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RBG, PEORIA - FORMS
UNITEDHEALTHCARE RELEASED DOWNLOAD
Employer Enrollment
EMPLOYER APPLICATION 2-99 ELIGILE
 3/19/2012   Download
Form Requirements by Product Line
 9/29/2009   Download
UHC Employer eServices Direct Debit Form
 9/29/2009   Download
UHC Key Accounts Employer App

Description:
100+ employer application (pdf , 42k)

10/10/2011   Download
Employee Enrollment
ILLINOIS UNIVERSAL APPLICATION
 1/25/2011   Download
Administration
GROUP SERVICE CONTACTS
 3/19/2012   Download
UHC Employer eServices Information Sheet

Description:
for groups up to 50 (pdf , 81k)

9/29/2009   Download
UHC IL 2-50 Submission Checklist
 9/29/2009   Download
UHC IL 51-99 Submission Checklist
 9/29/2009   Download
Claims
UHC Dental Claim Form
 9/29/2009   Download
UHC Rx Claim Form

Description:
MedCo Health Solutions (pdf , 53k)

9/29/2009   Download
Other
2-50 Broker Reference Guide

Description:
provides detailed underwriting requirements, admin provisions, all required forms (pdf , 220k)

9/29/2009   Download
PRE SCREEN CHECKLIST
 3/19/2012   Download
Producer Performance Guide - Central IL/IA
 10/7/2010   Download
Producer Performance Guide - Chicago Area
 10/7/2010   Download
PROVIDER SEARCH INSTRUCTIONS - DENTAL
 3/19/2012   Download
PROVIDER SEARCH INSTRUCTIONS - MEDICAL
 3/19/2012   Download
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