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Paper Claims Submission

  • Contact the claims help desk if you need assistance with your paper claims submission.
    • Claims help desk hours: 8 a.m. to 4:30 p.m., Monday – Friday.
  • Claims help desk phone: 1-888-700-7370, option 1.
  • For information about the CMS 1500 and UB 04 forms, visit www.nucc.org or www.nubc.org.

Paper billing address

Submit all paper claims for in-network and out-of-network services to:

PerformCare
PA HealthChoices
P.O. Box 7308
London, KY 40742

Read our paper claims submission FAQ for more information.