United Healthcare Claims Address: Payer ID: United Healthcare: PO BOX 30555 SALT LAKE CITY, UT 84130-0555P.O. Coordination of benefits (COB): When we are the secondary payer; the provider must submit the claim and a copy of the explanation of medical benefits/explanation of benefits (EOMB/EOB) from the primary carrier to Health Net for payment consideration. Brunei Darussalam Bangladesh Member Engagement Solutions Costa Rica 0000097136 00000 n 0000061377 00000 n 57080. Director 0000140914 00000 n Panama Seychelles 0000022830 00000 n Eritrea P.O. Clinical Interoperability Solutions 0000040339 00000 n Dental Claims PO Box 609 Colorado Springs, CO 80949-9549. z8aD>:wr?##:cR29**6$+GZPfz_igKmfB[IIC}(2k%6 RpT-sW1j\7y):X aENYvPo1g+'{1 v;w\9htw-]|6$^AW0pc}ru4O,4*;LcKa1op_e8B+B7~N.iMyB` Monaco 0000005346 00000 n Chief Operating Officer Canada Correct coding is key to submitting valid claims. Wallis/Futuna Isls. Connecticut 0000146026 00000 n Claims with incomplete coding or having expired codes will be contested. Birmingham, AL 35283-0724. %PDF-1.6 % Somalia COMMERCIAL. Diagnosis codes, revenue codes, CPT, HCPCS, modifiers, or HIPPS codes that are current and active for the date of service. 0000103184 00000 n Guam Alabama Five Ways to Ease Back to School Stress for Kids, Avoid Mindless Eating with these Five Tips, Five Easy Ways to Establish Proper Handwashing Behaviors, WildFire Resource Guide & Hurricane Resource Guide, Tips on How to Communicate with Children During COVID-19 Pandemic, Five Ways Relationships Are Good for Your Health, Diabetes Awareness Month: Tips for Preventing and Recognizing Signs of Diabetes, Eating for Your Sight: Five Foods for Healthy Eyes. All dental claims should be mailed to GEHA at the appropriate address below: Aetna Signature Administrators (Alaska, Arizona, California, Connecticut, Georgia, Kentucky, Maine, Massachusetts, Michigan, Nevada, New Hampshire, New Jersey, New York, Oregon, Pennsylvania, Rhode Island, Vermont, Washington) Share of cost is submitted in Value Code field with qualifier 23, if applicable. Lexington, KY 40512-4621. Information Systems/Technology Missouri For information on submitting claims, visit our updated Where to submit claims webpage. BENEFIT PLANNERS, INC. 39026 N N/A PO BOX 690450 SAN ANTONIO TX 78269 Phone: (800) 793-9335, UnitedHealthcare Choice Plus (Florida and Texas) Radiology 0000003247 00000 n Delaware CWIBENEFITS INC. COMMERCIAL. 0000134218 00000 n Liechtenstein Healthcare Information Exchange EDI Submitter: 44054 Manager Faroe Islands France Original submission is indicated with a 1 in claim frequency box or resubmission code (box 22). Oregon 0 Anesthesia 0000018151 00000 n 392 0 obj <>/Filter/FlateDecode/ID[<2B6FDBD48D83564DAD4FC2DD51BA67C7>]/Index[376 30]/Info 375 0 R/Length 96/Prev 321559/Root 377 0 R/Size 406/Type/XRef/W[1 3 1]>>stream %%EOF 0000127276 00000 n You will need Adobe Reader to open PDFs on this site. Military Pacific 0 0000096807 00000 n CALOP. Jordan Job Function 0000073826 00000 n Cook Islands Imaging Center Kyrgyzstan 0000008424 00000 n To enroll, contact UMR 835 File Enrollment at Optum, 866 -367 . Only for claims where the submit claims to address on the medical ID card is a CoreSource . 0000152773 00000 n Please note that ours also contains former brand and plan names, as well as comments that may help you choose the correct Payer ID. Chief Medical Officer 322 0 obj <>/Filter/FlateDecode/ID[<304D90465B8F264FB3821BFEF410E30F><42BF6E1904DCEB468D2C308771CC1222>]/Index[299 38]/Info 298 0 R/Length 114/Prev 222343/Root 300 0 R/Size 337/Type/XRef/W[1 3 1]>>stream %%EOF 0000007145 00000 n Other, Country * Nauru Box 30783, Niue Nepal 0000103693 00000 n Your Role in Behavioral Health and Wellness, Helping Your Child Cope with Mental Illness, Friendships: Enrich your life and improve your health, Why You're So Anxious About Going Back to the Office, How to Engage at Virtual and Hybrid Events, How Mental Health Impacts You in the WorkPlace, Have a Happy and Stress-free Thanksgiving, November is National Family Caregivers Month, Protecting Yourself and Others: Five Medication Safety Tips, Someone I Know has a Substance Use Disorder, Keys to Happiness: Five Things Continually Happy People Do, The Benefits of Helping Others: Improve Your Health Through Good Deeds, Putting Your Emotions in Check: Five Ways to Get Something Positive Out of Dealing with Your Emotions, Getting Along: Tips for Succeeding in a Diverse Workplace, Five Tips to Promote Employee Health and Drive Productivity, Guidelines for Providers: Responding to a Layoff, Providers Guide to Job Performance Referrals, Working with Law Enforcement Clients and Families, Additional Information about Physician Settlement, Transparency in Coverage Machine Readable Files. Chief Financial Officer 0000118735 00000 n Engagement & Experience Patient Access & Financial Clearance Solutions South Carolina *MHN disclaims any warranty for MD On-Lines services and any liability for errors in or omissions from services, information, or materials on the MD On-Line website. Macau Swaziland Central African Republic Maldives Trinidad and Tobago 0000002850 00000 n hb```b``c`e``)`b@ !?0 -# endstream endobj startxref What type of plan is it? Freedom Life Insurance Company of America Payer ID: 62324; Electronic Services Available (EDI) Professional/1500 Claims: YES: Institutional/UB Claims: YES: Secondary Claims: YES: Need to submit transactions to this insurance carrier? Medical Network Solutions 0000004123 00000 n Yemen Morocco Beacon, PO Box 1854, Hicksville, NY 11802-1854, Dental Claims UnitedHealthcare Shared Services Dental Plans. Tokelau 200+, Practice Specialty Idaho 0000023307 00000 n New Brunswick All dental claims should be submitted to EDI: 44054 If you do not have electronic claim submission capabilities, you can mail claims on standard HCFA, UB and dental claim forms. Saint Lucia Note: If you use a clearinghouse, billing service or vendor, please work with them directly to determine payer ID. Marianas 0000147306 00000 n 68047. Availity is working with the payer to resolve this issue as quickly as possible. South Africa Sweden All other providers use their state-assigned license number without modifications. Doctor These standards support consistency in electronic exchange of data among providers, health care plans, clearinghouses, vendors and other health care business associates. All medical claims should be submitted electronically using the network EDI numbers as listed below for each network. 0000103511 00000 n Other health insurance information and other payer payment, if applicable. Including the correct 5-digit payer ID helps avoid having your claim rejected due to listing an incorrect payer. PO Box 30783 0000157961 00000 n Medical Record Retrieval & Clinical Review Marshall Islands Value-Based Care Solutions, Solution Type PO Box 400066 Other, Solution of Interest Hospital Employed Practice CD Plus. National Uniform Billing Committees UB-04 Data Specifications Manual, is available at www.nubc.org. 2. CD Discount. 0000144715 00000 n Dentistry Blue Shield of Iowa. Engineering/Technical Staff 0000143482 00000 n Belgium Claims & Denials (Claims for payer address of Rockford, IL ONLY.) 0000005075 00000 n Physician Practice Management Rendering/attending provider NPI (only if it differs from the billing provider) and authorized signature. 0000146416 00000 n 0000004338 00000 n startxref Call to verify network status and you'll be ready to accept all three in no time! Michigan Malawi 0000127855 00000 n French Polynesia CD Plus. Submit CMS-1500 and UB04 Claims Electronically. 0000003888 00000 n 0000012577 00000 n CWIBENEFITS INC. COMMERCIAL. Hong Kong 800.821.6136. Procurement/Purchasing/Supply Kiribati Claims submitted late may be . Netherlands Antilles Iceland 43 164 hb``a`` Authorization, if applicable, should be sent in the 2300 Loop, REF segment with a G1 qualifier for electronic claims (box 63 for UB-04). 0000127723 00000 n Colombia Heard/McDonald Isls. Utah 0000158654 00000 n 0 Claims Payer List for UnitedHealthcare, Affiliates and Strategic Alliances Subject: Includes line of business, plan name and payer ID . ^l,W~!u8XO7VZa}XhDt$Xq)5 %",g|0 *@&DX LZ2U[bfWPA GEHA-ASA A Submit paper claims to the address on the back of the member ID card. OptumRX submitting an EDI file using Payer ID UHNDC, you must successfully complete specific EDI testing. Burkina Faso Finance/Accounting If you have claims for GEHA FEHB members and Medicare is the primary plan, GEHA participates in CMS Coordination of Benefits Agreement (COBA) Program and will receive claims and the Medicare primary benefit information electronically from the Coordination of Benefits Contractor (COBC). Guyana American Samoa Admission type code for inpatient claims. CF0101 08-08 0000103806 00000 n 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. endstream endobj 377 0 obj <>/Metadata 47 0 R/Outlines 91 0 R/Pages 374 0 R/StructTreeRoot 100 0 R/Type/Catalog>> endobj 378 0 obj <>/Font<>/ProcSet[/PDF/Text/ImageC]/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 379 0 obj <>stream Patient or subscriber medical release signature/authorization. Anguilla Kenya Slovenia Payer Name Payer ID Type Services; UMR - Wausau: 39026: commercial: UB04 1500 ERA Eligibility: More Info Partner/Reseller De + UHC Provider ServicesPhone: (877) 343-1887, UnitedHealthcare Select Plus By continuing to use our site, you agree to ourPrivacy PolicyandTerms of Use. Bhutan New Zealand Bolivia P.O. Training/Education Georgia N. Mariana Isls. Member Engagement New Hampshire xref Payer Name and ID Your payer name is AMERIGROUP, and the payer ID is 26375. 0000175066 00000 n 0000165174 00000 n UnitedHealthcare Shared Services -- Please Select -- Papua New Guinea 0000148346 00000 n Hospital/Health System 0000144676 00000 n Dental is listed separately, if applicable. If you have any questions about payer ID numbers, please contact Harvard Pilgrim Health Care's Electronic Data Interchange (EDI) team at . Vermont Payer ID: 39026 Sending claims electronically eliminates the need for paper forms and allows for faster and more accurate submission of data. 0000152456 00000 n Healthcare Data & Analytics Solutions Congo, The Dem. 0000147653 00000 n 0000115021 00000 n Payer ID: 74227 ; Paper Submission to United Healthcare In case of claims paper submission to United Healthcare, you will need UHC claims mailing address. }4}`k2o%%iK?_VSj^*}zQ"&H(mn2&f(*; H~>A" E*$4yf)&wR6;W|- *xh-g.c-;jZ]Ay]ok38USrl/'1+H.IDidO2Cl3r=:Dz44UZIRWWcz~K@ N*=ad]o)C!:g"ZI`\SpN:Y7 9jNu-;B;j5#\Q-W8^4*{w%aT9B;+*cphCLpwvwYW20#:!^i0JLQPh$El9b-&N1+`Xc2 Qnx2P,r0~CYt% WLnYs#YN$_>CCepy"}[ gW6:%] }/>G1{; :n7:dbg,=kdCGJd,>k"f11'Jva-45]/\rw.0;6#~}PaYap?;*=_h&53vCe(fn60\6-h#z-U:E-u=R$LQFm! UMR payer ID 39026, if your clearinghouse is not Optum . 0000048658 00000 n 0000081169 00000 n ICD-10-CM codes are used for procedure coding on inpatient hospital Part A claims. Transparency & Provider Search Get help with Change Healthcare products, find resources such as enrollment forms and payer lists, and quicklly resolve common issues. 0000115087 00000 n All medical claims should be submitted electronically using the network EDI numbers as listed below for each network. Claim Type Address Commercial (HMO, POS, PPO) - in CT, MA, ME, NH, RI and VT Medicare Enhance (including ancillary and DME claims) Medicare Supplement . hb``Xo:1Gl$ 4"c0ax`L^ H^;wxlO8.dVa,Pe8h6?RJ% kS; qTgaU`p*`b`a::*CX^C(($!!,719w !IC!1KO#k*X~b^1lH-fxfg=39X9bB;Y\"Y2lXZfLpFQYeR2#`*\(6 _4 Rwanda 0000143443 00000 n 0000112372 00000 n Dental Plans. 0000074114 00000 n endstream endobj startxref endstream endobj 205 0 obj <>/Filter/FlateDecode/Index[5 38]/Length 20/Size 43/Type/XRef/W[1 1 1]>>stream 0000062022 00000 n Full Payer List. GEHA FEHB Medical Israel Mauritius Other United Health Care Billing Considerations Some United Health Care now requires providers to obtain authorization for 60 minute therapy sessions. Box 21542, Eagan, MN 55121 Grenada Bouvet Island French Guiana California 0000019237 00000 n SAGE TECHNOLOGIES Saint Anthony PHO STA01 ST ANTHONY PHO Saint Marys Health Plan 0000119628 00000 n New Medicare Card-What to do and how will new MBI number look? Healthcare Consulting Services Colorado Analyst/Administrator UHC Provider Services Phone: (844) 586-7309 Please select Uzbekistan Corrected Claims/ Resubmissions BOX 740800 ATLANTA, GA 30374-0800: 87726: . The EDI 837 Health Care Claim transaction is the electronic transaction for claims submissions. Jamaica 0000081280 00000 n 0000004177 00000 n EDI Submitter #06603 Radiology 87726. Note: Payers sometimes use different payer IDs depending on the clearinghouse they're working with. 39026: United Healthcare Oxford: Claims PO BOX 29130 HOT SPRINGS, AR 71903. For . Member Eligibility & Enrollment Solutions g%g-pf%Zv%? Pitcairn Independent Practice Not Affiliated with Hospital View your current quotes and finalize your order by logging into your Marketplace account. Maine 0000162376 00000 n China Burundi FLORIDA UBC HEALTH FUND fm1$"dxTC@ps\ U}? 0000097202 00000 n 0000061698 00000 n South Dakota Washington 0000168686 00000 n P.O. Salt Lake City, UT 84130-0783 If your practice management system uses Emdeon as its clearinghouse, you can submit claims using MHN's payer ID: To find out if your practice management software uses Emdeon's clearinghouse, check with your vendor. 0000145909 00000 n Submission through UHC provider portal 0000152221 00000 n Universal product number (UPN) codes as required. endstream endobj 66 0 obj <. 0000006954 00000 n GEHA-ASA We have a long history of helping clients, customers, and partners navigate the changing landscape of healthcare. Mauritania 2-2-22-UMR-WAUSAU-39026-Delayed-ERAs-Checks-Dated-1-20-22. Latvia Ethiopia Chile Russian Federation Argentina When billing for more than one attending provider, indicate each UPIN on the appropriate detail line. Australia 0000137409 00000 n Electronic claims filing allows for earlier detection of errors and drastically reduces the likelihood of claims being rejected or denied for payment and, more often than not, will result in faster processing. Wyoming California Health & Wellness. 0000004069 00000 n 0000032040 00000 n -- Please Select -- hbbd```b``z"s@$","Yl0&&1d kfj LA{\qz2XDf% N0{13E $400]~l 0 0000112306 00000 n YL}X2d*SLbnd,vb1MW,J%cS;) ?310wIApYCD% g !tWu}]{|o>oI{;jOGG{vx_~|;}r{%5Hmw~{:nz/vZm>/~?9OoOCpR[%^ND?JwSn7{/Aw7xm~zvd|w/xzw9zg/7rj*.1 1=F%Rk-u[wz)FrFn=yS=78Y;v_6mENZtZ74;'|)oSuwX}p4SF7KaKjF4T%] SBr,`.l`) hrWjv2|8(yV]zZFi6/ )k/TRA"7k+e33'':8b'RJO[FZV-+T*|T 2LfgBo]HzwCa$*bVgeMkR @0vq+ Claims Payer List for UnitedHealthcare, Affiliates and Strategic Alliances Subject: Includes line of business, plan name and payer ID . Billing provider tax identification number (TIN), address and phone number. Cameroon United Arab Emirates PO box 29133 0000097353 00000 n %PDF-1.6 % Professional Institutional. 0000010920 00000 n If your clearinghouse is not Optum, and you wish to receive an 835 electronic file, your clearinghouse has to enroll at Optum. Only for claims where the submit claims to address on the medical ID card is a CoreSource address in the state of Ohio. Box 21542 Pakistan French Southern Terr. Tanzania Enrollment Portal Guide. Electronic Submission to United Healthcare In case of electronic submission, you will need UHC payer ID i.e. Iowa 0000179233 00000 n Use the Change Healthcare product support portals to submit support requests and find answers to your questions. P.O. Nova Scotia Multiple entities publish ICD-10-CM manuals and the full ICD-10-CM is available for purchase from the AMA Bookstore on the Internet. All dental claims should be submitted to EDI: 44054. Box 30783, United States Namibia If you have contacted us previously concerning this partnership inquiry, include a list of people within Change Healthcare with whom you have already been in contact. Norway Sweden Statement from and through dates for inpatient. Revenue Performance Advisor Payer List We make it easier to find the payer information you need with our Easy Search, Real Time, Claims and ERA payer lists. 0000074003 00000 n Albania Administrator 39026 39026: Y N: Commercial UnitedHealthcare: 87726 Y: Y . Denmark 270/271: Eligibility and Benefit Inquiry and Response. 0000146494 00000 n 0000006751 00000 n New Caledonia Admitting diagnosis required for inpatient claims. Netherlands How to use this page To ensure accurate submission of your claims, answer these three questions: What plan is it? A complete claim is a claim, or portion of a claim that is submitted on a complete format adopted by the National Uniform Billing Committee and which includes attachments and supplemental information or documentation that provide reasonably relevant information or information necessary to determine payer liability. Laos If different, then submit both subscriber and patient information. El Salvador All medical claims should be mailed to the addresses listed below for each network. * Marshall Islands Saskatchewan 0000074376 00000 n EDI Payer ID: 50701 EDI Payer ID #39026 Sao Tome/Principe Original submission is indicated with a 1 in claim frequency box or resubmission code (box 22). Pathology 258. UnitedHealthcare Shared Services 0000003410 00000 n Greenland Ukraine 0000049016 00000 n 0000008125 00000 n Other, Subscribe to Change Healthcare Communications. 4q<={Wm|? 0000097431 00000 n For claims from this year, click Where to Submit Claims from 2021. 0000049255 00000 n Oman Feb 2, 2022 Knowledge. Western Sahara To support a better user experience on our website, we've combined our frequently asked questions to one section (e.g., claims, provider portal, EAP center of excellence, general, etc.). Chief Executive Officer Boost Your Intake with These Tips, Five Ways to Get Something Positive Out of Dealing with Your Emotions, Five Health Benefits of Smiling and Laughing, Five Simple Stretching Exercises to Improve Total Body Flexibility, Tips for Finding the Perfect Primary Care Provider, Breakfast with Benefits: Tips to Make Your First Meal Healthier. All Rights Reserved, Attention providers! * Fax claims to: 205.449.5505. endstream endobj 44 0 obj <>/Metadata 3 0 R/Pages 2 0 R/StructTreeRoot 5 0 R/Type/Catalog/ViewerPreferences<>>> endobj 45 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]/Properties<>/XObject<>>>/Rotate 0/StructParents 0/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj 46 0 obj <> endobj 47 0 obj <> endobj 48 0 obj [/Indexed/DeviceCMYK 30 70 0 R] endobj 49 0 obj [/Indexed/DeviceCMYK 0 71 0 R] endobj 50 0 obj [/Indexed/DeviceCMYK 15 72 0 R] endobj 51 0 obj [/Indexed/DeviceCMYK 45 73 0 R] endobj 52 0 obj [/Indexed/DeviceCMYK 1 74 0 R] endobj 53 0 obj [/Indexed/DeviceCMYK 30 75 0 R] endobj 54 0 obj [/Indexed/DeviceCMYK 45 76 0 R] endobj 55 0 obj <>stream Pharmacy Solutions Sri Lanka 0000119147 00000 n Thailand 11729 0 obj <>stream Belize 0000049714 00000 n UnitedHealthcare Shared Services 0000147922 00000 n Peru Guadeloupe 610647538. Virgin Islands (U.S.) Use Healthcare Common Procedure Coding System (HCPCS) Level I and II codes to indicate procedures on all claims, except for inpatient hospitals. 257. Saint Kitts and Nevis D.C. 117 0 obj <>stream Nicaragua Operations %%EOF 0000007887 00000 n Box 981707, El Paso, TX 79998-1707 0000130720 00000 n Kazakhstan 0000003576 00000 n -- Other Locations -- 0000048781 00000 n EDI Payer ID #39026 Patient Access Cardiology All dental claims should be mailed to GEHA at the appropriate address below: If the patient has Medicare primary coverage, mail to GEHA: EDI Claims. 0000111978 00000 n Micronesia Venezuela @=&F]`00Rx@ 6Z Dental 0000080665 00000 n Value-Based Care Enablement Turks/Caicos Isls. Mailing. Bahamas Learn more about the data we collect or request your data be removed, Choosing Who Can See My Confidential Medical Information, Copyright 2023 Managed Health Network, LLC. DOS on/after 1/1/15 need to be sent through UMR Wausau Payer ID 39026. 0000097318 00000 n American Samoa
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