The maximum file size for uploads is 2 MB per file.
Allowed file types: PDF, JPEG, GIF, BMP, TIFF and PNG
UHA requires submission of any of the documents listed below to approve your request
Copy of Primary Carrier’s EOB
Copy of denial or exhaust letter from Third Party Liability (TPL)
Copy of HCFA 1500/UB04 claim (if claim was never submitted)
Copy of HCFA 1500/UB04 claim with date stamp or proof of electronic submission (if claim was submitted, but never received)
Additional documentation that provides proof of timely filing attempts such as: certified mail receipt, documented timeline of follow-up with payer or proof of electronic claim submission.