Provider reconsiderations and additional information for claims

If you receive a payment that you disagree with

You can submit a Provider Reconsideration FormDownload PDF to have the claim reviewed. Please fill out and submit the Reconsideration Form indicating the reason you feel the claim was not paid correctly.

Mail your completed form and any supporting documentation to:

Culinary Health Fund
P.O. Box 211471
Eagan, Minnesota 55121

Additional information for claims

If you have a claim which requires additional information in order to be processed — including primary EOB’s, itemized invoices, accident/​injury forms, et cetera — please fill out an Additional Information Form.Download PDF

Mail your completed form and any supporting documentation to:

Culinary Health Fund
P.O. Box 211471
Eagan, Minnesota 55121

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Do not send these forms to any fax numbers you may have used previously, as all documents must be sent to the scanning vendor in order to be entered into the claims system for processing.

Sending these forms via fax will delay the processing of your claim.