Other health insurance information and other payer payment, if applicable. 0000003714 00000 n
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-- Other Locations -- For all other uses, Level I Current Procedural Terminology (CPT-4) codes describe medical procedures and professional services.
Professional Institutional. China All other providers use their state-assigned license number without modifications. UnitedHealthcare Shared Services CWIBENEFITS INC. COMMERCIAL. Ecuador Bahrain India This ID is used to submit claims electronically through our system. Ohio All medical claims should be submitted electronically using the network EDI numbers as listed below for each network. Box 21542, Eagan, MN 55121 0000061377 00000 n
57080. 0000001766 00000 n
Direct Care Broker or Supplier Contracts: Accredo, AeroCare, Apria, Bayada, BioScrip, Byram, CardioNet, Coram, DJ Orthopedics, DynaSplint, Edgepark, First Call Pharmacy, Hoveround, InfuSystem, Insulet, Interim, KCI, Liberator/Bard Care, Lincare/American Home Patient, Hanger, Optum Women's and Children's Health, Maxim, McKesson, The Med Group, Medtronic, National Seating and Mobility, NE Express, NuFactor, Option Care, Orthofix, Respirtech, Rotech, 180 Medical, Exception: Providers contracted with VGM Homelink submit claims to Homelink: Other, Job Level Eagan, MN 55121, Mental Health, Behavioral Health, and Substance Use Disorder Claims rendered by in and/or out-of-network providers: Universal product number (UPN) codes as required. Phone: (800) 821-6136, UnitedHealthcare Choice Plus (If the subscriber lives in any of the following states: Alabama, Arkansas, Delaware, Florida, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Louisiana, Maryland, Minnesota, Mississippi, Missouri, Montana, Nebraska, New Mexico, North Carolina, North Dakota, Oklahoma, Oregon, South Carolina, South Dakota, Tennessee, Texas, Virginia, Washington DC, West Virginia, Wisconsin and Wyoming) 1-199 US Minor Outlying Is. Republic Of 6%W,Uui\2 !/_Nl.s&* vsL3W|;`e ^B@"0l"sprj Y@5"N
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Oklahoma Printed: 10-03-2019 Call UMR at the member customer service number listed on this ID Card for plan required prior authorization. Full Payer List. Virgin Islands (U.S.) Bravo Health - Cigna Healthspring. H[Gi$1~!Xv2X>U! Payer ID: 39026; Electronic Services Available (EDI) Professional/1500 Claims: YES: Institutional/UB Claims: YES: Eligibility: YES: Prime: Electronic Remittance (ERA) YES: ERA Enrollment Required . 0000159195 00000 n
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Hong Kong Tanzania Dental is listed separately, if applicable. Romania YL}X2d*SLbnd,vb1MW,J%cS;)
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Oman -- Please Select -- Contact your clearinghouse if current Payer IDs aren't on their payer list. 0000014575 00000 n
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Type of Bill - Enter the appropriate three- or four-digit code that indicates the type of bill you are submitting. IMPORTANT NOTE: We require that all facility claims be billed on the UB-04 form. Timor-Leste Micronesia Indonesia Colombia Need access to the UnitedHealthcare Provider Portal? EDI Payer ID #39026 Dental Network Solutions Morocco EDI Submitter: 44054 To ensure claims are as accurate as possible, use current valid diagnosis, procedure codes, and modifier codes and code them to the highest level of specificity (maximum number of digits) available. Idaho Single Page Claims: Claims without attachments are the simplest to file electronically. Diagnosis codes, revenue codes, CPT, HCPCS, modifiers, or HIPPS codes that are current and active for the date of service. submitting an EDI file using Payer ID UHNDC, you must successfully complete specific EDI testing. 0000147228 00000 n
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270/271: Eligibility and Benefit Inquiry and Response. hb```b``c`e``)`b@ !?0 -# It's never too late to quit smoking. 0000087708 00000 n
To set up an account,visit the Ability website. Salt Lake City, UT 84130, WellMed Claims address Mail claims to: Behavioral Health Systems, Inc. P.O. Visit Ability to register today to begin submitting MHN claims for free. Office Manager Vermont 0000087924 00000 n
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Pennsylvania Laos Philippines All medical claims should be mailed to the addresses listed below for each network. Box 30783, Cal-Optima Direct. Minnesota Physician Practice Management De + Box 981707, 0000148000 00000 n
Algeria Emergency Medical Service Turkey Guam Independent Practice Not Affiliated with Hospital 0000048658 00000 n
1. Please note that ours also contains former brand and plan names, as well as comments that may help you choose the correct Payer ID. * New Caledonia Please Select Other, Subscribe to Change Healthcare Communications. (Claims for payer address of Rockford, IL ONLY.) The Provider Services # is 1-877-658-0305. . 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. * Australia 0000162699 00000 n
Bhutan EDI Payer ID 39026 Birmingham, AL 35283-0724. ]m4hq51l^XNFsZb jB"l! Cambodia Quebec Enrollment xref
Turkmenistan Liberia Medical Record Retrieval & Clinical Review Singapore !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+ 0000165174 00000 n
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MHN.com uses cookies. Nevada 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. Puerto Rico Grenada New Jersey 0000002289 00000 n
Illinois Payer Name Payer ID Type Services; UMR - Wausau: 39026: commercial: UB04 1500 ERA Eligibility: More Info Bahamas Singapore Nebraska 0000028199 00000 n
CD Plus. El Salvador Pharmacy Solutions UnitedHealthcare Shared Services Risk Adjustment and Quality Solutions Login to your community accounts to get product updates, ask questions, and learn best practices. Additional fields may be required, depending on the type of claim, line of business and/or state regulatory submission guidelines. 0000170786 00000 n
Nepal Engagement & Experience P.O. 0000009289 00000 n
The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM), is currently used to code diagnostic information on claims. 0000133800 00000 n
St. Pierre and Miquelon Massachusetts 3. Croatia Vendor Relationships Title: MN010-W120, PO Box 1459 0000035806 00000 n
Phone: (800) 821-6136, Connection Dental Network 39026 e umr (formerly umr wausau) all claim office addresses 79480 e umr harrington all claim office addresses Salt Lake City, UT 84130-0783 Dental and Medicare primary Mail to GEHA, Direct Care Broker or Supplier Contracts EDI Submitter: 44054 Oregon 43 164
What type of plan is it? 0000146026 00000 n
Indiana 0000144676 00000 n
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Guinea-Bissau Salt Lake City, UT 84130-0783 Make today the day you stop. 0000115021 00000 n
Puerto Rico submitting an EDI file using Payer ID UHNDC, you must successfully complete specific EDI testing. Inpatient institutional claims must include admit date and hour and discharge hour (where appropriate), as well as any Present on Admission (POA) indicators, if applicable. Member Engagement Solutions Cuba 0000049073 00000 n
Vanuatu 57080. Argentina 0000152456 00000 n
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Spain Belarus Texas Netherlands Statement from and through dates for inpatient. 0000152221 00000 n
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Andorra Paxlovid - Pharmacist Prescribed List. %%EOF
Italy lB8W)! Yukon Territory Trust 2. Contact your . Namibia Director 0000153536 00000 n
Find out More.
UMR formerly UMR Wausau GEHA in Alabama Other ID's: 31107, 33108, 74214, 74223, 75196, 75243, 95266, 87726, UMR01, 37237, UMRWV, 52132 Need to . 0000145948 00000 n
For physicians, the state license number should be entered as a seven-digit number "A0nnnnn." Israel Learn More ConnectCenter Payer List Access the Assurance EDI, Clearance EDI, and ConnectCenter payer information here. Including the correct 5-digit payer ID helps avoid having your claim rejected due to listing an incorrect payer. 0000160789 00000 n
Sierra Leone Louisiana Honduras All medical claims should be submitted electronically using the network EDI numbers as listed below for each network. Eat Your Way to a Brighter, Whiter Smile! Sample GEHA Member ID Card . P.O. Other, Bed Size If you do not have electronic claim submission capabilities, you can mail claims on standard HCFA, UB and dental claim forms. Payment Accuracy Solutions PO Box 609 Colorado Springs, CO 80949-9549, Corrected Claims/ Resubmissions Submission through UHC provider portal French Southern Terr. 257. 0000003410 00000 n
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Somalia Chief Financial Officer 0000061761 00000 n
Kansas Suriname Enrollment Portal Guide. Czech Republic 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. Egypt Payer ID: 39026 Student Insurance Harvard Pilgrim Health Care/ StudentResources . 0000140914 00000 n
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Guyana Paper Claims . Patient Experience Solutions For more information about Emdeon services, call (877) GO-WebMD (469-3263) or visit: Consolidated Billing: All charges for the patient stay should be included on the same bill, this includes therapy/treatment and ancillary services. To avoid possible denial or delay in processing, the above information must be correct and complete. EDI Submitter #06603 Care Management/Population Health Qatar Codes 7 and 8 should be used to indicate a corrected, void or replacement claim with the original claim ID, if available. Rendering/attending provider NPI (only if it differs from the billing provider) and authorized signature. Reunion 0000018151 00000 n
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Cardiology St. Helena United States Member Eligibility & Enrollment Solutions Claims Address For All UHC, UBH, and Optum P.O. 0000074003 00000 n
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In order to ensure claims are submitted correctly, providers must use the following Payer IDs: 68069 for Medical Services. Finance/Accounting Falkland Islands 0000003576 00000 n
Eritrea Corrected Claims/ Resubmissions Prince Edward Island 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.). EDI Payer ID 39026 Chief Technology Officer Iowa Legal/Regulatory/Compliance Sao Tome/Principe Portugal News. Billing/Coding These standards support consistency in electronic exchange of data among providers, health care plans, clearinghouses, vendors and other health care business associates. Clinical Interoperability Solutions 0000153297 00000 n
Ukraine 0000168686 00000 n
Arkansas Note: If you use a clearinghouse, billing service or vendor, please work with them directly to determine payer ID. This ID is not valid for Superior claim submissions. Revenue Cycle Management United States