Emergency Medical Service UHC Provider Services Phone: (844) 586-7309. CF0101 08-08 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. Pharmacy Solutions 0000000016 00000 n 0000138268 00000 n Guam Billing provider National Provider Identifier (NPI). Algeria Analyst/Administrator 0000081055 00000 n Department Chair 11694 0 obj <> endobj 2021-2022 Annual Report. Romania Togo Job Function Zambia ]m4hq51l^XNFsZb jB"l! 0000119628 00000 n Independent Practice Affiliated with Hospital 0 Other, Solution of Interest Vanuatu EDI Submitter #06603 Cameroon Box 30783, Equatorial Guinea Nauru P.O. Paper: Homelink, P.O. Box 30783, Salt Lake City, UT 84130-0783 Bahamas Somalia Please select 0000103728 00000 n (Payer ID valid only for claims with a billing submission address of PO Box 1128, Eau Claire, WI 54702-1128) . UnitedHealthcare Shared Services Montserrat Australia Croatia St. Pierre and Miquelon You will need Adobe Reader to open PDFs on this site. Get help with Change Healthcare products, find resources such as enrollment forms and payer lists, and quicklly resolve common issues. Chief Financial Officer 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. 0000129961 00000 n United Arab Emirates hb```e``Z"@(pzX`rSV%omFcs (E33v`9P3PesFk3Ag`v8RpW00'=@ ' 0000003576 00000 n Your online resource for healthcare regulations and standards. 0000018618 00000 n Palau 0 hbbd```b``:"-T0w"1 #Xed;fd0DGHm RLHee`bd`d M" Hge 0 BA= Cal-Optima Direct. Information Systems/Technology 39026 39026: Y N: Commercial UnitedHealthcare: 87726 Y: Y . Codes 7 and 8 should be used to indicate a corrected, void or replacement claim with the original claim ID, if available. Note: Payers sometimes use different payer IDs depending on the clearinghouse they're working with. Please contact Change Healthcare at 1 (866) 371-9066 with any questions regarding electronic claims submission. Djibouti Full Payer List. Claims submitted late may be . 0000011777 00000 n 0000080992 00000 n Emergency Medicine 0000005346 00000 n (If the subscriber lives in California) 0000008125 00000 n 0000073889 00000 n 0000161773 00000 n Samoa Additional fields may be required, depending on the type of claim, line of business and/or state regulatory submission guidelines. Saudi Arabia Phone: (800) 821-6136 San Antonio, TX 78229, Part B RX Claims Address: endstream endobj 205 0 obj <>/Filter/FlateDecode/Index[5 38]/Length 20/Size 43/Type/XRef/W[1 1 1]>>stream Nunavut Other, Bed Size Medical Auditing Ecuador * Kentucky Spain Identify those dropping to paper in your system and convert them to an EDI 837 transaction by applying the appropriate Payer ID . 0000049255 00000 n P.O. Kyrgyzstan FLORIDA UBC HEALTH FUND St. Helena Eat Your Way to a Brighter, Whiter Smile! By continuing to use our site, you agree to ourPrivacy PolicyandTerms of Use. -- Please Select -- Laos Hospital/Health System g%g-pf%Zv%? South Africa 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. 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 0000161430 00000 n Macau Freedom Life Insurance Company of America Payer ID: 62324; Electronic Services Available (EDI) Professional/1500 Claims: YES: Institutional/UB Claims: YES: Secondary Claims: YES: Need to submit transactions to this insurance carrier? Luxembourg Puerto Rico 314. HUMANA INC. Arcadian Management Services Inc Other ID's: 61104, L0200, 72127, 62072, 61120, 62073, 73288, 95885. * Colorado Syria Zimbabwe, State/Location 39026: United Healthcare Oxford: Claims PO BOX 29130 HOT SPRINGS, AR 71903. 0000162699 00000 n For . Argentina Current functionality may be reduced and some features may not work properly. Provider Network Optimization Solutions Cardiology If you have any questions about payer ID numbers, please contact Harvard Pilgrim Health Care's Electronic Data Interchange (EDI) team at . For claims from this year, click Where to Submit Claims from 2021. 0000157961 00000 n 0000010081 00000 n A payer ID is a unique ID that's assigned to each insurance company. Peru Electronic Submission to United Healthcare In case of electronic submission, you will need UHC payer ID i.e. 0000170786 00000 n EDI Submitter: 44054 Unsure, Company Type 0000147575 00000 n Accommodation code is submitted in Value Code field with qualifier 24, if applicable. Ukraine Box 21542, Eagan, MN 55121 0000160095 00000 n Only for claims where the submit claims to address on the medical ID card is a CoreSource . 0000123185 00000 n Claims Payer List for UnitedHealthcare, Affiliates and Strategic Alliances Subject: Includes line of business, plan name and payer ID . startxref Hot Springs, AR 71903, Grievances & Appeals Department Find out More. Myanmar 0000141277 00000 n Angola Legal/Regulatory/Compliance * 0000006954 00000 n P.O. P.O. Bangladesh endstream endobj startxref Dental Plans. 0000103184 00000 n Panama Missouri Georgia UnitedHealthcare Shared Services What type of plan is it? Quebec Netherlands Italy MHN.com uses cookies. trailer Morocco Indonesia Outpatient claims must include a reason for visit. Feb 2, 2022 Knowledge. 0000118735 00000 n 0000130324 00000 n New Mexico Brazil 0000130720 00000 n Bravo Health - Cigna Healthspring. All medical claims should be mailed to the addresses listed below for each network. Find forms for medical claims, patient eligibility, ERA, and EFT payment information. Guinea-Bissau Contact your clearinghouse if current Payer IDs aren't on their payer list. xref 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` 0000161114 00000 n 0000153536 00000 n North Carolina 0000004183 00000 n 206 0 obj <>stream Serbia and Montenegro Sweden 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 . Blue Shield of Iowa. Single Page Claims: Claims without attachments are the simplest to file electronically. Uganda Ontario If your clearinghouse is not Optum, and you wish to receive an 835 electronic file, your clearinghouse has to enroll at Optum. 43 164 UPIN or state license number: Six-digit universal provider identification number (UPIN) or state license number of all attending providers. 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 India submitting an EDI file using Payer ID UHNDC, you must successfully complete specific EDI testing. -- Please Select -- If you do have electronic claim submission capabilities, please submit claims electronically. 0000061875 00000 n The Provider Services # is 1-877-658-0305. . N. Mariana Isls. 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 . Other, Job Level trailer 43 0 obj <> endobj United Kingdom 57080. Idaho 95 0 obj <>/Filter/FlateDecode/ID[<2A8680A847A02E488D35CBC39B3F8739><741C1DF9A256F44C939C389B842BF915>]/Index[65 53]/Info 64 0 R/Length 129/Prev 237672/Root 66 0 R/Size 118/Type/XRef/W[1 3 1]>>stream Member Engagement Vendor Relationships Medical Network Solutions %PDF-1.6 % Iceland Niue EDI Payor #39026 Mexico Hawaii PO BOX 1449 GOODLETTSVILLE, TN 37070-1449, Behavioral Health Claims 0000097318 00000 n 299 0 obj <> endobj American Samoa Nova Scotia West Virginia Turkey Greece Dental Imaging Center 0000145948 00000 n 0000152456 00000 n Box 981707, French Polynesia All dental claims should be submitted to EDI: 44054. Venezuela 0000157101 00000 n Box 21542 EDI Payer ID 39026 Box 830724. Medical Practice Management Congo, The Dem. 800.821.6136. P.O. 0000144715 00000 n 0000014575 00000 n Malaysia China Liechtenstein Member Eligibility & Enrollment Solutions All medical claims should be submitted electronically using the network EDI numbers as listed below for each network. Claims information Payer ID numbers and addresses for submitting medical and behavioral health claims. Mali Cte d'Ivoire 0000123934 00000 n Enterprise Imaging Solutions Bolivia Consumer Payments & Communications P.O. Louisiana Please Select 0000006751 00000 n EDI Submitter #06603 Eritrea To avoid possible denial or delay in processing, the above information must be correct and complete. Radiology 0000165174 00000 n Claims & Denials CALOP. Your clearinghouse will also have a payer list that may or may not match up exactly with the UnitedHealthcare payer list. Illinois All medical claims should be mailed to the addresses listed below for each network. endstream endobj 300 0 obj <. CWIBENEFITS INC. COMMERCIAL. 0000171350 00000 n 0000134302 00000 n Virgin Islands Chile Solomon Islands Other health insurance information and other payer payment, if applicable. Government Agency %%EOF 0000061698 00000 n Mass General Brigham plans have instructions specific to them. 0000127276 00000 n 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. American Samoa Nurse/Nursing Executive 0000138352 00000 n Claims Payer List for UnitedHealthcare, Affiliates and Strategic Alliances Subject: Includes line of business, plan name and payer ID . Payer Name and ID Your payer name is AMERIGROUP, and the payer ID is 26375. Technology 0000146835 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: Kenya Alabama Guadeloupe Need to submit transactions to this insurance carrier? 0000155014 00000 n Sample GEHA Member ID Card . Payer 835 List Payer ID Payer Name 59069 21st Century Health (MedsavUSA)(NJ) 74237 32 Dental (PO Box 9150, Austin, TX) 20413 3P Administrators (Onalaska, WI) 37283 AAG-American Administrative Group (Lubbock, TX) AARP1 AARP Dental Insurance Plan (Mechanicsburg, PA) 52133 ACEC Health Plans (SLC, UT) 61425 ACEC-Healthplan Suriname The CPT code book is available from the AMA Bookstore on the Internet. 0000174831 00000 n When billing for more than one attending provider, indicate each UPIN on the appropriate detail line. For a more optimal geha.com experience, please click. 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 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. Multiple entities publish ICD-10-CM manuals and the full ICD-10-CM is available for purchase from the AMA Bookstore on the Internet. For information on submitting claims, visit our updated Where to submit claims webpage. 0000003410 00000 n Diagnosis codes, revenue codes, CPT, HCPCS, modifiers, or HIPPS codes that are current and active for the date of service. Cape Verde Admission type code for inpatient claims. Training/Education !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$*bVgeMkR @0vq+ h[]~L0wHv8vqt~*rH7,3tizC]oIzYNJmkm*U The members ID card will indicate the Payer ID to use for claims submissions. Brunei Darussalam 0000010920 00000 n Claim Type Address Commercial (HMO, POS, PPO) - in CT, MA, ME, NH, RI and VT Medicare Enhance (including ancillary and DME claims) Medicare Supplement . Director fm1$"dxTC@ps\ U}? India For all other uses, Level I Current Procedural Terminology (CPT-4) codes describe medical procedures and professional services. Other, Subscribe to Change Healthcare Communications. 3. 0000003247 00000 n * If you have any questions regarding this offer, please call Ability at 800-548-2890. 87726. 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. Jamaica Dental is listed separately, if applicable. Maldives 0000115021 00000 n Chad Access the Electronic attachment payer list here. 68047. 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. A. Teachers Health Trust 2950 E. Rochelle Avenue Las Vegas, NV 89121 . For physicians, the state license number should be entered as a seven-digit number "A0nnnnn." National Drug Code (NDC) for drug claims as required. P.O. Texas Sri Lanka In addition, submitting electronically reduces postage and other paper related expenses and supports improvement to your overall . 0000073826 00000 n 0000035375 00000 n Anesthesia Login to your community accounts to get product updates, ask questions, and learn best practices. Billing Service Dental and Medicare primary Mail to GEHA, Direct Care Broker or Supplier Contracts Norway 0000167211 00000 n Pharmacy Benefit Solutions Moldova 0000127855 00000 n Faroe Islands Reunion 0000087889 00000 n 0000005075 00000 n Florida 0000177444 00000 n 0000004845 00000 n 0000087773 00000 n Sales/Business Development/Marketing Nebraska Niger Belize Tunisia Share of cost is submitted in Value Code field with qualifier 23, if applicable. EDI 0000097353 00000 n 0000125869 00000 n Connecticut 0000112306 00000 n Macedonia C-Level Rhode Island New Brunswick 0000008078 00000 n 0000096807 00000 n Non-Participating Payor. P.O. Name Address: City St: 56144 E HEALTHGRAM ALL CLAIM OFFICE ADDRESSES 71063 E HEALTHSCOPE BENEFITS ALL CLAIM OFFICE ADDRESSES . Trust Physician Practice Management land Islands 13337. Kuwait Chief Information Officer New Medicare Card-What to do and how will new MBI number look? * P.O. Belgium Claims Address For All UHC, UBH, and Optum P.O. 0000002334 00000 n Bosnia and Herzegovina Access product updates and information, ask questions, learn about best practices & benchmarks, and connect with experts & peers. Radiology Mauritius 0000008030 00000 n CD Plus. 0000001043 00000 n We have a long history of helping clients, customers, and partners navigate the changing landscape of healthcare. Portugal California Eye Care - New Century Health . Clinical Interoperability Solutions Billing provider tax identification number (TIN), address and phone number. @=&F]`00Rx@ 6Z Alberta 0000062022 00000 n hbbd```b``z"s@$","Yl0&&1d kfj LA{\qz2XDf% N0{13E $400]~l 0 Iran Christmas Island -- Please Select -- These standards support consistency in electronic exchange of data among providers, health care plans, clearinghouses, vendors and other health care business associates. 0000157670 00000 n Patient name, Member identification (ID) number, address, sex, and date of birth must be included. To set up an account,visit the Ability website. %PDF-1.7 % Belarus Tennessee 0000153036 00000 n Military Americas * Mongolia . -- Please Select -- Guam Philippines Palau 0000061761 00000 n The payer ID is typically a 5 character code, but it could be longer. Patient Access Korea (North) hbbbd`b``l $ u To enroll, contact UMR 835 File Enrollment at Optum, 866 -367 . Egypt PO Box 30997 Singapore -- Please Select -- Non-Participating Payor. Primary diagnosis code and all additional diagnosis codes (up to 24 for institutional) with the proper ICD indicator (only ICD 10 codes are applicable for claims with dates of service on and after October 1, 2015). Cuba 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 0000119147 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. 0000148610 00000 n These may be different when submitting Amerigroup EDIs in Availity. Benin Qatar Kazakhstan Germany 1095 tax forms now available Medical members can access your 1095 tax form by, You are using a browser we no longer support. 52192. New York 11729 0 obj <>stream Guinea 0000003714 00000 n Software Vendor Northwest Territories Andorra Contact your clearinghouse if current Payer IDs arent on their payer list. Payment Accuracy Solutions Cambodia Haiti View our network today to connect with a payer or partner for all available transactions. SAGE TECHNOLOGIES Saint Anthony PHO STA01 ST ANTHONY PHO Saint Marys Health Plan Wyoming Billing provider National Provider Identifier (NPI). Honduras 0000007492 00000 n If you do not have electronic claim submission capabilities, you can mail claims on standard HCFA, UB and dental claim forms. Submit electronic claims online at www.uhis.com, Emdeon payer ID 39026. Brit/Indian Ocean Terr.

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