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WebInsured calls to our Toll Free number: 1800 102 4477 to know his/her eligibility and to book the health check-up package. Upon validation and completion of booking process, the vendor would call the insured to fix an appointment. Vendor will collect the samples at the Insured’s doorstep. Reports will be sent to the insured by e-mail. WebForm Administrative hearing request – HCA/HBE Use this form to request a hearing before a judge. Mail this form within 90 calendar days of the date on eligibility notice you disagree with. You may be able to keep Apple Health coverage during the hearing process if you request a hearing in less than 10 days. 12-511 Form WebJan 19, 2024 · Optimum HealthCare, Inc. Claims Department P. O. Box 151258 Tampa, FL 33684 Claim Appeals For claim denials regarding untimely filing, incidental procedures, bundling, unbundling, unlisted procedure codes, non-covered codes, etc. Claims must be submitted to Optimum HealthCare within 90 days of date of denial from EOB. Mail claim … cryptography and data security pdf