APWU Health Plan Claims Status Inquiry Form for Members of the High Option Plan


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Claims Status Inquiry Form

If you are a provider, select here to go to the correct form for providers.

The following information is needed to process your inquiry request. Required items are specified as such.

Your Name (Required):
Your Relation to Plan Member:
Nine Digit Member ID Number of Plan Member (not the patient) (Required):
Date of Birth of Plan Member (not the patient) (Required):
Patient's Name (Required):
Date of Service (Required):
Claim Amount:
Provider of Care:
Type of information you are requesting:
Status of Claim Explanation of Payment
Explanation of Rejection Other Claim Related Inquiry
Description of inquiry:
Email Address (Required):
How do you want to receive your response? (Required)

E-mail

Mail
Enter your mailing address if different than that on file:
Day Phone (Required):
Evening Phone (Required):
Press submit to send your inquiry to APWU Health Plan's Customer Service Department. We will respond to your request as soon as possible. Please note that transfer times on the internet are generally timely, but in some instances they can take days.

Send Inquiry to the APWU Health Plan Customer Service Department

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	William Burrus, President William J. Kaczor, Jr., Director APWU Health Plan, 799 Cromwell Park Drive, Suites K-Z, Glen Burnie, MD 21061 APWU Health Plan is a department of the American Postal Workers Union, AFL-CIO © 1985-2009 APWU Health Plan. All rights reserved.