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What forms do I need?

Where should I send my disclosure forms?

Health Plan Numbers
United Healthcare

Email submission:
pcnd_tn_disclosure@uhc.com


Paper Submission:
UnitedHealthcare
1311 W. President George Bush Hwy
Suite 100
Richardson, TX 75080

Fax Submission: 1-800-708-9633
BCBST
Mail:
PNM Compliance
One Cameron Hill Circle Ste 0007
Chattanooga, TN 37402

Fax: 423-535-3066
or
423-535-5808

Amerigroup

Email submission:
tnnwksup@amerigroup.com

Paper Submission:
Amerigroup Community Care
Attn: Health Plan Operations
22 Century Boulevard, Suite 285
Nashville, TN 37214

Fax: 877-423-9973