Claim Information

• Our Mailing Address
• Claims Status Information
• Patient Eligibility and Verification
• Benefit Information
• Precertification
• Coverage Information

 

Mail APWU Mental Health and Substance Abuse Claims to:

ValueOptions Claims Unit
P O Box 1347
Latham, NY 12110

High Option

Our Mailing Address for Providers
Current claims mailing address information is on the APWU Health Plan Member ID Card. Be sure to check the address for claims submission information on visits from APWU Health Plan members.

Mail APWU Health Plan claims to:
In all states except the Virgin Islands, CIGNA is the member’s local PPO network. If APWU Health Plan is the primary payer, submit all medical claims, whether you are a participating or non-participating provider to CIGNA:

CIGNA HealthCare
PO Box 188004
Chattanooga, TN 37422

or Payer ID 62308

In the Virgin Islands, where the APWU Health Plan member’s local PPO network for providers is VI Equicare and for hospitals is CIGNA, and the APWU Health Plan is the primary payer, submit all medical claims, whether you are a participating or non-participating provider, to:

For VI Equicare Provider claims:
APWU Health Plan
P.O. Box 1358
Glen Burnie, MD 21060-1358
or Payor ID 44444

For Hospital claims:
CIGNA Healthcare
PO Box 188004
Chattanooga, TN 37422
or Payer ID 62308

WHEN APWU HEALTH PLAN IS THE SECONDARY PAYER:
For medical claims where APWU Health Plan is the secondary payer, submit all medical claims along with Other Insurance Carrier’s Explanation of Benefits to:

APWU Health Plan
P.O. Box 1358
Glen Burnie, MD 21060-1358

FOR ALL STATES:
When the APWU Health Plan member is traveling outside of their state of residence, submit all medical claims, whether you are a participating or non-participating provider, to:

CIGNA Healthcare
PO Box 188004
Chattanooga, TN 37422
CIGNA Payer ID 62308

Mail correspondence or appeals to:
APWU Health Plan
799 Cromwell Park Drive, Suites K-Z
Glen Burnie, MD 21061

Consumer Driven Option

UnitedHealthcare
P.O. Box 740810
Atlanta, GA  30374-0810

For Appeals:
UnitedHealthcare Appeals
P.O. Box 30573
Sale Lake City, UT  84130-0573

Claims Status Information

To receive information about the status of your claim, providers may either:

• Submit a claim status form via the Internet
• Call the Automated Phone System on a touch-tone phone at 1-800/222-APWU (2798) - available 24/7
• Call Customer Service at 1-800/222-APWU (2798) - 8:30 a.m. to 7:00 p.m. EST, Monday-Friday

Patient Eligibility/Verification

To verify or determine patient eligibility, call 1-800/222-APWU (2798).

Precertification

For Information regarding precertification - click here.

Coverage Information

To receive information about coverage, providers may either:

• Submit a coverage information form via the Internet
• Call the Automated Phone System on a touch-tone phone at 1-800/222-APWU (2798) - available 24/7
• Call Customer Service at 1-800/222-APWU (2798) - 8:30 a.m. to 6:00 p.m. EST, Monday-Friday