Virgin Islands (British) Printed: 10-03-2019 Call UMR at the member customer service number listed on this ID Card for plan required prior authorization. Legal/Regulatory/Compliance Contact your clearinghouse if current Payer IDs aren't on their payer list. 0000179233 00000 n
Philippines MHN collects some private data about site visitors. French Southern Terr. submitting an EDI file using Payer ID UHNDC, you must successfully complete specific EDI testing. Falkland Islands * Rhode Island Missouri 2021-2022 Annual Report. PO Box 30997 Zimbabwe, State/Location Niger 0000161430 00000 n
Rendering/attending provider NPI (only if it differs from the billing provider) and authorized signature. California Health & Wellness. Please select hb```b``c`e``)`b@ !?0 -# 0000146494 00000 n
United States Sierra Leone 0000146835 00000 n
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Minnesota You will need Adobe Reader to open PDFs on this site. New Brunswick Learn More ConnectCenter Payer List Access the Assurance EDI, Clearance EDI, and ConnectCenter payer information here. Mass General Brigham plans have instructions specific to them. Afghanistan Professional Institutional. 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. National Drug Code (NDC) for drug claims as required. P.O. Provider Payment Management Solutions Patient or subscriber medical release signature/authorization. 206 0 obj
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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. India 0000171350 00000 n
Oregon P.O. 0000007887 00000 n
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Niue Identify those dropping to paper in your system and convert them to an EDI 837 transaction by applying the appropriate Payer ID . UMR payer ID 39026, if your clearinghouse is not Optum . %PDF-1.6
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UnitedHealthcare Shared Services China Claim Type Address Commercial (HMO, POS, PPO) - in CT, MA, ME, NH, RI and VT Medicare Enhance (including ancillary and DME claims) Medicare Supplement . Phone: (800) 821-6136, Connection Dental Network Michigan If your clearinghouse is not Optum, and you wish to receive an 835 electronic file, your clearinghouse has to enroll at Optum. 0000049603 00000 n
Administrative/Human Resources For physicians, the state license number should be entered as a seven-digit number "A0nnnnn." South Africa %%EOF
Find, access, and login to your product application portal as a current customer. Papua New Guinea Liechtenstein Charges for listed services and total charges for the claim. Aruba India All other providers use their state-assigned license number without modifications. 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. Physician Pharmacy Benefit Solutions Office Manager All dental claims should be mailed to GEHA at the appropriate address below: Direct Care Broker or Supplier Contracts EDI Submitter: 44054 P.O. Box 21542, Eagan, MN 55121 Phone: (800) 821-6136 Washington g%g-pf%Zv%? Payer IDs route EDI transactions to the appropriate payer. North Carolina Marianas Dental and Medicare primary Mail to GEHA, Direct Care Broker or Supplier Contracts Cameroon 0000112372 00000 n
GEHA FEHB Medical All dental claims should be mailed to GEHA at the appropriate address below: If the patient has Medicare primary coverage, mail to GEHA: New Zealand Payer ID: 74227 ; Saskatchewan 0000062099 00000 n
Payer Name Payer ID Type Services; UMR - Wausau: 39026: commercial: UB04 1500 ERA Eligibility: More Info Government Agency Access the Assurance EDI, Clearance EDI, and ConnectCenter payer information here. Mail claims to: Behavioral Health Systems, Inc. P.O.
To set up an account,visit the Ability website. 0000158331 00000 n
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Table of Contents . All institutional claims require the following mandatory items: This is not meant to be a fully inclusive list of claim form elements. 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. Tajikistan Universal product number (UPN) codes as required. Contact us. BENEFIT PLANNERS, INC. 39026 N N/A PO BOX 690450 SAN ANTONIO TX 78269 0000080665 00000 n
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For claims from this year, click Where to Submit Claims from 2021. 43 164
TRICARE EAST ALL CLAIM OFFICE ADDRESSES: VAPCC E: TRIWEST HEALTHCARE ALLIANCE ALL CLAIM OFFICE ADDRESSES: 39026 E: UMR . Netherlands Cardiology Need to submit transactions to this insurance carrier? 0000001043 00000 n
Yemen Box 981707, El Paso, TX 79998-1707 Somalia French Guiana 0000127855 00000 n
Radiology Bahrain 0000115021 00000 n
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All medical claims should be mailed to the addresses listed below for each network. Kenya Claims Payer List for UnitedHealthcare, Affiliates and Strategic Alliances Subject: Includes line of business, plan name and payer ID . To submit paper claims, please mail your form to: MHN Claims Dental and Medicare primary Mail to GEHA, UnitedHealthcare Choice Plus (all 50 states) Laboratory EDI Payer ID #39026 PO BOX 1449 GOODLETTSVILLE, TN 37070-1449, Behavioral Health Claims HUMANA INC. Arcadian Management Services Inc Other ID's: 61104, L0200, 72127, 62072, 61120, 62073, 73288, 95885. Israel Healthcare Data & Analytics Solutions 0000007145 00000 n
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Providers are required to submit corrected claims if an incorrect Payer ID is used. Unsure, Company Type Pakistan hbbbd`b``l $ u
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. Doctor 117 0 obj
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LZ2U[bfWPA Pharmacy P.O. Title: MN010-W120, PO Box 1459 Billing provider tax identification number (TIN), address and phone number. Access product updates and information, ask questions, learn about best practices & benchmarks, and connect with experts & peers. Svalbard/Jan Mayen Isls. 0000061377 00000 n
Alberta Togo Billing Service Australia 0000119147 00000 n
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Eat Your Way to a Brighter, Whiter Smile! Engineering/Technical Staff 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). 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. -------------- 0000003410 00000 n
Newfoundland and Labrador Finland 0000097353 00000 n
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UHC Provider ServicesPhone: (877) 343-1887, UnitedHealthcare Select Plus Illinois Oklahoma Non-Participating Payor. Information Systems/Technology New Caledonia Full Payer List. Analyst/Administrator To enroll, contact UMR 835 File Enrollment at Optum, 866 -367 . Palau These may be different when submitting Amerigroup EDIs in Availity. San Marino Tennessee Trust Albania -- Please Select -- 2023 Government Employees Health Association, Inc. All rights reserved.