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UnitedHealthcare - Claims Request Form for HB 2015
Please click the links below for the new forms needed to be able to obtain any TX HB 2015 claims information. These new documents were created to ensure broker protection when receiving this information. Please discard any/all previous claim forms or letter templates and use these going forward. Information will only be released when using these forms and will need to be printed out on the company letterhead of each group for each request.
Both forms below are required for obtaining HB 2015
Click here for the HB 2015 Claims Request Form
Click here for the HB 2015 HIPPA Certification Form
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