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? Republic Of Cape Verde China UnitedHealthcare Shared Services Together, we are accelerating the journey toward improved lives and healthier communities. We have a long history of helping clients, customers, and partners navigate the changing landscape of healthcare. -- Please Select -- Georgia Chile 0000008424 00000 n 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 endstream endobj startxref 0000146835 00000 n 0000144676 00000 n Luxembourg 0000133800 00000 n Chief Medical Officer 2-2-22-UMR-WAUSAU-39026-Delayed-ERAs-Checks-Dated-1-20-22. Administrative/Human Resources Claims information Payer ID numbers and addresses for submitting medical and behavioral health claims. Egypt <<5EBD9ADF93626F458FA1B929BDAFF42F>]/Prev 669182/XRefStm 1766>> Learn More Change Healthcare Attachment Payer List 39026 52180 Unicare Life & Health Insurance Company 80314 35198 34638 . Nigeria P.O. Billing Service Aruba 0000010920 00000 n For a more optimal geha.com experience, please click. )o4 e)wh3}4M`w;4av ':R$r;?\pTUO(WyV'Y0v^.kT! xvbPfRx A{NGyBkE'L*&qht}42S=6C}#*h \-5xQ[|>*{j@ u~;k}f(Plzfu\w~yf(!TaJUQBchpZ3^Yeuqw~:w. Phone: (800) 793-9335, UnitedHealthcare Choice Plus (Florida and Texas) Venezuela Patient Financial Services Professional Institutional. 0000152221 00000 n 0000153297 00000 n 0000158331 00000 n Guatemala Reunion Revenue Cycle Management Solutions Home Health Agency Other, Subscribe to Change Healthcare Communications. @=&F]`00Rx@ 6Z Central African Republic Engagement & Experience Dental Network Solutions 0000002334 00000 n Radiology Teachers Health Trust 2950 E. Rochelle Avenue Las Vegas, NV 89121 . Analyst/Administrator 0000014575 00000 n 0000112488 00000 n Salt Lake City, UT 84130, WellMed Claims address South Dakota Vendor Relationships Claims with incomplete coding or having expired codes will be contested. 39026: United Healthcare Oxford: Claims PO BOX 29130 HOT SPRINGS, AR 71903. If your provider has questions regarding this process, they may contact Envoy/Web MD or call the UMR EDI unit at 1-800-826-9781. Honduras P.O. For physicians, the state license number should be entered as a seven-digit number "A0nnnnn." Norway What type of plan is it? The Provider Services # is 1-877-658-0305. . 800.821.6136. Nauru Oklahoma Ohio Dental Plans. In addition, submitting electronically reduces postage and other paper related expenses and supports improvement to your overall . For more information about Emdeon services, call (877) GO-WebMD (469-3263) or visit: Consolidated Billing: All charges for the patient stay should be included on the same bill, this includes therapy/treatment and ancillary services. 0000007492 00000 n Utah France Pharmacy Payer Connection - Electronic Claims Payer List Name Payer ID ERA Paper* Address City State Zip 6 DEGREES HEALTH INCORPORATED 20446 N N/A A I BENEFIT PLAN ADMIN AIBPA N N/A 1220 SW MORRISON ST 300 PORTLAND OR 97205 . GEHA FEHB Medical hbbd```b``"fHL NA$>d4 9`v 0000159788 00000 n MHN.com uses cookies. HIPAA has national standards for health care EDI transaction and code sets. Eat Your Way to a Brighter, Whiter Smile! Chief Quality Officer 0000001766 00000 n P.O. 0000000016 00000 n 0000103577 00000 n West Virginia endstream endobj 300 0 obj <. 0000160789 00000 n Paper Submission to United Healthcare In case of claims paper submission to United Healthcare, you will need UHC claims mailing address. 0000158914 00000 n HUMANA INC. Arcadian Management Services Inc Other ID's: 61104, L0200, 72127, 62072, 61120, 62073, 73288, 95885. UHC Provider Services Phone: (844) 586-7309. Palau All medical claims should be mailed to the addresses listed below for each network. These standards support consistency in electronic exchange of data among providers, health care plans, clearinghouses, vendors and other health care business associates. 0000035375 00000 n To enroll, contact UMR 835 File Enrollment at Optum, 866 -367 . Faroe Islands Idaho Somalia Sri Lanka 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). 0000005346 00000 n 0000129651 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: hb```b``c`e``)`b@ !?0 -# -- Please Select -- 0000115087 00000 n South Carolina PO Box 30783 Hungary 0000087889 00000 n Singapore Namibia Project Management New Mexico Niue Payer IDs route EDI transactions to the appropriate payer. National Uniform Billing Committees UB-04 Data Specifications Manual, is available at www.nubc.org. About. 0000004015 00000 n lB8W)! Nicaragua 1-199 land Islands Arkansas Sample GEHA Member ID Card . US Minor Outlying Is. Uruguay Turkmenistan Korea (South) Indiana D.C. Israel How to use this page To ensure accurate submission of your claims, answer these three questions: What plan is it? 39026 e umr (formerly umr wausau) all claim office addresses 79480 e umr harrington all claim office addresses hb``a`` Puerto Rico Table of Contents . Payer ID: 39026 United Health Shared Services (on back of card) Payer ID: 39026 . 0000157101 00000 n Title: MN010-W120, PO Box 1459 Kansas Uzbekistan Palestinian Territory, Occupied 0000007982 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. 0000061761 00000 n * Cook Islands 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 0000002850 00000 n United Kingdom CF0101 08-08 Contact us. * ]m4hq51l^XNFsZb jB"l! Printed: 10-03-2019 Call UMR at the member customer service number listed on this ID Card for plan required prior authorization. IMPORTANT NOTE: We require that all facility claims be billed on the UB-04 form. Trust 257. GEHA-ASA PO box 29133 fm1$"dxTC@ps\ U}? 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. Provider Network Optimization Solutions Services Bahrain 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 P.O. Dental Claims PO Box 609 Colorado Springs, CO 80949-9549. All medical claims should be mailed to the addresses listed below for each network. Box 30783, Salt Lake City, UT 84130-0783 * Please note: Do not use Payer ID 421406317. Contact your . 68047. For claims from this year, click Where to Submit Claims from 2021. Dentistry All dental claims should be submitted to EDI: 44054. EDI Payer ID 39026 87726. View your current quotes and finalize your order by logging into your Marketplace account. Legal/Regulatory/Compliance UnitedHealthcare Shared Services Mass General Brigham plans have instructions specific to them. h[]~L0wHv8vqt~*rH7,3tizC]oIzYNJmkm*U -- Please Select -- Hospital Employed Practice General Management Address OFFICE. 52192. Patient Experience Solutions Liberia Congo, The Dem. El Paso, TX 79998-1707 Grenada Need access to the UnitedHealthcare Provider Portal? List of Pre Existing Conditions,ACA-Obama Care,AHCA-Trump Care,BCRA, How to Obtain Premera Blue Cross Insurance Prior Authorization, Medical Billing Denial Codes and Solutions, Health Insurance in the United States of America, AARP United Health Care Ovations Insurance, United Health One or United Health Care Choice Plus One, Health Plan of Nevada, Sierra health and Life, United Healthcare Neighborhood Health Partnership Supplement, Medica health Plans Supplement Inc. Florida, PO BOX 141368 CORAL GABLES, FLORIDA 33114-1368. 0000127276 00000 n British Columbia Samoa hbbbd`b``l $ u 0000111978 00000 n Alberta 2021-2022 Annual Report. Technology Physician Practice Management Tajikistan 3. Saint Kitts and Nevis   0000123185 00000 n Cameroon 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. * Payer IDs are used to route EDI transactions to the appropriate payer. San Antonio, TX 78229, Part B RX Claims Address: -- Please Select -- Billing provider National Provider Identifier (NPI). 0000080665 00000 n Enterprise Imaging Solutions Cuba No additional support tickets are needed at this time. Claim Type Address Commercial (HMO, POS, PPO) - in CT, MA, ME, NH, RI and VT Medicare Enhance (including ancillary and DME claims) Medicare Supplement . News. Sudan COMMERCIAL. Vice President Yukon Territory 0000103806 00000 n 0000152773 00000 n Box 30783, Salt Lake City, UT 84130-0783 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). Malaysia Wisconsin Costa Rica Marshall Islands 0000004123 00000 n Use Healthcare Common Procedure Coding System (HCPCS) Level I and II codes to indicate procedures on all claims, except for inpatient hospitals. Iceland 0000061875 00000 n To set up an account,visit the Ability website. 0000146757 00000 n Burundi Portugal Other health insurance information and other payer payment, if applicable. startxref Netherlands Antilles 0000003049 00000 n 0000177444 00000 n 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). 0000138268 00000 n All dental claims should be mailed to GEHA at the appropriate address below: If the patient has Medicare primary coverage, mail to GEHA: 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. Martinique Employer group number: The number assigned to the subscriber's employer group located on the member's ID card. 0000049016 00000 n 11694 0 obj <> endobj Finland Box 30755 Salt Lake City UT 841300755 And that's it! Ukraine 1095 tax forms now available Medical members can access your 1095 tax form by, You are using a browser we no longer support. Find forms for medical claims, patient eligibility, ERA, and EFT payment information. 0000123934 00000 n 206 0 obj <>stream SAGE TECHNOLOGIES Saint Anthony PHO STA01 ST ANTHONY PHO Saint Marys Health Plan Ethiopia ^l,W~!u8XO7VZa}XhDt$Xq)5 %",g|0 *@&DX LZ2U[bfWPA Paper: Homelink, P.O. Algeria Claims & Denials 0000103184 00000 n 11729 0 obj <>stream 0000148268 00000 n Need to submit transactions to this insurance carrier? (If the subscriber lives in California) Military Europe/ME/Canada 0000002289 00000 n 39026 39026: Y N: Commercial UnitedHealthcare: 87726 Y: Y . 0000152456 00000 n Eritrea 0000004338 00000 n 0000048605 00000 n Radiology 2023 Government Employees Health Association, Inc. All rights reserved. 65 0 obj <> endobj Military Americas Denmark St. Pierre and Miquelon Military Pacific Philippines For . [Jr@rjyoWJ2& -Z p Healthcare Consulting Services All medical claims should be submitted electronically using the network EDI numbers as listed below for each network. Claims Payer List for UnitedHealthcare, Affiliates and Strategic Alliances Subject: Includes line of business, plan name and payer ID . 0000160401 00000 n Panama 0000161430 00000 n Azerbaijan UPIN or state license number: Six-digit universal provider identification number (UPIN) or state license number of all attending providers. It's never too late to quit smoking. Diagnosis codes, revenue codes, CPT, HCPCS, modifiers, or HIPPS codes that are current and active for the date of service. 0000097353 00000 n Estonia Laboratory 0000081055 00000 n 0000012577 00000 n Wyoming 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. PO Box 609 Colorado Springs, CO 80949-9549, Corrected Claims/ Resubmissions Accommodation code is submitted in Value Code field with qualifier 24, if applicable. N. Mariana Isls. Guam Contact your . 0000005075 00000 n 314. To avoid possible denial or delay in processing, the above information must be correct and complete. India $UZZNl)Q,nB=&X"HZic2lc[J"*yDO3.o8T*feoXRz`4U !x*w$Jn(*Pmfk[wv$(=MKi3T|}G)WoKP 2Jl*N|Jd-EIAM}+>@rATf@MWX&3O5S-kLB)[MA=Ln5-IWEdVZTQ Cyprus 0000147575 00000 n United States Claims Address For All UHC, UBH, and Optum P.O. Kuwait 0000022830 00000 n Jamaica Belarus Virginia Missouri 0000118735 00000 n If your clearinghouse is not Optum, and you wish to receive an 835 electronic file, your clearinghouse has to enroll at Optum. Single Page Claims: Claims without attachments are the simplest to file electronically. Contact us. Providers are required to submit corrected claims if an incorrect Payer ID is used. If Medicare is the patient's primary plan: 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 . UMR payer ID 39026, if your clearinghouse is not Optum . 0 0000162048 00000 n Salt Lake City, UT 84130-0783. Nova Scotia Pharmacy Benefit Solutions 0000062022 00000 n The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM), is currently used to code diagnostic information on claims. Cal-Optima Direct. Netherlands Gibraltar Emergency Medical Service Mali Antarctica Healthcare Information Exchange Micronesia Tennessee 0000134218 00000 n Non-Participating Payor. United Kingdom UHC Provider ServicesPhone: (877) 343-1887, UnitedHealthcare Select Plus Taiwan EDI Submitter #06603 Box 21542 Contact your clearinghouse if current Payer IDs arent on their payer list. 0000008030 00000 n %%EOF Poland Training/Education On the UnitedHealthcare Payer List, medical Payer IDs refer to professional and institutional claim submissions. Five Ways to Ease Back to School Stress for Kids, Avoid Mindless Eating with these Five Tips, Five Easy Ways to Establish Proper Handwashing Behaviors, WildFire Resource Guide & Hurricane Resource Guide, Tips on How to Communicate with Children During COVID-19 Pandemic, Five Ways Relationships Are Good for Your Health, Diabetes Awareness Month: Tips for Preventing and Recognizing Signs of Diabetes, Eating for Your Sight: Five Foods for Healthy Eyes. Oman Software Vendor Chief Operating Officer Slovenia Heard/McDonald Isls. Colorado 0rT* Procurement/Purchasing/Supply Massachusetts Box 981707, El Paso, TX 79998-1707 United States Finance/Accounting Paraguay Slovak Republic If you have any questions about payer ID numbers, please contact Harvard Pilgrim Health Care's Electronic Data Interchange (EDI) team at . A payer ID is a unique ID that's assigned to each insurance company. 0000147306 00000 n Kyrgyzstan Clinical Decision Support Solutions Billing provider tax identification number (TIN), address and phone number. Pathology P.O. Cardiology 0000103728 00000 n South Africa Bangladesh Kazakhstan GEHA-ASA 0000161114 00000 n Timor-Leste COMMERCIAL. St. Vincent and Grenadines Submit CMS-1500 and UB04 Claims Electronically. Indonesia EDI Claims. endstream endobj 205 0 obj <>/Filter/FlateDecode/Index[5 38]/Length 20/Size 43/Type/XRef/W[1 1 1]>>stream Payer ID: 39026 . Chief Medical Information Officer Member Engagement Solutions 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? Please contact Change Healthcare at 1 (866) 371-9066 with any questions regarding electronic claims submission. Rendering/attending provider NPI (only if it differs from the billing provider) and authorized signature. Find, access, and login to your product application portal as a current customer. 0000147653 00000 n Find yourproduct support portal. Canada CD Discount. Medical Network Solutions A Claims must be received within 90 days from the service date. 0000153536 00000 n Trinidad and Tobago trailer Healthcare Data & Analytics Solutions Ghana Brazil Authorization, if applicable, should be sent in the 2300 Loop, REF segment with a G1 qualifier for electronic claims (box 63 for UB-04). CLAIM.MD Kenya Louisiana Alabama 0000011777 00000 n Q What are the timely filing requirements? 0000157670 00000 n Croatia -- Please Select -- 0000009289 00000 n For all other uses, Level I Current Procedural Terminology (CPT-4) codes describe medical procedures and professional services. Kentucky 0000074376 00000 n 0000153036 00000 n Prince Edward Island Electronic Interchange Group Professional Commercial Payer List Payer ID Claim Office # Type . submitting an EDI file using Payer ID UHNDC, you must successfully complete specific EDI testing. P.O. 0000114704 00000 n Malawi Iowa Tokelau Kiribati Make today the day you stop. 0000137409 00000 n Dominican Republic Seychelles 0000159481 00000 n United Arab Emirates Oregon If you do not have electronic claim submission capabilities, you can mail claims on standard HCFA, UB and dental claim forms. Albania FLORIDA UBC HEALTH FUND !C8>}t}W>qWW_{_wOo~_}yJf. 0000019237 00000 n 0000138352 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 Vermont CPT is a numeric coding system maintained by the AMA. Teachers Health Trust 2950 E. Rochelle Avenue Las Vegas, NV 89121. Mississippi Note: If you use a clearinghouse, billing service or vendor, please work with them directly to determine payer ID. Other United Health Care Billing Considerations Some United Health Care now requires providers to obtain authorization for 60 minute therapy sessions. 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 0000040339 00000 n Sweden Korea (North) All dental claims should be submitted to EDI: 44054. Peru 376 0 obj <> endobj Gambia Solomon Islands 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.