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  • myuhc - Member Login | UnitedHealthcare
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  • Medical Claim Form - UnitedHealthcare
    If you write on the form, use black or blue ink and print clearly and legibly You can also use your computer to complete this form and then print it out to mail or fax it to us Complete all of the applicable fields on the form Ask your provider for the Provider Information, or have them fill that out for you Be sure to submit a separate form for each claim




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