously strive to bring you a higher level of service. Although you are not required to submit this form, completing it will help us …

Use this Request for Reimbursement form to ask for payment from your FSA for eligible care you’ve already received.