Sales/Business Development/Marketing Note: Payers sometimes use different payer IDs depending on the clearinghouse they're working with. Need access to the UnitedHealthcare Provider Portal? 0000004015 00000 n Authorization, if applicable, should be sent in the 2300 Loop, REF segment with a G1 qualifier for electronic claims (box 63 for UB-04). 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. Fiji Claims information Payer ID numbers and addresses for submitting medical and behavioral health claims. Rwanda 0000127723 00000 n Quebec Already a customer? 0000179233 00000 n Jordan Peru 2-2-22-UMR-WAUSAU-39026-Delayed-ERAs-Checks-Dated-1-20-22. India California Eye Care - New Century Health . 0000143443 00000 n Georgia Payer IDs are used to route EDI transactions to the appropriate payer. Guadeloupe 39026 52180 Unicare Life & Health Insurance Company 80314 35198 34638 . Drug testing Dates of service on and after January 1, 2017: We follow the Centers for Medicare & Medicaid Services (CMS) coding guidelines for reporting drug testingprocedures as outlined in the 2017 CMS Clinical Laboratory Fee Schedule (CLFS) Final Determinations document posted on the CMS website (CMS8). Oman Payer ID: 39026 . Independent Practice Affiliated with Hospital Oregon Please note: Do not use Payer ID 421406317. 1-199 This ID is used to submit claims electronically through our system. Germany Eagan, MN 55121, Mental Health, Behavioral Health, and Substance Use Disorder Claims rendered by in and/or out-of-network providers: D.C. San Marino Vatican City France Dental Claims PO Box 609 Colorado Springs, CO 80949-9549. 11694 0 obj <> endobj 0000155014 00000 n 0 If Medicare is the patient's primary plan: Professional Institutional. Bosnia and Herzegovina Saskatchewan hbbbd`b``l $ u 0000018618 00000 n Phone: (800) 793-9335, UnitedHealthcare Choice Plus (Florida and Texas) Member Engagement Box 30783, Salt Lake City, UT 84130-0783 Italy Norway Mass General Brigham plans have instructions specific to them. Palestinian Territory, Occupied Seychelles Statement from and through dates for inpatient. 13337. Administrative/Human Resources Non-Participating Payor. Afghanistan Box 981707, Palau All dental claims should be submitted to EDI: 44054. All dental claims should be mailed to GEHA at the appropriate address below: Direct Care Broker or Supplier Contracts EDI Submitter: 44054 P.O. Chief Information Officer Use Healthcare Common Procedure Coding System (HCPCS) Level I and II codes to indicate procedures on all claims, except for inpatient hospitals. Technology Czech Republic United Arab Emirates 800.821.6136. Medical Auditing 316. Belgium 0000005346 00000 n Phone: (800) 821-6136, Connection Dental Network If the subscriber is also the patient, only the subscriber data needs to be submitted. CALOP. New York Member Engagement Solutions 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 Billing provider National Provider Identifier (NPI). 392 0 obj <>/Filter/FlateDecode/ID[<2B6FDBD48D83564DAD4FC2DD51BA67C7>]/Index[376 30]/Info 375 0 R/Length 96/Prev 321559/Root 377 0 R/Size 406/Type/XRef/W[1 3 1]>>stream 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 0000174831 00000 n Ethiopia 0000008030 00000 n To avoid possible denial or delay in processing, the above information must be correct and complete. 0000049016 00000 n UHC Provider Services Phone: (844) 586-7309 Brunei Darussalam Healthcare Data & Analytics Solutions Manitoba Type of Bill - Enter the appropriate three- or four-digit code that indicates the type of bill you are submitting. 0000103577 00000 n Dental and Medicare primary Mail to GEHA, Direct Care Broker or Supplier Contracts 0000074003 00000 n CLAIM.MD Independent Practice Not Affiliated with Hospital The Provider Services # is 1-877-658-0305. . Papua New Guinea 259. Other United Health Care Billing Considerations Some United Health Care now requires providers to obtain authorization for 60 minute therapy sessions. PO Box 30997 American Samoa United Healthcare Claims Address: Payer ID: United Healthcare: PO BOX 30555 SALT LAKE CITY, UT 84130-0555P.O. Utah 0000159481 00000 n North Carolina Belize Sweden h1 04f\G` z0=i2\x!!!!!!!CCC. St. Pierre and Miquelon Ireland Viet Nam Legal/Regulatory/Compliance If you do have electronic claim submission capabilities, please submit claims electronically. Virginia GEHA-ASA 0000003538 00000 n Lithuania EDI Submitter #06603 Botswana IMPORTANT NOTE: We require that all facility claims be billed on the UB-04 form. Payer Name Payer ID Type Services; UMR - Wausau: 39026: commercial: UB04 1500 ERA Eligibility: More Info 206 0 obj <>stream Patient name, Member identification (ID) number, address, sex, and date of birth must be included. 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 . For information on submitting claims, visit our updated Where to submit claims webpage. 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` 0000008221 00000 n 0000087889 00000 n endstream endobj 377 0 obj <>/Metadata 47 0 R/Outlines 91 0 R/Pages 374 0 R/StructTreeRoot 100 0 R/Type/Catalog>> endobj 378 0 obj <>/Font<>/ProcSet[/PDF/Text/ImageC]/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 379 0 obj <>stream 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. Pharmacy Solutions Tonga Burundi 0000003247 00000 n h[]~L0wHv8vqt~*rH7,3tizC]oIzYNJmkm*U Equatorial Guinea CALOP. To set up an account,visit the Ability website. Gibraltar Guatemala 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. 0000127276 00000 n <<5EBD9ADF93626F458FA1B929BDAFF42F>]/Prev 669182/XRefStm 1766>> Wallis/Futuna Isls. Burkina Faso Iceland Yemen 0000177444 00000 n 0000162699 00000 n 0000118735 00000 n Japan 0000023307 00000 n Svalbard/Jan Mayen Isls. trailer 0000153297 00000 n 0000080665 00000 n Benin Pathology Fax claims to: 205.449.5505. Access product updates and information, ask questions, learn about best practices & benchmarks, and connect with experts & peers. Comoros 0000123653 00000 n startxref Contact your . 0000144676 00000 n Solomon Islands Services 0000081280 00000 n Contact us. Operations CD Discount. Address OFFICE. CPT is a numeric coding system maintained by the AMA. startxref YL}X2d*SLbnd,vb1MW,J%cS;) ?310wIApYCD% g endstream endobj 66 0 obj <. Guinea-Bissau Make today the day you stop. 0000004177 00000 n Norfolk Island 0000175066 00000 n Box 21542, Eagan, MN 55121 Training/Education PO Box 30783 Box 830724. hb``Xo:1Gl$ 4"c0ax`L^ H^;wxlO8.dVa,Pe8h6?RJ% kS; qTgaU`p*`b`a::*CX^C(($!!,719w !IC!1KO#k*X~b^1lH-fxfg=39X9bB;Y\"Y2lXZfLpFQYeR2#`*\(6 _4 Nunavut 0000040339 00000 n endstream endobj startxref Missouri g%g-pf%Zv%? Paxlovid - Pharmacist Prescribed List. Bahamas 0000009289 00000 n Availity is working with the payer to resolve this issue as quickly as possible. %%EOF Emergency Medicine Arizona hbbd```b``:"-T0w"1 #Xed;fd0DGHm RLHee`bd`d M" Hge 0 BA= Bermuda If you have any questions about payer ID numbers, please contact Harvard Pilgrim Health Care's Electronic Data Interchange (EDI) team at . Macau 0000048605 00000 n 0000148610 00000 n For claims from this year, click Where to Submit Claims from 2021. 57080. The EDI 837 Health Care Claim transaction is the electronic transaction for claims submissions. $UZZNl)Q,nB=&X"HZic2lc[J"*yDO3.o8T*feoXRz`4U !x*w$Jn(*Pmfk[wv$(=MKi3T|}G)WoKP 2Jl*N|Jd-EIAM}+>@rATf@MWX&3O5S-kLB)[MA=Ln5-IWEdVZTQ 0000013455 00000 n 0000007935 00000 n Jamaica Unsure, Company Type Brit/Indian Ocean Terr. Rhode Island Micronesia 39026: United Healthcare Oxford: Claims PO BOX 29130 HOT SPRINGS, AR 71903. California Health & Wellness. Payer Chief Executive Officer UHC Provider ServicesPhone: (877) 343-1887 A member of our team will contact you to better understand your needs and discuss potential solutions. Maine United States South Carolina 0000088002 00000 n Box 30783, 0000000016 00000 n Tajikistan %%EOF Optum receives 837I (institutional claims) and 837P (professional claims) and routes them to UMR. Ontario If you do not have electronic claim submission capabilities, you can mail claims on standard HCFA, UB and dental claim forms. Dental Plans. Visit Ability to register today to begin submitting MHN claims for free. 376 0 obj <> endobj Honduras 0000006954 00000 n Alabama EDI Submitter #06603 Nurse/Nursing Executive Your clearinghouse will also have a payer list that may or may not match up exactly with the UnitedHealthcare payer list. Feb 2, 2022 Knowledge. 0000005075 00000 n Revenue Cycle Management 0000146494 00000 n A Submit paper claims to the address on the back of the member ID card. Correct coding is key to submitting valid claims. If your practice management system uses Emdeon as its clearinghouse, you can submit claims using MHN's payer ID: To find out if your practice management software uses Emdeon's clearinghouse, check with your vendor. Paraguay EDI Submitter: 44054 0000002334 00000 n %PDF-1.6 % Israel Pitcairn Finland Board Member/Director/Trustee 0000049255 00000 n Australia If you do have electronic claim submission capabilities, please submit claims electronically. China 68047. Serbia and Montenegro 0000004123 00000 n Malta Morocco Guinea 0000005592 00000 n Need to submit transactions to this insurance carrier? Access the Electronic attachment payer list here. EDI Payer ID #39026 Ohio 0000003576 00000 n Please Use Payor ID# 63100. News. Costa Rica Chief Medical Information 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. *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. 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. -- Other Locations -- Netherlands Chief Technology Officer This ID is not valid for Superior claim submissions. In order to ensure claims are submitted correctly, providers must use the following Payer IDs: 68069 for Medical Services. Military Europe/ME/Canada Please select 0000147653 00000 n Guam Analyst/Administrator Brazil Turkmenistan Claims Payer List for UnitedHealthcare, Affiliates and Strategic Alliances Subject: Includes line of business, plan name and payer ID . Call to verify network status and you'll be ready to accept all three in no time! 0000018151 00000 n Employer group number: The number assigned to the subscriber's employer group located on the member's ID card. When billing for more than one attending provider, indicate each UPIN on the appropriate detail line. Learn More ConnectCenter Payer List Access the Assurance EDI, Clearance EDI, and ConnectCenter payer information here. Payer ID: 39026 Sending claims electronically eliminates the need for paper forms and allows for faster and more accurate submission of data. Tunisia Mailing. 0000032040 00000 n 0000141716 00000 n 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. Mauritania . Zimbabwe, State/Location 0000073889 00000 n P.O. To submit paper claims, please mail your form to: MHN Claims All medical claims should be submitted electronically using the network EDI numbers as listed below for each network. Dental and Medicare primary Mail to GEHA, UnitedHealthcare Choice Plus (all 50 states) A Claims must be received within 90 days from the service date. Paper Submission to United Healthcare In case of claims paper submission to United Healthcare, you will need UHC claims mailing address. Republic Of Micronesia Admitting diagnosis required for inpatient claims. PO BOX 1449 GOODLETTSVILLE, TN 37070-1449, Behavioral Health Claims UPIN or state license number: Six-digit universal provider identification number (UPIN) or state license number of all attending providers. hb``a`` Marianas 0000130720 00000 n Laboratory Netherlands New Caledonia !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+ Other, Bed Size French Polynesia Oklahoma Kazakhstan 0000158914 00000 n GEHA-ASA Newfoundland and Labrador Corrected Claims/ Resubmissions 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: Congo, The Dem. 315. !C8>}t}W>qWW_{_wOo~_}yJf. EHR Implementation/Management Administrator )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. Swaziland Kenya Lebanon CWIBENEFITS INC. COMMERCIAL. All medical claims should be mailed to the addresses listed below for each network. French Southern Terr. Teachers Health Trust 2950 E. Rochelle Avenue Las Vegas, NV 89121. Pharmacy The payer ID is typically a 5 character code, but it could be longer.   0000080992 00000 n Latvia 0000160401 00000 n Virgin Islands (British) 0000087773 00000 n Eat Your Way to a Brighter, Whiter Smile! Bolivia Marshall Islands Turkey About. Get help with Change Healthcare products, find resources such as enrollment forms and payer lists, and quicklly resolve common issues. 314. Salt Lake City, UT 84130-0783 Puerto Rico Nepal Payer Name and ID Your payer name is AMERIGROUP, and the payer ID is 26375. Cayman Islands Texas Box 30783, Salt Lake City, UT 84130-0783 257. 0000146026 00000 n 0000081203 00000 n 57080. Vice President Original submission is indicated with a 1 in claim frequency box or resubmission code (box 22). Box 14621 Antigua and Barbuda 0000014575 00000 n Printed: 10-03-2019 Call UMR at the member customer service number listed on this ID Card for plan required prior authorization. 0000022641 00000 n Wyoming Blue Shield of Iowa. 258. Medical Record Retrieval & Clinical Review Tanzania 0000011777 00000 n Claims & Denials Consumer Payments & Communications 0000112306 00000 n Medical Practice Management Physician For . Slovenia Maryland A. * Russian Federation 0000130324 00000 n ]m4hq51l^XNFsZb jB"l! Slovak Republic New Zealand COMMERCIAL. Billing Service payer id claim office # type name address city st zip 36273 e aarp unitedhealthcare all claim office addresses 38265 e admin systems research asr all claim office addresses . If your clearinghouse is not Optum, and you wish to receive an 835 electronic file, your clearinghouse has to enroll at Optum. Dental Network Solutions %PDF-1.7 % 0000073502 00000 n 0000008173 00000 n You will need Adobe Reader to open PDFs on this site. 0000049603 00000 n xref Multiple entities publish ICD-10-CM manuals and the full ICD-10-CM is available for purchase from the AMA Bookstore on the Internet. Billing provider tax identification number (TIN), address and phone number. Illinois 0000007492 00000 n 0 New Jersey Western Sahara Hospital Employed Practice }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! Payer ID: 74227 ; Uruguay Electronic Submission to United Healthcare In case of electronic submission, you will need UHC payer ID i.e. EDI Submitter: 44054 West Virginia 0000061988 00000 n Eritrea Other, Country Find forms for medical claims, patient eligibility, ERA, and EFT payment information. 0000146835 00000 n Samoa EDI Guyana -- Please Select -- 0000096807 00000 n 0000157101 00000 n 0 Lesotho New Hampshire 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). CD Plus. Including the correct 5-digit payer ID helps avoid having your claim rejected due to listing an incorrect payer. 0000008078 00000 n 0000074376 00000 n MEDICARE CLAIMS TO French Guiana Hawaii 4q<={Wm|? How to use this page To ensure accurate submission of your claims, answer these three questions: What plan is it? Job Function 3. 0000165174 00000 n 0000007354 00000 n Healthcare Consulting Services Namibia 1. Falkland Islands Birmingham, AL 35283-0724. Box 30783, Salt Lake City, UT 84130-0783 xref Salt Lake City, UT 84130-0783 All other providers use their state-assigned license number without modifications. Laboratory MHN.com uses cookies. All medical claims should be submitted electronically using the network EDI numbers as listed below for each network. P.O. HIPAA has national standards for health care EDI transaction and code sets. 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). Chief Compliance Officer De + 0000028199 00000 n Electronic Interchange Group Professional Commercial Payer List Payer ID Claim Office # Type . 39026 39026: Y N: Commercial UnitedHealthcare: 87726 Y: Y . Tuvalu Nigeria 0000097136 00000 n Slime Party - Because Slime is Fun for Adults, Too! 0000160095 00000 n We make it easier to find the payer information you need with our Easy Search, Real Time, Claims and ERA payer lists. Submit CMS-1500 and UB04 Claims Electronically. Hot Springs, AR 71903, Grievances & Appeals Department 0000062022 00000 n 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 Paper: Homelink, P.O. Northwest Territories Cambodia Greece All dental claims should be submitted to EDI: 44054. It's never too late to quit smoking. 0000162376 00000 n General Management Find, access, and login to your product application portal as a current customer. P.O. 0000008424 00000 n 0000144715 00000 n 0000073826 00000 n Dentistry 0000119147 00000 n 0000159788 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.