Contact type and description Contact information Prescription drug WSRxS preauthorization Call: 1-888-361-1611 (TRS: 711) For providers and pharmacists Monday–Friday: 7:30 a.m. to 5:30 p.m. (Pacific) submitting prescription drug Fax: 1-800-207-8235 preauthorization requests, Visit: covermymeds.com including requests for an exception for noncovered prescription drugs or changing quantity limits Prescription drug claims WSRxS Call: 1-888-361-1611 (TRS: 711) Monday–Friday: 7:30 a.m. to 5:30 p.m. (Pacific) Fax: 1-855-668-8550 Mail: Pharmacy Manual Claims PO Box 999 Appleton, WI 54912-0999 Visit: Find claim forms by visiting forms and publications at hca.wa.gov/ump-forms-pubs Coordination of benefits WSRxS Contact WSRxS if you or your Call: 1-888-361-1611 (TRS: 711) to request a form. dependents have other insurance Visit: UMP commonly used forms available online webpage at to make sure your claims are ump.regence.com/pebb/forms/common-forms and under processed correctly. You may fax, email, or mail the “WSRxS Prescription drug forms choose the “WSRxS Multiple Prescription Multiple Prescription Drug Drug Coverage Inquiry” form Coverage Inquiry” form to WSRxS. Fax: 1-855-668-8550 Email: Send email through your WSRxS account at ump.regence.com/pebb/benefits/prescriptions (This email is not secure) Mail: Pharmacy Manual Claims PO Box 999 Appleton, WI 54912-0999 2024 UMP CDHP (PEBB) Certificate of Coverage 7