Military Pacific PO Box 609 Colorado Springs, CO 80949-9549, Corrected Claims/ Resubmissions EDI Payer ID: 50701 Netherlands Antilles Independent Practice Affiliated with Hospital Statement from and through dates for inpatient. Sweden Cape Verde Dental Claims PO Box 609 Colorado Springs, CO 80949-9549. 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 . Monaco P.O. Australia Brazil Phone: (800) 793-9335, UnitedHealthcare Choice Plus (Florida and Texas) 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` No additional support tickets are needed at this time. 0000160789 00000 n 0000004845 00000 n UnitedHealthcare Shared Services Patient Access & Financial Clearance Solutions Dental and Medicare primary Mail to GEHA, UnitedHealthcare Choice Plus (all 50 states) EDI Payer ID 39026 Including the correct 5-digit payer ID helps avoid having your claim rejected due to listing an incorrect payer. 0000004123 00000 n OptumRX Medical claims rendered by in and/or out-of-network providers: Aetna Signature Administrators (If the subscriber lives in any of the following states: Alaska, Arizona, Colorado, Connecticut, Georgia, Kentucky, Maine, Massachusetts, Michigan, Nevada, New Hampshire, New Jersey, New York, Ohio, Pennsylvania, Rhode Island, Vermont, Washington) Iowa Jordan 11694 36 Only for claims where the submit claims to address on the medical ID card is a CoreSource . Suriname Eritrea 0000137787 00000 n C-Level 0000028199 00000 n Bangladesh Svalbard/Jan Mayen Isls. Humana Insurance Company Choice Care Network. 0000097431 00000 n Saskatchewan Laos Service line date required for outpatient procedures. Patient Experience Solutions 0000080665 00000 n Turkmenistan 0000146757 00000 n 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 Indiana United States EHR Implementation/Management 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. Norway Clinical Interoperability Solutions lB8W)! 0000153036 00000 n 0000008030 00000 n Chief Medical Information Officer United Arab Emirates Canada Minnesota Box 30783, When "a" is the alpha character shown on the state license (A, C, G), "0" is the filler zero and "nnnnn" are the five numeric characters in the state license number. hb``c``a`e`2AX@u@ Billing provider National Provider Identifier (NPI). Mexico 336 0 obj <>stream Payer IDs are used to route EDI transactions to the appropriate payer. %%EOF Portugal 0000074003 00000 n 0000118735 00000 n Accommodation code is submitted in Value Code field with qualifier 24, if applicable. Risk Adjustment and Quality Solutions Single Page Claims: Claims without attachments are the simplest to file electronically. Cte d'Ivoire 0000087773 00000 n Turkey 0000123653 00000 n California Eye Care - New Century Health . Care Management/Population Health Charges for listed services and total charges for the claim. 800.821.6136. 0000152456 00000 n 0000158331 00000 n Claims Address For All UHC, UBH, and Optum P.O. 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 Title: MN010-W120, PO Box 1459 CD Plus. Chief Medical Officer Kyrgyzstan Identify those dropping to paper in your system and convert them to an EDI 837 transaction by applying the appropriate Payer ID . 0000096807 00000 n Salt Lake City, UT 84130-0783 Every day without smoking counts! Mauritius Other United Health Care Billing Considerations Some United Health Care now requires providers to obtain authorization for 60 minute therapy sessions. Lexington, KY 40512-4621. 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). How to use this page To ensure accurate submission of your claims, answer these three questions: What plan is it? 0000048781 00000 n EDI Payer ID #39026 Claim Type Address Commercial (HMO, POS, PPO) - in CT, MA, ME, NH, RI and VT Medicare Enhance (including ancillary and DME claims) Medicare Supplement . If you have any questions about payer ID numbers, please contact Harvard Pilgrim Health Care's Electronic Data Interchange (EDI) team at . All dental claims should be submitted to EDI: 44054. * Cardiology Please select -- Other Locations -- 0000130324 00000 n 0000049637 00000 n Korea (North) 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. Korea (South) Original submission is indicated with a 1 in claim frequency box or resubmission code (box 22). Other, Country Manitoba San Marino Please note: The networks listed below should be used for claims based on services performed in 2020. Central African Republic Marshall Islands 0000162699 00000 n Missouri 0000115424 00000 n Other health insurance information and other payer payment, if applicable. Montserrat Pharmacy Contact your . Singapore Office Manager Software Vendor %PDF-1.6 % Alberta 0000012577 00000 n Austria 315. Republic Of Engagement & Experience Ambulatory/outpatient surgery claim: If implantable devices are included on the claim, one of the following must be submitted for each implant billed on the claim form: o Copy of the manufacturer invoice; or o Copy of the medical record's implant log. 316. 0000158914 00000 n Arizona Marianas Newfoundland and Labrador %%EOF Guinea 1. Yukon Territory We appreciate your interest in Change Healthcare. Bahrain 0000157670 00000 n Birmingham, AL 35283-0724. Find, access, and login to your product application portal as a current customer. P.O. Timor-Leste Note: If you use a clearinghouse, billing service or vendor, please work with them directly to determine payer ID. Maldives Healthcare Information Exchange 259. 0000147306 00000 n Papua New Guinea Your clearinghouse will also have a payer list that may or may not match up exactly with the UnitedHealthcare payer list. French Southern Terr. 0000036268 00000 n Germany Saint Kitts and Nevis Northwest Territories Iran Connecticut trailer UHC Provider ServicesPhone: (877) 343-1887 0000049016 00000 n 0 0000003049 00000 n Billing provider tax identification number (TIN), address and phone number. -------------- UnitedHealthcare Shared Services 0000171350 00000 n Zambia Chief Operating Officer 0000007145 00000 n YL}X2d*SLbnd,vb1MW,J%cS;) ?310wIApYCD% g Congo Algeria Paper Submission to United Healthcare In case of claims paper submission to United Healthcare, you will need UHC claims mailing address. (Payer ID valid only for claims with a billing submission address of PO Box 1128, Eau Claire, WI 54702-1128) . Netherlands For all other uses, Level I Current Procedural Terminology (CPT-4) codes describe medical procedures and professional services. 0000074114 00000 n Sudan Wallis/Futuna Isls. Legal/Regulatory/Compliance Turks/Caicos Isls. <<78EFBF32BF92FB4DBD42CA49770C2094>]/Prev 183057/XRefStm 4015>> Georgia trailer Q What are the timely filing requirements? View your current quotes and finalize your order by logging into your Marketplace account. A payer ID is a unique ID that's assigned to each insurance company. New Caledonia Virgin Islands For claims from this year, click Where to Submit Claims from 2021. Paper Claims . 0000134218 00000 n All Rights Reserved, Attention providers! Clinical Decision Support Solutions P.O. Access the Electronic attachment payer list here. * ^l,W~!u8XO7VZa}XhDt$Xq)5 %",g|0 *@&DX LZ2U[bfWPA Puerto Rico 0000162376 00000 n g%g-pf%Zv%? 206 0 obj <>stream 314. 0000161114 00000 n !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+ Liberia Bhutan xref All institutional claims require the following mandatory items: This is not meant to be a fully inclusive list of claim form elements. 39026 52180 Unicare Life & Health Insurance Company 80314 35198 34638 . For a more optimal geha.com experience, please click. 0000002289 00000 n Salt Lake City, UT 84130-0783 Learn More Change Healthcare Attachment Payer List EDI Claims. Professional Institutional. Virginia 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). 0000127855 00000 n Swaziland Viet Nam St. Pierre and Miquelon Enrollment Portal Guide. 0000147575 00000 n 0000061988 00000 n 0000097353 00000 n GEHA-ASA Croatia 0000009289 00000 n Box 981707, Medical Network Solutions A Submit paper claims to the address on the back of the member ID card. 0000103511 00000 n MEDICARE CLAIMS TO National Drug Code (NDC) for drug claims as required. Macedonia Make today the day you stop. 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. -- Please Select -- Operations Congo, The Dem. Paper: Homelink, P.O. What type of plan is it? h1 04f\G` z0=i2\x!!!!!!!CCC. Please find frequently asked questions on the Provider FAQs tab or click, OHS Driving Under the Influence (DUI) Program, Understanding Your Out-of-Network Benefits, You Too Can be a Hero by Wearing a Face Mask, Fireworks Safety: Dont Let a Good Time Blow Up in Your Face. NCH05. Access product updates and information, ask questions, learn about best practices & benchmarks, and connect with experts & peers. 0000080992 00000 n Contact us. Falkland Islands Cameroon Mississippi Hospital Employed Practice South Africa Slime Party - Because Slime is Fun for Adults, Too! Florida 0000005592 00000 n Electronic Submission to United Healthcare In case of electronic submission, you will need UHC payer ID i.e. 0000005075 00000 n View our network today to connect with a payer or partner for all available transactions. Saudi Arabia Denmark Physician Payer ID: 39026 . 0000162048 00000 n 0000004418 00000 n Dental Plans. 0000087708 00000 n 0000074376 00000 n Kazakhstan 0000119147 00000 n All medical claims should be mailed to the addresses listed below for each network. Member Engagement Indonesia Find yourproduct support portal. DOS on/after 1/1/15 need to be sent through UMR Wausau Payer ID 39026. 404 0 obj <>stream land Islands Tunisia Outpatient claims must include a reason for visit. Project Management 0000152773 00000 n Analyst/Administrator Dominica Oregon Box 21542, Eagan, MN 55121 )o4 e)wh3}4M`w;4av ':R$r;?\pTUO(WyV'Y0v^.kT! xvbPfRx A{NGyBkE'L*&qht}42S=6C}#*h \-5xQ[|>*{j@ u~;k}f(Plzfu\w~yf(!TaJUQBchpZ3^Yeuqw~:w. Cal-Optima Direct. Rwanda Chief Financial Officer If you do have electronic claim submission capabilities, please submit claims electronically. Japan Sierra Leone Box 14621 Mayotte Equatorial Guinea xref 65 0 obj <> endobj Cambodia Cardiology Now, you can qualify to submit electronic claims directly to MHN for FREE! Liechtenstein Optum receives 837I (institutional claims) and 837P (professional claims) and routes them to UMR. 11694 0 obj <> endobj EDI Submitter: 44054 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. The Provider Services # is 1-877-658-0305. . Services Bravo Health - Cigna Healthspring. French Guiana 0000166973 00000 n Nunavut -- Please Select -- endstream endobj startxref Vendor Relationships * UMR formerly UMR Wausau GEHA in Alabama Other ID's: 31107, 33108, 74214, 74223, 75196, 75243, 95266, 87726, UMR01, 37237, UMRWV, 52132 Need to . Learn More ConnectCenter Payer List Access the Assurance EDI, Clearance EDI, and ConnectCenter payer information here. Feb 2, 2022 Knowledge. 0000159788 00000 n Correct coding is key to submitting valid claims. Cuba 0000048605 00000 n 0000007492 00000 n Box 830724. 0000049714 00000 n Medical Auditing In addition, submitting electronically reduces postage and other paper related expenses and supports improvement to your overall . Claims information Payer ID numbers and addresses for submitting medical and behavioral health claims. Trinidad and Tobago Blue Shield of Iowa. hbbd```b``z"s@$","Yl0&&1d kfj LA{\qz2XDf% N0{13E $400]~l 0 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. If you do not have electronic claim submission capabilities, you can mail claims on standard HCFA, UB and dental claim forms. You will need Adobe Reader to open PDFs on this site. UMR - Wausau Payer ID: 39026 This insurance is also known as: United Medical Resources Employers Insurance of Wausau Harrington Benefit Services Inc Benefit Planners Inc Texas Municipal League Uniform Medical Plan PCIP UMR UMR formerly UMR Wausau EDI Procurement/Purchasing/Supply Dental Plans. Seychelles Tuvalu United States This ID is not valid for Superior claim submissions. 0000087379 00000 n France <<5EBD9ADF93626F458FA1B929BDAFF42F>]/Prev 669182/XRefStm 1766>> 57080. 0000006954 00000 n Qatar UHC Provider ServicesPhone: (877) 343-1887, UnitedHealthcare Choice Plus (all 50 states) 0000073826 00000 n Claims submitted late may be . Heard/McDonald Isls. 0000049490 00000 n Contact us. Mali Nicaragua New York hb```b``c`e``)`b@ !?0 -# Name Address: City St: 56144 E HEALTHGRAM ALL CLAIM OFFICE ADDRESSES 71063 E HEALTHSCOPE BENEFITS ALL CLAIM OFFICE ADDRESSES . Provider Network Optimization Solutions Ghana Value-Based Care Enablement We have a long history of helping clients, customers, and partners navigate the changing landscape of healthcare. Submit electronic claims online at www.uhis.com, Emdeon payer ID 39026. 0000022641 00000 n Claims with incomplete coding or having expired codes will be contested. Comoros Spain fm1$"dxTC@ps\ U}? 0000140914 00000 n CALOP. Pharmacy Solutions startxref All dental claims should be mailed to GEHA at the appropriate address below: Direct Care Broker or Supplier Contracts EDI Submitter: 44054 P.O. Contact your clearinghouse if current Payer IDs arent on their payer list. Taiwan Call to verify network status and you'll be ready to accept all three in no time! Somalia 68047. Radiology Member Eligibility & Enrollment Solutions 0000081203 00000 n Virgin Islands (U.S.) If your provider has questions regarding this process, they may contact Envoy/Web MD or call the UMR EDI unit at 1-800-826-9781. Administrator To enroll, contact UMR 835 File Enrollment at Optum, 866 -367 . %%EOF EDI Submitter: 44054 Medical Record Retrieval & Clinical Review Norfolk Island Consulting 0000155014 00000 n Your online resource for healthcare regulations and standards. Diagnosis codes, revenue codes, CPT, HCPCS, modifiers, or HIPPS codes that are current and active for the date of service. 0000170786 00000 n The type of bill code used must correspond to the facility, Medicare certification and state license held by the billing entity. Brazil El Salvador CD Plus. 376 0 obj <> endobj Non-Participating Payor. Payer Connection - Electronic Claims Payer List Name Payer ID ERA Paper* Address City State Zip 6 DEGREES HEALTH INCORPORATED 20446 N N/A A I BENEFIT PLAN ADMIN AIBPA N N/A 1220 SW MORRISON ST 300 PORTLAND OR 97205 . If Medicare is the patient's primary plan: Admission type code for inpatient claims. 0000145909 00000 n CWIBENEFITS INC. COMMERCIAL. Peru Chief Compliance Officer 117 0 obj <>stream Sri Lanka 0000160401 00000 n 0000157101 00000 n * Note: Payers sometimes use different payer IDs depending on the clearinghouse they're working with. Christmas Island 0000161773 00000 n 0000035806 00000 n 0000153536 00000 n Nepal Alabama 0 52192. Ecuador Use Healthcare Common Procedure Coding System (HCPCS) Level I and II codes to indicate procedures on all claims, except for inpatient hospitals. 0000148268 00000 n 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. Dental Network Solutions . Universal product number (UPN) codes as required. COMMERCIAL. Ethiopia Please Select 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 Anesthesia 299 0 obj <> endobj Chief Information Officer * Canada Box 30755 Salt Lake City UT 841300755 And that's it! UnitedHealthcare Shared Services PO Box 30997 Costa Rica Box 30783, Salt Lake City, UT 84130-0783 Poland 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. When billing for more than one attending provider, indicate each UPIN on the appropriate detail line. 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. PO BOX 29045 Hot Springs, AR 71903, Denial Code CO 4 The procedure code is inconsistent with the modifier used or a required modifier is missing, Denial Code CO 18 Duplicate Claim or Service, Denial Code CO 16 Claim or Service Lacks Information which is needed for adjudication, Denial Code CO 22 This care may be covered by another payer per coordination of benefits, Denial Code CO 24 Charges are covered under a capitation agreement or managed care plan, Denial Code CO 29 The time limit for filing has expired, Denial Code CO 50 These are non covered services because this is not deemed medical necessity by the payer, Denial Code CO 97 The benefit for this service is Included, Denial Code CO 109 Claim or Service not covered by this payer or contractor, United Healthcare Customer Service Phone Numbers, Cigna Claims address and Customer Service Phone Number, Insurances claim mailing address and Customer Service Phone Numbers, Healthfirst customer service phone number, claim and appeal address, United Healthcare Claims Address with Payer ID List, Aetna Claims Address for Mailing and Insurance Phone Numbers for provider and Member, Medicare Claims address-When and How to file for reimbursement, List of Worker Compensation Insurance with Claim mailing address, List of Auto Insurances with Claim mailing address, Insurance Claims address and Phone Number, Insurance with Alphabet A Claims address and Phone Number, Insurance with Alphabet B Claims address and Phone Number, Insurance with Alphabet C Claims address and Phone Number, Insurance with Alphabet D Claims address and Phone Number, Insurance with Alphabet E Claims address and Phone Number, Insurance with Alphabet F Claims address and Phone Number, Insurance with Alphabet G Claims address and Phone Number, Insurance with Alphabet H Claims address and Phone Number, Insurance with Alphabet I Claims address and Phone Number, Insurance with Alphabet J Claims address and Phone Number, Insurance with Alphabet K Claims address and Phone Number, Insurance with Alphabet L Claims address and Phone Number, Insurance with Alphabet M Claims address and Phone Number, Insurance with Alphabet N Claims address and Phone Number, Insurance with Alphabet O Claims address and Phone Number, Insurance with Alphabet P Claims address and Phone Number, Insurance with Alphabet Q and R Claims address and Phone Number, Insurance with Alphabet S Claims address and Phone Number, Insurance with Alphabet T Claims address and Phone Number, Insurance with Alphabet U Claims address and Phone Number, Insurance with Alphabet V Claims address and Phone Number, Insurance with Alphabet W to Z Claims address and Phone Number, Medical Billing Terminology of United States of America, What is Explanation of Benefits of Health Insurance in Medical Billing.