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P.O. Box Mailing Addresses - New York State Psychological ...

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Business Function <strong>State</strong> <strong>Mailing</strong> Address<br />

(electronic billing forms and inquiries) P.O. <strong>Box</strong> 7165<br />

Indianapolis, IN 46207-<br />

7165<br />

Freedom of Information Act (FOIA)<br />

Inquiries<br />

Health Professional Shortage Area (HPSA)<br />

Correspondence<br />

(with the exception of HPSA appeals)<br />

Medical Policy<br />

(local coverage determination<br />

reconsideration requests)<br />

Medical Review<br />

(documents/medical records and responses<br />

to additional development request [ADR]<br />

letters)<br />

Medical Review<br />

(documents/medical records and responses<br />

to ADR letters)<br />

Medical Review<br />

(documents/medical records and responses<br />

to ADR letters)<br />

MSP Inquiries/Overpayment Recovery Unit<br />

(ORU) Requests<br />

(other than those sent to MSP regional<br />

carrier)<br />

MSP Inquiries/ORU Requests<br />

(other than those sent to MSP regional<br />

carrier)<br />

All states<br />

All states<br />

All states<br />

CT, NY (all<br />

counties)<br />

IN<br />

KY<br />

IN<br />

KY<br />

National Government<br />

Services, Inc.<br />

P.O. <strong>Box</strong> 7050<br />

Indianapolis, IN 46207-<br />

7050<br />

National Government<br />

Services, Inc.<br />

P.O. <strong>Box</strong> 4811<br />

Syracuse, NY 13221-4811<br />

National Government<br />

Services, Inc.<br />

Medical Policy<br />

Reconsideration Request<br />

Attn: Gina Oliveri, RN<br />

P.O. <strong>Box</strong> 7149<br />

Indianapolis, IN 46207-<br />

7149<br />

National Government<br />

Services, Inc.<br />

P.O. <strong>Box</strong> 7108<br />

Indianapolis, IN 46207-<br />

7108<br />

National Government<br />

Services, Inc.<br />

P.O. <strong>Box</strong> 6160<br />

Indianapolis, IN 46206-<br />

6160<br />

National Government<br />

Services, Inc.<br />

P.O. <strong>Box</strong> 7154<br />

Indianapolis, IN 46207-<br />

7154<br />

National Government<br />

Services, Inc.<br />

P.O. <strong>Box</strong> 7073<br />

Indianapolis, IN 46207-<br />

7073<br />

National Government<br />

Services, Inc.<br />

P.O. <strong>Box</strong> 7155<br />

Indianapolis, IN 46207-<br />

7155

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