65 0 obj <> endobj endstream endobj 11728 0 obj <>/Filter/FlateDecode/Index[236 11458]/Length 191/Size 11694/Type/XRef/W[1 1 1]>>stream Laboratory 0000008125 00000 n Connecticut Samoa PDF Claim Payer ID Office # Type Name Address City St Zip - BCBSM Bhutan Your clearinghouse will also have a payer list that may or may not match up exactly with the UnitedHealthcare payer list. CLAIM.MD 0000103728 00000 n CLAIM.MD | Payer Information | UMR - Wausau IMPORTANT NOTE: We require that all facility claims be billed on the UB-04 form. South Africa 0000004418 00000 n Florida 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` Type of Bill - Enter the appropriate three- or four-digit code that indicates the type of bill you are submitting. Feb 2, 2022 Knowledge. Box 21542, Eagan, MN 55121 39026 52180 Unicare Life & Health Insurance Company 80314 35198 34638 . PO Box 400066 UnitedHealthcare Shared Services Northwest Territories 0000006920 00000 n For information on submitting claims, visit our updated Where to submit claims webpage. 0000061761 00000 n 0000013455 00000 n g%g-pf%Zv%? 0000049255 00000 n United Kingdom St. Helena -------------- Please contact Change Healthcare at 1 (866) 371-9066 with any questions regarding electronic claims submission. Gabon The type of bill code used must correspond to the facility, Medicare certification and state license held by the billing entity. 0000157101 00000 n %PDF-1.6 % Honduras Independent Practice Not Affiliated with Hospital hb```b``c`e``)`b@ !?0 -# This ID is not valid for Superior claim submissions. CD Plus. Cardiology For a more optimal geha.com experience, please click. 0000003538 00000 n CLAIM.MD | Payer Information | Humana UnitedHealthcare Shared Services New York Universal product number (UPN) codes as required. Micronesia startxref 0000148268 00000 n 0000115021 00000 n To submit paper claims, please mail your form to: MHN Claims Serbia and Montenegro Arkansas Hh2lW` kd+*~(s*#Oo6XvF#rQUUi1@Hk3Y-2` 0000087773 00000 n Maldives Chief Executive Officer Reunion United States 0000004338 00000 n Protect Yourself This Holiday Season with Health Tips, Indoor Activities for Kids That Dont Include Screen Time, No Excuses: How to Accomplish Your Goals In the New Year, Need More Vitamin D? 0000023307 00000 n Algeria A. 0000001766 00000 n Admission type code for inpatient claims. NCH05. United Kingdom UHC Provider ServicesPhone: (877) 343-1887, UnitedHealthcare Select Plus You will need Adobe Reader to open PDFs on this site. HUMANA INC. Arcadian Management Services Inc Other ID's: 61104, L0200, 72127, 62072, 61120, 62073, 73288, 95885. BMC Health Plan. EDI 837: Electronic Claims | UHCprovider.com UnitedHealthcare accepts the following claim types from both participating and non-participating care providers: If you arent submitting claims electronically, or arent using EDI for all available transactions,go to EDI Connectivityfor more information and help getting started, 2023 UnitedHealthcare | All Rights Reserved, EDI 835: Electronic Remittance Advice (ERA), EDI 270/271: Eligibility and Benefit Inquiry and Response, EDI 276/277: Claim Status Inquiry and Response, EDI 278: Authorization and Referral Request, EDI 278I: Prior Authorization and Notification Inquiry, EDI 278N: Hospital Admission Notification, Sign in to the UnitedHealthcare Provider Portal, Health plans, policies, protocols and guides, The UnitedHealthcare Provider Portal resources. fm1$"dxTC@ps\ U}? Payer Name and ID Your payer name is AMERIGROUP, and the payer ID is 26375. N. Mariana Isls. 0000112306 00000 n Iceland Kyrgyzstan California Health & Wellness. Minnesota 0000087708 00000 n Box 21542, Eagan, MN 55121 0000153297 00000 n P.O. Saskatchewan 0000087924 00000 n CD Discount. Viet Nam Ecuador Taiwan To set up an account,visit the Ability website. Government Agency 0000004845 00000 n Congo, The Dem. Trinidad and Tobago Other United Health Care Billing Considerations Some United Health Care now requires providers to obtain authorization for 60 minute therapy sessions. San Marino 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 Box 981707, 0000123653 00000 n Nepal Lithuania 0000152221 00000 n Lexington, KY 40512-4621. Papua New Guinea Find yourproduct support portal. Electronic Claims - Magellan Provider 0000157961 00000 n Charges for listed services and total charges for the claim. UnitedHealthcare Shared Services Andorra Martinique Login to your community accounts to get product updates, ask questions, and learn best practices. Hot Springs, AR 71903, Grievances & Appeals Department Payer ID: 39026 United Health Shared Services (on back of card) Payer ID: 39026 . 0000125869 00000 n Laos Emergency Medical Service 0000081203 00000 n Paxlovid - Pharmacist Prescribed List. hbbd```b``:"-T0w"1 #Xed;fd0DGHm RLHee`bd`d M" Hge 0 BA= 52192. The payer ID is typically a 5 character code, but it could be longer. Professional Institutional. Dominica Billing provider National Provider Identifier (NPI). We use the National Uniform Billing Committee (NUBC) Official UB-04 Data Specifications Manual as the standard source for codes and code descriptions to be entered in the various form locators (FL). 0000141716 00000 n Rwanda 0000001043 00000 n Macau Electronic Submission to United Healthcare In case of electronic submission, you will need UHC payer ID i.e. Where to Submit Claims | GEHA 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). Germany How to use this page To ensure accurate submission of your claims, answer these three questions: What plan is it? C-Level Chief Financial Officer Nevada Member Engagement Box 30783, Salt Lake City, UT 84130-0783 Non-Participating Payor. Note: If you use a clearinghouse, billing service or vendor, please work with them directly to determine payer ID. 0000147228 00000 n A Submit paper claims to the address on the back of the member ID card. 0000129651 00000 n Box 30783, We make it easier to find the payer information you need with our Easy Search, Real Time, Claims and ERA payer lists. 0000018618 00000 n 0000081055 00000 n Project Management Revenue Cycle Management Solutions Department Chair Claims Payer List for UnitedHealthcare, Affiliates and Strategic Alliances Subject: Includes line of business, plan name and payer ID . Box 30783, Nebraska India Military Europe/ME/Canada Chief Compliance Officer China Nunavut Turkmenistan Together, we are accelerating the journey toward improved lives and healthier communities. Claims Address For All UHC, UBH, and Optum P.O. EDI Submitter #06603 What type of plan is it? Bosnia and Herzegovina Emergency Medicine 0000158331 00000 n Sudan EDI Payer ID #39026 0000159788 00000 n Providers are required to submit corrected claims if an incorrect Payer ID is used. Consulting Full Payer List. Learn More ConnectCenter Payer List Access the Assurance EDI, Clearance EDI, and ConnectCenter payer information here. Virginia -- Please Select -- Heard/McDonald Isls. 0rT* Already a customer? Payer Name Change Healthcare Payer ID Payer-assigned Payer ID Connectivity Type Available Authorization Required 1199SEIU Family of Funds 1199NB 1199N1 13162 Both Portal A & I Benefit Plan AIBPL1 93044 Portal AARP 36273 X12 No Absolute Total Care CNTENE 68069 X12 No PDF Clearance EDI Eligibility Payer List - Change Healthcare 336 0 obj <>stream Sweden 6%W,Uui\2 !/_Nl.s&* vsL3W|;`e ^B@"0l"sprj Y@5"N ]v3[BA'P TdR\F!|w+d} e$Sfe J @.DBF@LJ !c-fJP`-@1%xA@ 0l &%%% P-}@dYkE_2aX0a2,45 0favec8Y9yoMZLgHC7P+C:C"%g603;Z .c`?"ik.S+P & i Paper Claims . Member Engagement Solutions Medical Network Solutions The members ID card will indicate the Payer ID to use for claims submissions. New Brunswick Box 21542, Eagan, MN 55121 Phone: (800) 821-6136 Phone: (800) 821-6136, Connection Dental Network Operations El Paso, TX 79998-1707 P.O. Risk Adjustment and Quality Solutions 0000040339 00000 n Svalbard/Jan Mayen Isls. All medical claims should be mailed to the addresses listed below for each network.