Pharmacy Benefit Solutions Dental and Medicare primary Mail to GEHA, UnitedHealthcare Choice Plus (all 50 states) Chief Medical Information Officer Box 21542 0000049603 00000 n Mauritius Bangladesh Tokelau 0000161114 00000 n Guinea-Bissau Saint Kitts and Nevis 57080. Billing Service 0000166973 00000 n Oman Uruguay Minnesota Accommodation code is submitted in Value Code field with qualifier 24, if applicable. New Mexico Non-Participating Payor. endstream endobj 66 0 obj <. In addition, submitting electronically reduces postage and other paper related expenses and supports improvement to your overall . Zambia On the UnitedHealthcare Payer List, medical Payer IDs refer to professional and institutional claim submissions. Turkey Ohio Bravo Health - Cigna Healthspring. Chief Technology Officer Aruba Original submission is indicated with a 1 in claim frequency box or resubmission code (box 22). 0000005887 00000 n 0000103577 00000 n Nigeria Hospital/Health System 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 French Polynesia Oklahoma @=&F]`00Rx@ 6Z Phone: (800) 821-6136 Claims submitted late may be . hb``c``a`e`2AX@u@ * Missouri Mississippi Virgin Islands Monaco Mass General Brigham plans have instructions specific to them. EDI Payer ID #39026 43 0 obj <> endobj Alberta Guam For a more optimal geha.com experience, please click. 0000170786 00000 n California Saint Lucia 0000143443 00000 n Title: MN010-W120, PO Box 1459 All medical claims should be submitted electronically using the network EDI numbers as listed below for each network. 0000162048 00000 n )o4 e)wh3}4M`w;4av ':R$r;?\pTUO(WyV'Y0v^.kT! xvbPfRx A{NGyBkE'L*&qht}42S=6C}#*h \-5xQ[|>*{j@ u~;k}f(Plzfu\w~yf(!TaJUQBchpZ3^Yeuqw~:w. Denmark Norway Bermuda 39026 52180 Unicare Life & Health Insurance Company 80314 35198 34638 . Chief Compliance Officer Box 830724. Timor-Leste Medical Record Retrieval & Clinical Review trailer Other United Health Care Billing Considerations Some United Health Care now requires providers to obtain authorization for 60 minute therapy sessions. DOS on/after 1/1/15 need to be sent through UMR Wausau Payer ID 39026. * Namibia If Medicare is the patient's primary plan: Morocco South Africa 0000008424 00000 n Wallis/Futuna Isls. Lebanon For . St. Helena Kentucky Radiology Independent Practice Not Affiliated with Hospital Other, Country Sample GEHA Member ID Card . Availity is working with the payer to resolve this issue as quickly as possible. Virgin Islands (U.S.) Guyana ^l,W~!u8XO7VZa}XhDt$Xq)5 %",g|0 *@&DX LZ2U[bfWPA Find out More. hbbd```b``"fHL NA$>d4 9`v Switzerland Hot Springs, AR 71903, Grievances & Appeals Department Dental and Medicare primary Mail to GEHA, Direct Care Broker or Supplier Contracts Military Pacific Printed: 10-03-2019 Call UMR at the member customer service number listed on this ID Card for plan required prior authorization. British Columbia Identify those dropping to paper in your system and convert them to an EDI 837 transaction by applying the appropriate Payer ID . 336 0 obj <>stream Job Function Brazil 0000097202 00000 n Physician 0000162699 00000 n 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 . Administrator We appreciate your interest in Change Healthcare. 257. Payer ID: 39026 Student Insurance Harvard Pilgrim Health Care/ StudentResources . EDI Payer ID 39026 Military Europe/ME/Canada BMC Health Plan. Hospital Employed Practice New Zealand Value-Based Care Solutions, Solution Type All dental claims should be mailed to GEHA at the appropriate address below: If the patient has Medicare primary coverage, mail to GEHA: Guatemala Germany Virgin Islands (British) 0000074003 00000 n UHC Provider ServicesPhone: (877) 343-1887, UnitedHealthcare Choice Plus (all 50 states) Philippines This ID is not valid for Superior claim submissions. De + Vendor Relationships Serbia and Montenegro 0000000016 00000 n 0000081203 00000 n Prince Edward Island Box 1860, Waterloo, IA 60704. Box 30755 Salt Lake City UT 841300755 And that's it! 0000002334 00000 n Box 30783, Salt Lake City, UT 84130-0783 Ireland 0000137787 00000 n Equatorial Guinea 0000103184 00000 n Box 981707, Government Agency Korea (North) Payer 0000118735 00000 n Member Engagement 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. Pennsylvania Provider Payment Management Solutions Claim Type Address Commercial (HMO, POS, PPO) - in CT, MA, ME, NH, RI and VT Medicare Enhance (including ancillary and DME claims) Medicare Supplement . Mali Holiday Season Healthy Eating Yes, it Can be Done! Vatican City Bolivia North Carolina Haiti 52192. Unsure, Company Type Chile Oregon Florida Vice President %%EOF 258. Full Payer List. These standards support consistency in electronic exchange of data among providers, health care plans, clearinghouses, vendors and other health care business associates. Saskatchewan Box 30783, Salt Lake City, UT 84130-0783 Trinidad and Tobago }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! 0000004338 00000 n All Rights Reserved, Attention providers! Patient Access & Financial Clearance Solutions For information on submitting claims, visit our updated Where to submit claims webpage. 0000028199 00000 n A Claims must be received within 90 days from the service date. Micronesia 0000087924 00000 n Medical Auditing Hungary Italy Dentistry 0000153297 00000 n Need access to the UnitedHealthcare Provider Portal? Papua New Guinea A member of our team will contact you to better understand your needs and discuss potential solutions. Every day without smoking counts! Moldova CWIBENEFITS INC. COMMERCIAL. Do not split bills by type of service or submit separate bills for overlapping dates of service for a component of treatment, including substance abuse toxicology testing. 0000165174 00000 n Transparency & Provider Search Q What are the timely filing requirements? French Southern Terr. Turkmenistan Salt Lake City, UT 84130-0783 39026: United Healthcare Oxford: Claims PO BOX 29130 HOT SPRINGS, AR 71903. Puerto Rico 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. In order to ensure claims are submitted correctly, providers must use the following Payer IDs: 68069 for Medical Services. 0000137409 00000 n All medical claims should be submitted electronically using the network EDI numbers as listed below for each network. Latvia GEHA FEHB Medical Micronesia Universal product number (UPN) codes as required. South Dakota (Payer ID valid only for claims with a billing submission address of PO Box 1128, Eau Claire, WI 54702-1128) . Payer Information. We make it easier to find the payer information you need with our Easy Search, Real Time, Claims and ERA payer lists. All dental claims should be submitted to EDI: 44054. Maine Taiwan Egypt Cal-Optima Direct. %PDF-1.7 % 0000006954 00000 n 0000123934 00000 n Please contact Change Healthcare at 1 (866) 371-9066 with any questions regarding electronic claims submission. Costa Rica Iceland Israel 0000011777 00000 n -- Please Select -- Canada Note: Payers sometimes use different payer IDs depending on the clearinghouse they're working with. Marianas American Samoa 0000006751 00000 n Salt Lake City, UT 84130-0783. IMPORTANT NOTE: We require that all facility claims be billed on the UB-04 form. If you do have electronic claim submission capabilities, please submit claims electronically. Tuvalu 0000148268 00000 n Consulting -- Please Select -- Vermont India Colombia OptumRX Iraq Patient Financial Services France Chief Quality Officer Chief Executive Officer 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? Billing provider National Provider Identifier (NPI). Doctor Electronic Submission to United Healthcare In case of electronic submission, you will need UHC payer ID i.e. Mayotte Nebraska 0000134218 00000 n Palau Claims with incomplete coding or having expired codes will be contested. Connecticut Professional Institutional. Clinical Interoperability Solutions *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. %%EOF 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. Congo, The Dem. 0000167211 00000 n Azerbaijan Iowa 0000007935 00000 n UnitedHealthcare Shared Services 0000158331 00000 n Payer IDs route EDI transactions to the appropriate payer. 0000081169 00000 n Type of Bill - Enter the appropriate three- or four-digit code that indicates the type of bill you are submitting. Libya 0000036268 00000 n 0rT* endstream endobj 11728 0 obj <>/Filter/FlateDecode/Index[236 11458]/Length 191/Size 11694/Type/XRef/W[1 1 1]>>stream Dominican Republic A payer ID is a unique ID that's assigned to each insurance company. St. Vincent and Grenadines Find yourproduct support portal. Information Systems/Technology Value-Based Care Enablement Washington Brunei Darussalam 316. Finland 206 0 obj <>stream 0000007145 00000 n Arkansas Engagement & Experience Slovak Republic By continuing to use our site, you agree to ourPrivacy PolicyandTerms of Use. 0000148000 00000 n Please note: Do not use Payer ID 421406317. El Paso, TX 79998-1707 0000002850 00000 n <<78EFBF32BF92FB4DBD42CA49770C2094>]/Prev 183057/XRefStm 4015>> Phone: (800) 821-6136, Connection Dental Network 43 164 Note: If you use a clearinghouse, billing service or vendor, please work with them directly to determine payer ID. 0000097318 00000 n Wisconsin United Arab Emirates Please Select Statement from and through dates for inpatient. 0000147228 00000 n Only for claims where the submit claims to address on the medical ID card is a CoreSource address in the state of Ohio. South Carolina 0000023754 00000 n Faroe Islands 13337. MHN.com uses cookies. 0000048658 00000 n 0000127855 00000 n If Medicare is the patient's primary plan: 0000103728 00000 n 0000119628 00000 n Paper Claims . C-Level UnitedHealthcare Shared Services 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. %%EOF Ghana EDI Submitter #06603 Tanzania h[]~L0wHv8vqt~*rH7,3tizC]oIzYNJmkm*U Teachers Health Trust 2950 E. Rochelle Avenue Las Vegas, NV 89121. New Hampshire South Africa 0000003049 00000 n 0000162376 00000 n French Guiana Project Management Medical Practice Management 0000081280 00000 n 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. Box 981707, El Paso, TX 79998-1707 0000040339 00000 n UHC Provider ServicesPhone: (877) 343-1887 2. Director Claims: EDI # 39026, UMR, PO Box 30541, Salt Lake City, UT 84130-0541 Vision Claims: Spectera Vision, PO Box 30978, Salt Lake City, UT 84130 This card must be presented each time services are requested. The Provider Services # is 1-877-658-0305. . For information on submitting claims, visit our updated Where to submit claims webpage. 0000087708 00000 n Salt Lake City, UT 84130-0783 Sales/Business Development/Marketing Technology Saudi Arabia Korea (South) Claims & Denials Montana To avoid possible denial or delay in processing, the above information must be correct and complete. 0000179233 00000 n Sao Tome/Principe Rwanda 0000003714 00000 n Kenya Delaware 0000061761 00000 n endstream endobj startxref Legal/Regulatory/Compliance Member Engagement Solutions 0000158914 00000 n Services Yemen Panama 4q<={Wm|? 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. Optum receives 837I (institutional claims) and 837P (professional claims) and routes them to UMR. Albania Only for claims where the submit claims to address on the medical ID card is a CoreSource . . Learn More Change Healthcare Attachment Payer List 0000112372 00000 n startxref Cook Islands 0000146151 00000 n Brit/Indian Ocean Terr. Additional fields may be required, depending on the type of claim, line of business and/or state regulatory submission guidelines. Cuba Access product updates and information, ask questions, learn about best practices & benchmarks, and connect with experts & peers. Manager P.O. $UZZNl)Q,nB=&X"HZic2lc[J"*yDO3.o8T*feoXRz`4U !x*w$Jn(*Pmfk[wv$(=MKi3T|}G)WoKP 2Jl*N|Jd-EIAM}+>@rATf@MWX&3O5S-kLB)[MA=Ln5-IWEdVZTQ Alabama Phone: (800) 793-9335, UnitedHealthcare Choice Plus (Florida and Texas) Teachers Health Trust 2950 E. Rochelle Avenue Las Vegas, NV 89121 . Kuwait Maryland Please select For claims from this year, click Where to Submit Claims from 2021. Viet Nam 0000073889 00000 n Other, Subscribe to Change Healthcare Communications. Guinea 87726. Seychelles Western Sahara Laboratory 0000146960 00000 n 0000003888 00000 n 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. 0000147575 00000 n 0000081055 00000 n Chad Sri Lanka Providers are required to submit corrected claims if an incorrect Payer ID is used. 0000174831 00000 n Lithuania Patient name, Member identification (ID) number, address, sex, and date of birth must be included. Charges for listed services and total charges for the claim. PO Box 400066 CALOP. News. P.O. Austria HUMANA INC. Arcadian Management Services Inc Other ID's: 61104, L0200, 72127, 62072, 61120, 62073, 73288, 95885. Name Address: City St: 56144 E HEALTHGRAM ALL CLAIM OFFICE ADDRESSES 71063 E HEALTHSCOPE BENEFITS ALL CLAIM OFFICE ADDRESSES . Tonga Algeria