Claim Reconsideration Request Form. A revised UnitedHealthcare Community Plan Claim Reconsideration Request Form is now available for immediate use by physicians, hospitals and other health care professionals when a claim reconsideration for members enrolled in benefit plans administered by UnitedHealthcare Community and State. This form is to be completed by physicians, hospitals or other health care professionals to request a claim reconsideration for members enrolled in a benefit plans administered by UnitedHealthcare Community Plan of Michigan.
Map
(308) 588-1215879
Thank you for contacting us. We will be getting in contact with you shortly.