Pharmacy Claims:OptumRx, PO Box 650334, Dallas, TX 75265-0334 866-293-1796 800-985 Options include 10, 50, 100, and 500. Prior Authorization Fax:1-866-940-7328 Salt Lake City. A payer ID is a unique ID thats assigned to each insurance company. We have claims processing procedures to help ensure timely claims payment to health care providers. Submission through UHC provider portal Eligibility & Benefits Verification (in 2 business days), EAP / Medicare / Medicaid / TriCare Billing, Month-by-Month Contract: No risk trial period. If you intend to see a client for longer than 45 minutes, youll want to obtain prior authorization to do so. %PDF-1.7 Some of our partners may process your data as a part of their legitimate business interest without asking for consent. Home > Uncategorized > payer id: 87726 claims address. endobj endstream startxref 2023 UnitedHealthcare | All Rights Reserved, Welcome to the Home for Care Provider Resources, UnitedHealthcare Community Plan of Hawaii Homepage, Bulletins and Newsletters | UnitedHealthcare Community Plan of Hawaii, Claims and Payments | UnitedHealthcare Community Plan of Hawaii, Pharmacy Resources and Physician Administered Drugs | UnitedHealthcare Community Plan of Hawaii, Prior Authorization and Notification | UnitedHealthcare Community Plan of Hawaii, Provider Forms and References | UnitedHealthcare Community Plan of Hawaii, Provider Training | UnitedHealthcare Community Plan of Hawaii, UnitedHealthcare Dual Complete Special Needs Plans, Sign in to the UnitedHealthcare Provider Portal, Health plans, policies, protocols and guides, The UnitedHealthcare Provider Portal resources, Member Information: Current Medical Plans, ID Cards, Provider Directories, Dental & Vision Plans, Hawaii QUEST Integration Quick Reference Guide, Care Conductor in the UnitedHealthcare Provider Portal, Reporting Health Care Fraud, Waste and Abuse, Learn more about the Dual Special Needs Program, Medicare Advantage-Dual Special Needs Program (MA-DSNP): 1-866-622-8054. Every provider we work with is assigned an admin as a point of contact. Step 5: Go to Eligibility Dates tab in the new payer and enter a From Date of 1/1/2021. But its important to do your due diligence to ask if you are in network for all of these plans. AGIA Inc (Claims are printed and mailed to the payer.) If you dont get one, you may follow-up on the status of a claim using one of the following methods: Mail paper CMS 1500 or UB-04s to the address listed on the members ID card. Claims information For billing purposes, Medicare should be listed as the member's primary coverage and Medicare Balance as their secondary coverage. When checking eligibility for Mass General Brigham Health Plan members, remember to search by. endobj (7 days ago) WebUMR- Claim Appeals P.O. Physicians Group Management (PGM) is one of the fastest-growing medical billing companies in the United States. Honolulu, HI 96813 What Is A Payer Id. We follow the Requirements for complete claims and encounter data submission, as found in Chapter 10: Our claims process. For institutional claims, include the billing provider National Uniform Claim Committee (NUCC) taxonomy. Submit all professional and institutional claims and/or encounters electronically for UnitedHealthcare West and Medicare Advantage HMO product lines. Step 3: Enter a To Date of 12/31/2020. Box 30783, Salt Lake City, UT 84130-0783. The Hawaii Department of Human Services (DHS)/Med-QUEST Division (MQD) requires all care providers who serve QUEST members to register with the new MQD provider enrollment system, HOKU. Only covered services are included in the computation of the reinsurance threshold. Grand Rapids . We accept the NPI on all HIPAA transactions, including the HIPAA 837 professional and institutional (paper and electronic) claim submissions. hbbd```b``f Does United Healthcare cover the cost of dental implants? You may enroll or make changes to Electronic Funds Transfer (EFT) and ERA/835 for your UnitedHealthcare West claims using the UnitedHealthcare West EFT Enrollment tool in the UnitedHealthcare Provider Portal. Search to locate claims within a specific date range or for a specific payer. This ID is used to submit claims electronically through our system. Paper Claims: PO Box #323, Glen Burnie, MD 21060. 399 Revolution Drive, Suite 810 Somerville, MA 02145 . Visit UHCCommunityPlan.com/HIfor current member plan information including sample member ID cards, provider directories, member handbooks, dental plans, vision plans and more. We are happy to do all of this frustrating, time-wasting work for you with our mental health billing service. It is always encouraged to send the claim to the correct department. These SNP plans provide benefits beyond Original Medicare, and may include transportation to medical appointments and vision exams. With the revolution of technology in healthcare IT industry, everything is getting fast and easy. Steps to getting contracted plus plan information, Phone numbers and links for connecting with us, List of contracted, high-quality independent lab providers, Update, verify and attest to your practice's demographic data, Provider search for doctors, clinics and facilities, plus dental and behavioral health, Policies for most plan types, plus protocols, guidelines and credentialing information, Specifically for Commercial and Medicare Advantage (MA) products, Pharmacy resources, tools, and references, Updates and getting started with our range of tools and programs, Reports and programs for operational efficiency and member support, Resources and support to prepare for and deliver care by telehealth, Tools, references and guides for supporting your practice, Log in for our suite of tools to assist you in caring for your patients. Box 30783, Salt Lake City, UT 84130-0783. We're here to help. Insurance Reimbursement Rates for Psychotherapy, Insurance Reimbursement Rates for Psychiatrists, Beginners Guide To Mental Health Billing, https://www.uhcprovider.com/content/dam/provider/docs/public/resources/edi/Payer-List-UHC-Affiliates-Strategic-Alliances.pdf, Inquire about our mental health insurance billing service, offload your mental health insurance billing, UnitedHealthcare / All Savers Alternate Funding, UnitedHealthcare of the Mid-Atlantic, MD IPA, Optimum Choice and MAMSI Life and Health (formerly MAMSI), UnitedHealthcare Plan of the River Valley (formerly John Deere Healthcare), UnitedHealthcare Shared Services (formerly UHIS), UnitedHealthcare West / UnitedHealthcare of CA, OK, OR, TX, WA and PacifiCare of AZ, CO, NV, UnitedHealthcare West / Encounters (formerly PacifiCare), UnitedHealthcare Life Insurance Company (formerly American Medical Security), UnitedHealthcare Life Insurance Company Golden Rule, OptumHealth Behavioral Solutions (formerly United Behavioral Health and PacifiCare Behavioral Health), OptumHealth Complex Medical Conditions (CMC) (formerly OptumHealth Care Solutions and United Resource Networks), OptumHealth Physical Health includes Oxford, UnitedHealthcare Community Plan / AZ, Long Term Care, Childrens Rehabilitative Services (CRS), UnitedHealthcare Community Plan / CA, DC, DE, FL, GA, HI, IA, LA, MA, MD, MS, NC, NE, NM, NY, OH, OK, PA, RI, TX, VA, WA, WI (some are formerly AmeriChoice or Unison plans), UnitedHealthcare Community Plan / KS KanCare, UnitedHealthcare Community Plan / MI (formerly Great Lakes Health Plan), UnitedHealthcare Community Plan / NJ (formerly AmeriChoice NJ Medicaid, NJ Family Care, NJ Personal Care Plus), UnitedHealthcare Community Plan / TN (formerly AmeriChoice TN: TennCare, Secure Plus Complete), UnitedHealthcare Community Plan / UnitedHealthcare Dual Complete (formerly Evercare), UnitedHealthcare Community Plan / UnitedHealthcare Long Term Care (formerly Evercare), Rocky Mountain Health Plans (RMHP) / CO Professional claims, Rocky Mountain Health Plans (RMHP) / CO Institutional claims, AARP Hospital Indemnity Plans insured by UnitedHealthcare Insurance Company, AARP Medicare Supplement Plans insured by UnitedHealthcare Insurance Company, AARP MedicareComplete insured through UnitedHealthcare / WellMed, AARP MedicareComplete insured through UnitedHealthcare (formerly AARP MedicareComplete from SecureHorizons), AARP MedicareComplete insured through UnitedHealthcare / Oxford Medicare Network, AARP MedicareComplete insured through UnitedHealthcare / Oxford Mosaic Network, OptumCare / AZ, UT (formerly Optum Medical Network & Lifeprint Network), UnitedHealthcare Community Plan / UnitedHealthcare Dual Complete Oxford Medicare Network, UnitedHealthcare Medicare / Care Improvement Plus (CIP), XLHealth, UnitedHealthcare Medicare / UnitedHealthcare Chronic Complete (formerly Evercare), UnitedHealthcare Medicare / UnitedHealthcare Group Medicare Advantage, UnitedHealthcare Medicare / UnitedHealthcare MedicareComplete (formerly SecureHorizons), UnitedHealthcare Medicare / UnitedHealthcare MedicareDirect (formerly SecureHorizons) 87, UnitedHealthcare Medicare / UnitedHealthcare Nursing Home Plan (formerly Evercare), We charge a percentage of the allowed amount per paid claim (only paid claims). P.O. In some cases, you might not bill the correct payer. PGMs medical billing and practice management solutions include: A full suite of practice management andmedical billing solutionseach tailored to the specific needs of your practice, CCHIT-certifiedelectronic medical recordsoftware and services, Streamlined, customizedcredentialing servicesfor providers of all sizes, Practice management softwarethat provides advanced financial and practice analysis tools, specifically designed to give enhanced visibility of operations at the click of a button, Laboratory billing softwarethat offers best-in-class systems to streamline, and manage and track, financial and administrative processes, Insight, analysis, practical guidance and best practices to help keep providers and their organizations informed and successful in this challenging, ever-changing healthcare environment. We adjudicate interim bills at the per diem rate for each authorized bed day billed on the claim and reconcile the complete charges to the interim payments based on the final bill. Claims are submitted in accordance with the required time frame, if any, as set forth in the Agreement. Only for claims where the submit claims to address on the medical ID card is a CoreSource address in the state of Ohio. The amount that you enter in this section is the amount the insurance will pay while the amount that . Payer List; Contact Us; Forgot Username; Forgot Password; Schedule a Demo (855) 757-6060 Enrollment in UnitedHealthcare West EFT currently applies to payments from SignatureValue and MA plans only. Please note: YOU ARE NOT ON THE UHC WEBSITE. When checking eligibility for Mass General Brigham Health Plan members, remember to search bynameanddate of birth. In addition, when submitting hospital claims that have reached the contracted reinsurance provisions and are being billed in accordance with the terms of the Agreement and/or this supplement, you shall: Indicate if a claim meets reinsurance criteria. Box 30757 Providers contracted with Mass General Brigham Health Plan and non-contracted providers in Massachusetts, New Hampshire, and Rhode Island:Mass General Brigham Health PlanProvider Service: 855-444-4647Payer ID: 04293Paper Claims: PO Box #323, Glen Burnie, MD 21060Urgent and emergency care outside of Massachusetts, New Hampshire, and Rhode Island:UnitedHealthcare Shared ServicesVisithttps://uhss.umr.comor866-683-6441Payer ID: 39026, Group ID: 78800215Paper Claims: P.O. We are your billing staff here to help. We understand that it's important to actually be able to speak to someone about your billing. $L B| HTLd`bd R8L u Refer to our online Companion Guides for the data elements required for these transactions found on uhcprovider.com/edi. Happy to help! For a complete list of Payer IDs, refer to the Payer List for Claims. Box 1600 United Health Card Provider Phone Number: (877) 842-3210. 11 0 obj CLAIM.MD | Payer Information | WellMed Payer Information WellMed Payer ID: WELM2 This insurance is also known as: WMMI Wellcare WellMed Medical Management, Inc. WELLMED NETWORKS, INC. UHC Medicare Advantage Other ID's: TH023 Need to submit transactions to this insurance carrier? You want to know you can call your billing admin, a real person you've already spoken with, and get immediate answers about your claims. United HealthCare Community Plan- effective Nov 24, 2016. This change is being done in order to become compliant with the State requirements. Payer ID 87726 Claims Mailing Address: UnitedHealthcare Community Plan P.O. My cost is a percentage of what is insurance-approved and its my favorite bill to pay each month! Once contracting is completed, youll receive the countersigned agreement with your effective date. If you do not submit clean claims within these time frames, we reserve the right to deny payment for the claim(s). Refer to the Prompt Claims Processing section of Chapter 10: Our claims process, for more information about electronic claims submission and other EDI transactions. 84130-0755. If UHG policies conflict with provisions of a state contract or with state or federal law, the contractual / statutory / regulatory provisions shall prevail. Were here to help! <>/Filter/FlateDecode/ID[]/Index[108 58]/Info 107 0 R/Length 116/Prev 367629/Root 109 0 R/Size 166/Type/XRef/W[1 2 1]>>stream This payer id is valid for all claims addresses on UMR member ID cards with a listed payer id of 31107 . San Antonio, TX 78229, Need billing address for auto payment W/D from checking account. Phone: (877) 801-3507. Box 30755 Salt Lake City UT 841300755. <>>> Paper Claims: P.O. Online: UnitedHealthcare Provider Portal at uhcprovider.com > Sign In. www.allwaysprovider.org 2019-01 01 . UnitedHealthcare is her to help your practice successfully transition to the integrated care clinical model. After the 30 months elapse, Medicare is the primary payer. We will accept NPIs submitted through any of the following methods: Claims are processed according to the authorized level of care documented in the authorization record, reviewing all claims to determine if the billed level of care matches the authorized level of care. For assistance call 800-689-0106. . View our policy. MedStar Family Choice. The following date stamps may be used to determine date of receipt: Note: Date stamps from other health benefit plans or insurance companies are not valid received dates for timely filing determination. Your member ID card was sent to you in a separate mailing. payer id 87726 claims mailing address. HIPAA standardized both medical and non-medical codes across the health care industry and under this federal regulation, local medical service codes must now be replaced with the appropriate Healthcare Common Procedure Coding System (HCPCS) and CPT-4 codes. All Rights Reserved. Mass General Brigham Health Plan network providers in all states and non-contracted providers in Massachusetts should submit claims directly to Mass General Brigham Health Plan. PO Box 400066 The stipulated reinsurance conversion reimbursement rate is applied to all subsequent covered services and submitted claims. Claims submission requirements for reinsurance claims for hospital providers. To find out more, contact your network account manager, physician advocate or hospital advocate or visit uhcprovider.com/claims. I]|v|m)RSL2M_~n H4y^"@t 9. Medicare Balance provides secondary coverage to Medicare all members are required to have both Medicare Parts A and B. Medicare Balance does not have a provider network, so members may choose to see any doctor, anywhere in the nation, who accepts Medicare. Payer ID: 41161; Electronic Services Available (EDI) Professional/1500 Claims: YES: Institutional/UB Claims: YES: Electronic Remittance (ERA) YES: Secondary Claims: YES: This insurance is also known as: American Chiropractic Network ACN . Box 30783, Salt Lake City, UT 84130-0783. endobj We and our partners use data for Personalised ads and content, ad and content measurement, audience insights and product development. 71412 E UNITED OF OMAHA ALL CLAIM OFFICE ADDRESSES 87726 E . Salt Lake City UT 84130-0755. The previous payments will be adjusted against the final payable amount. You want to get paid quickly, in full, and not have to do more than spend 10 or 15 minutes to input your weekly calendar. The payer ID is typically a 5 character code, but it could be longer. Paper Submission to United Healthcare In case of claims paper submission to United Healthcare, you will need UHC claims mailing address. endobj Below are a few but the full list can be found here. Intake / Evaluation (90791) Billing Guide, Evaluation with Medical Assessment (90792). Review our Quick Start Guide for the most recent checklist. Tip: Say representative, I dont have it, and press 0 to get a real human as fast as possible. Call to verify network status and you'll be ready to accept all three in no time! Let us handle handle your insurance billing so you can focus on your practice. What is Payer ID LIFE1? Save my name, email, and website in this browser for the next time I comment. Phone: 1- 877-7-NYSHIP (1-877-769-7447), Skilled nursing facilities Please follow these steps to submit your credentialing application based onyour practicing specialty. For assistance call 800-689-0106. . November Bulletin Medicare Part B & Tetanus Vaccines. Salt Lake City, UT 84130-0757 An itemized bill is required to compute specific reinsurance calculations and to properly review reinsurance claims for covered services. Let us show you with a personalized demonstration how APEX EDI can benefit your practice. 2. You can check claims and eligibility 24/7 on our secure provider portal. An EPSDT Visit coding is required for Early and Periodic Screen, Diagnostic and Treatment (EPSDT) Visits. 2023 Mass General Brigham Health Plan, Inc. All Rights Reserved.Mass General Brigham Health Plan includes Mass General Brigham Health Plan, Inc.and Mass General Brigham Health Insurance Company, Mass General Brigham employee plan members have access to th. SALES (877) 783-1818 PATIENTS (888) 336-8283. %%EOF PPO Plus Plans include access to the UnitedHealthcare Options PPO network. Medica Claim Submission and Product Guidelines Select the appropriate Payer ID below to view Medica claim submission and product guidelines for each plan. This exhaustive list will help you narrow down where to file your United Health Care claims based specifically on the name of the policy. The first, complete practice management system thats priced to fit your size. If you have any questions about payer ID numbers, please contact Harvard Pilgrim Health Care's Electronic Data Interchange (EDI) team at edi_team@point32health.org or 800- 708-4414 (select option #1 and then The Centers for Medicare & Medicaid Services (CMS) established the Medicaid Managed Care Rule to: Enhance policies related to program integrity With the Medicaid Managed Care Rule, CMS updated the type of information managed care organizations are required to include in their care provider directories. 30755. When you report a situation that could be considered fraud, youre doing your part to help save money for the health care system and prevent personal loss for others. In addition, you shall not bill a UnitedHealthcare West member for missed office visit appointments. PROVIDER BROWN Payer ID: LIFE1. If you have questions, please call us at 888-980-8728 from 7:45 a.m. to 4:30 p.m. Hawaii Time, Monday through Friday. Payer ID: 87726 Paper claims: Mail claims to the address on the back of the member's ID card. Always call each insurance company and ask directly. TTY (Heaing Impaired): 1-866-288-3133. December 2022 Bulletin Its Deductible Season! If you want to never have to make these sorts of calls, consider our billing service for help. When checking eligibility for Mass General Brigham Health Plan members, remember to search bynameanddate of birth. Also, Medicare Balance pays the entire balance on member deductibles and coinsurance costs for services charged at the Medicare-allowed amount. Primary payer claim payment/denial date as shown on the Explanation of Payment (EOP), Confirmation received date stamp that prints at the top/bottom of the page with the name of the sender. [/PDF /Text /ImageB /ImageC /ImageI] Claims Mailing Address: UnitedHealthcare Community Plan P.O. Submit your claims and encounters and primary and secondary claims as EDI transaction 837. 84130-0602. Denny has interviewed hundreds of mental health practitioners to better understand their struggles and solutions, all with the goal of making the professional side of behavioral health a little easier, faster, and less expensive. Source: https://www.uhcprovider.com/content/dam/provider/docs/public/resources/edi/Payer-List-UHC-Affiliates-Strategic-Alliances.pdf. P O Box 30755. A valid NPI is required on all covered claims (paper and electronic) in addition to the TIN. TheraThink provides an affordable and incredibly easy solution. If you have any questions, please contact the community integration team at hicollaborativecare@uhc.com. Our data is encrypted and backed up to HIPAA compliant standards. Optum EAP. A Payer ID is the assigned code that identifies and directs the electronic (EDI) submission of a claim to the correct payer and claim payment system. Claims will be denied if this information is not . Free Account Setup - we input your data at signup. Ifyou suspect another provider or member has committed fraud, waste or abuse, you have a responsibility and a right to report it. To avoid this follow the table below where you can find the Correct United Healthcare Claims Address and Payor id List of 2022. ADDRESS AllWays Health Partners . The following outlines Empire Plan specific contact information that may differ from the standard contacts and tools outlined earlier in this Guide. 1102 0 obj Deconstructing MIPS Quality Performance Score [Infographics], ICD-10 - What Experts Say about ICD 10 Transition, Send weekly credentialing & contracting status reports. Information: uhcprovider.com/claims(policies, instructions and tips), Mail: UnitedHealthcare Call to verify network status and youll be ready to accept all three in no time! For a complete list of Payer IDs, refer to the Payer List for Claims. Medical and Dental Insurance Payer List and Payer ID. Mass General Brigham Health Plan Provider Service: 855-444-4647, Paper Claims: PO Box #323 Glen Burnie, MD 21060, Paper Claims: P.O. The best way for primary care providers (PCPs) to view and export thefull member roster is using the CommunityCare tool, which allows you to: For help using CommunityCare, please see ourQuick Reference Guide. Thank you. ForMembers: 1-866-675-1607 TTY 711 NurseLine: 1-877-440-9409 TTY 711 . Integrity of Claims, Reports, and Representations to the Government DOB: Anywhere, LA 12345. 1064 0 obj . Pharmacy Claims:OptumRx, PO Box 650334, Dallas, TX 75265-0334 866-293-1796 800-985-3856 855-789-1977 TTY 711 844-569-4147 Mail to Address Member Name Member ID Job ID Processed Date Expected Mail Date Actual Mail Date NEW M ENGLISH NEW M ENGLISH 000100001 . Fax: 888-905-9492. For over 35 years, PGM has been providing medical billing and practice management services and software to physicians, healthcare facilities, and laboratories. Box 31362, Salt Lake City, UT 84131-0362 For Pharmacists 1-999-999-9999 Pharmacy Claims OptumRx P.O. Payer Id. 0Ws?Na}q f6k~(fq8#&5X?CkN%tVuD@ %v It's our goal to ensure you simply don't have to spend unncessary time on your billing. Does united healthcare community plan cover chiropractic treatments? Claim(s) that are denied for untimely filing may not be billed to a member. For claims, the Payer ID is 87726. How to contact UMR - 2022 UnitedHealthcare Administrative Guide. Prompt: 3. Appendix A . We use industry claims adjudication and/or clinical practices; state and federal guidelines; and/or our policies, procedures and data to determine appropriate criteria for payment of claims. Claim Type Payer ID Purpose; 13162: 1199 National Benefit Fund: Entire USA: COMMERCIAL: Institutional: Electronic Funds Transfer (EFT) 13162: 1199 . Payer List; Contact Us; Forgot Username; Forgot Password; Schedule a Demo (855) 757-6060 The calendar day we receive a claim is the receipt date, whether in the mail or electronically. You can call, text, or email us about any claim, anytime, and hear back that day. 0501 . Manage Settings If covered services fall under the reinsurance provisions set forth in your Agreement with us, follow the terms of the Agreement to make sure: If a submitted hospital claim does not identify the claim as having met the contracted reinsurance criteria, we process the claim at the appropriate rate in the Agreement. 0 Box 650287, Dallas, TX 75265-0287 Behavioral Health: 10/29/2021 www.UHCRetiree.com 1-999-999-9999 TTY 711 1-999-999-9999 TTY 711 1-999-999-9999 TTY 711 Mail to Address Member Name Member ID Job ID Processed Date . According to these eligibility rules that you set up, any claim with a DOS on or before 12/31/2020 will use the old Medica . Box 2388, Stow, OH 44224 . As private practitioners, our clinical work alone is full-time. Once you are credentialed and have received your countersigned agreement, your next step is to know how to get connected with us electronically so you can take advantage of our online tools,paperless options, electronic payments and more. My daily insurance billing time now is less than five minutes for a full day of appointments. Steps to getting contracted plus plan information, Phone numbers and links for connecting with us, List of contracted, high-quality independent lab providers, Update, verify and attest to your practice's demographic data, Provider search for doctors, clinics and facilities, plus dental and behavioral health, Policies for most plan types, plus protocols, guidelines and credentialing information, Specifically for Commercial and Medicare Advantage (MA) products, Pharmacy resources, tools, and references, Updates and getting started with our range of tools and programs, Reports and programs for operational efficiency and member support, Resources and support to prepare for and deliver care by telehealth, Tools, references and guides for supporting your practice, Log in for our suite of tools to assist you in caring for your patients. NEW M ENGLISH Payer ID: 87726 PCP Name: DOUGLAS GETWELL PCP Phone: (717)851-6816 . There is a lot of address for each department. 3. AllWays Health PartnersProvider Manual . Each clearinghouse has its own Payer ID list and every payer transaction is assigned an ID. Need access to the UnitedHealthcare Provider Portal? You are required to submit to clean claims for reimbursement no later than 1) 90 days from the date of service, or 2) the time specified in your Agreement, or 3) the time frame specified in the state guidelines, whichever is greatest. Call us at1-844-359-7736or visituhc.com/fraud to report any issues or concerns. 02/08/2012. Payer ID#: 87726 (EDI Claims Submission), Fax: 1-877-840-5581 Contact at Alameda is Anet Quiambao at 510-747-6153 or aquiambao@alamedaalliance.com) AllCare (Must contact AllCare, 800-564-6901 for setup and payerID.) D2%H dS`,Rf+" 6 6dql; , $ge`bd`QDg+@ Q^ Claims for Medicare-primary patients should be submitted to: We can provide you with an Explanation of Payment (EOP). Insurance Payer ID is unique series of letters and/or numbers that indicate the digital destination of an electronic claim. When Medicare is the primary payer, and will not cover your services, call the Plan at 703-729-4677 or 888-636-NALC (6252) to obtain benefits. Our financial and procedural accuracy is consistently 99% and above. United Healthcare Claims Address with Payer ID List. If your claim is the financial responsibility of a UnitedHealthcare West delegated entity (e.g., PMG, MSO, Hospital), then bill that entity directly for reimbursement. 11. example- UHC commercial, UHC Medicare advantage, UHC community, AARP care Etc. For UHSS: Mail: P.O. 13162. <. If any member who is enrolled in a benefit plan or program of any UnitedHealthcare West affiliate, receives services or treatment from you and/or your sub-contracted health care providers (if applicable), you and/or your subcontracted health care providers (if applicable), agree to bill the UnitedHealthcare West affiliate at billed charges and to accept the compensation provided pursuant to your Agreement, less any applicable copayments and/or deductibles, as payment in full for such services or treatment. Start saving time and money today. If it is an electronic submission we need to send the claim to 87726( Payer id). Credentialing is required for all licensed independent practitioners and facilities to participate in the UnitedHealthcare network. In some cases, the Payer ID listed onuhcprovider.com/edimay be different from the numbers issued by your clearinghouse. For information on EDI claim submission methods and connections, go to EDI 837: Electronic Claims. Phone: 1-808-535-1000, UnitedHealthcare Community Plan QUEST Integration EDI is the preferred method of claim submission for participating physicians and health care providers. Medicaid (applies only to MA): Follow the instructions in the Member Financial Responsibility section of Chapter 11: Compensation. 108 0 obj Note: We only work with licensed mental health providers. Thanks. Only those inpatient services specifically identified under the terms of the reinsurance provision(s) are used to calculate the stipulated threshold rate. Learn what we do to ensure your collection rate is always high, Check how you can uncover your revenue cycle leaks and gain insights instantly, Sign up now and take control of your revenue cycle today, 400, Wittman Drive <>/Filter/FlateDecode/ID[<54EC0B54AFECB64D9FD4A4472F8326AF><159A2418B1B5B2110A00F08FEE35FC7F>]/Index[1064 39]/Info 1063 0 R/Length 118/Prev 670937/Root 1065 0 R/Size 1103/Type/XRef/W[1 3 1]>>stream If youre not familiar with our portal, go to UHCprovider.com/portal.