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Your clearinghouse will also have a payer list that may or may not match up exactly with the UnitedHealthcare payer list. We make it easier to find the payer information you need with our Easy Search, Real Time, Claims and ERA payer lists. UHC Provider ServicesPhone: (877) 343-1887, UnitedHealthcare Choice Plus (all 50 states) <<5EBD9ADF93626F458FA1B929BDAFF42F>]/Prev 669182/XRefStm 1766>> Patient Access 0000008030 00000 n Poland Palestinian Territory, Occupied Slime Party - Because Slime is Fun for Adults, Too! CD Plus. California Russian Federation hbbd```b``z"s@$","Yl0&&1d kfj LA{\qz2XDf% N0{13E $400]~l 0 0000004338 00000 n Germany You will need Adobe Reader to open PDFs on this site. Payer ID: 39026 . P.O. Mississippi Western Sahara Get help with Change Healthcare products, find resources such as enrollment forms and payer lists, and quicklly resolve common issues. Billing/Coding 65 0 obj <> endobj Revenue Cycle Management Solutions Greece Indonesia %%EOF When billing for more than one attending provider, indicate each UPIN on the appropriate detail line. 206 0 obj <>stream India 0000012577 00000 n Norfolk Island 0000138268 00000 n hb``a`` Payer ID: 39026 Sending claims electronically eliminates the need for paper forms and allows for faster and more accurate submission of data. Guadeloupe Patient Access & Financial Clearance Solutions Cardiology Ireland France 2023 Government Employees Health Association, Inc. All rights reserved. 0000001043 00000 n Malawi Electronic Interchange Group Professional Commercial Payer List Payer ID Claim Office # Type . CLAIM.MD When "a" is the alpha character shown on the state license (A, C, G), "0" is the filler zero and "nnnnn" are the five numeric characters in the state license number. Venezuela Trinidad and Tobago Box 21542 Payer Information. Quebec Administrator $UZZNl)Q,nB=&X"HZic2lc[J"*yDO3.o8T*feoXRz`4U !x*w$Jn(*Pmfk[wv$(=MKi3T|}G)WoKP 2Jl*N|Jd-EIAM}+>@rATf@MWX&3O5S-kLB)[MA=Ln5-IWEdVZTQ 0000004015 00000 n Medical Auditing Romania 4q<={Wm|? Teachers Health Trust 2950 E. Rochelle Avenue Las Vegas, NV 89121 . endstream endobj startxref ]m4hq51l^XNFsZb jB"l! PO Box 30783 Other, Solution of Interest Maryland Need to submit transactions to this insurance carrier? Unsure, Company Type Claims with incomplete coding or having expired codes will be contested. President <<78EFBF32BF92FB4DBD42CA49770C2094>]/Prev 183057/XRefStm 4015>> 0000081055 00000 n 0000005887 00000 n Chile Legal/Regulatory/Compliance Access the Assurance EDI, Clearance EDI, and ConnectCenter payer information here. 0000003714 00000 n Norway Moldova 0000133800 00000 n PO Box 609 Colorado Springs, CO 80949-9549, Corrected Claims/ Resubmissions North Dakota Director Florida Kiribati endstream endobj startxref 0000155014 00000 n If you do not have electronic claim submission capabilities, you can mail claims on standard HCFA, UB and dental claim forms. Dental hb``c``a`e`2AX@u@ Nepal Guam 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. El Salvador }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 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 . North Carolina Georgia Nebraska 68068 for Behavioral Services. Cambodia Doctor Sample GEHA Member ID Card . 0000160401 00000 n PO Box 400066 0000112372 00000 n 0000138352 00000 n Login to your community accounts to get product updates, ask questions, and learn best practices. Martinique Medical Record Retrieval & Clinical Review Azerbaijan D.C. For . EDI Submitter #06603 0000036268 00000 n Portugal Equatorial Guinea By continuing to use our site, you agree to ourPrivacy PolicyandTerms of Use. Ability also has a special offer for MHN practitioners to submit electronically to all payers who accept electronic claims (over 1600 payers). Suriname Nicaragua 0000103693 00000 n EDI Claims. Bahrain Niue Phone: (800) 821-6136, Connection Dental Network Contact us. Antigua and Barbuda Table of Contents . Phone: (800) 793-9335, UnitedHealthcare Choice Plus (Florida and Texas) Payer ID: 74227 ; Original submission is indicated with a 1 in claim frequency box or resubmission code (box 22). Consulting Sri Lanka Laboratory About. 0000112306 00000 n Submit CMS-1500 and UB04 Claims Electronically. Gambia 0000147653 00000 n 0000007145 00000 n Gabon Bangladesh 0000014575 00000 n Kenya Box 30783, %%EOF Home Health Agency 0000123653 00000 n Radiology GEHA-ASA EDI 0000088002 00000 n -- Other Locations -- Risk Adjustment and Quality Solutions United Kingdom French Southern Terr. 1-199 United Healthcare Claims Address: Payer ID: United Healthcare: PO BOX 30555 SALT LAKE CITY, UT 84130-0555P.O. Billing Service Fiji Tajikistan Libya %%EOF Jordan 0000005075 00000 n Medical claims rendered by in and/or out-of-network providers: Aetna Signature Administrators (If the subscriber lives in any of the following states: Alaska, Arizona, Colorado, Connecticut, Georgia, Kentucky, Maine, Massachusetts, Michigan, Nevada, New Hampshire, New Jersey, New York, Ohio, Pennsylvania, Rhode Island, Vermont, Washington) 0000127276 00000 n Zimbabwe, State/Location Chief Executive Officer 0000074114 00000 n Georgia If your clearinghouse is not Optum, and you wish to receive an 835 electronic file, your clearinghouse has to enroll at Optum. Spain 0000080665 00000 n Virgin Islands (U.S.) Pennsylvania Note: Payers sometimes use different payer IDs depending on the clearinghouse they're working with. Cal-Optima Direct. Hot Springs, AR 71903, Grievances & Appeals Department Fax claims to: 205.449.5505. Central African Republic Cuba Emergency Medical Service Qatar 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. Tennessee 0000062099 00000 n Cook Islands Dental and Medicare primary Mail to GEHA, Direct Care Broker or Supplier Contracts China Sweden Guatemala Gibraltar Value-Based Care Solutions, Solution Type Make today the day you stop. UPIN or state license number: Six-digit universal provider identification number (UPIN) or state license number of all attending providers. -- Please Select -- Tokelau Enrollment xref Accommodation code is submitted in Value Code field with qualifier 24, if applicable. Software Vendor All medical claims should be submitted electronically using the network EDI numbers as listed below for each network. Please contact Change Healthcare at 1 (866) 371-9066 with any questions regarding electronic claims submission. CD Discount. 0000005592 00000 n Newfoundland and Labrador Swaziland Singapore -- Please Select -- MEDICARE CLAIMS TO Palau C-Level 0000157670 00000 n EDI Submitter #06603 Access product updates and information, ask questions, learn about best practices & benchmarks, and connect with experts & peers. 0000159481 00000 n 376 0 obj <> endobj Egypt 0000023754 00000 n 0000003538 00000 n Hawaii xref Value-Based Care Enablement Cameroon De + 0rT* If you have any questions about payer ID numbers, please contact Harvard Pilgrim Health Care's Electronic Data Interchange (EDI) team at . Hong Kong Executive lB8W)! 800.821.6136. h1 04f\G` z0=i2\x!!!!!!!CCC. 0000137409 00000 n Macau 87726. Ohio Dental Network Solutions EHR Implementation/Management Vanuatu Contact your . UnitedHealthcare Shared Services All dental claims should be mailed to GEHA at the appropriate address below: If the patient has Medicare primary coverage, mail to GEHA: Use the Change Healthcare product support portals to submit support requests and find answers to your questions. 0000146151 00000 n P.O. Sierra Leone 0000148346 00000 n Connecticut Grenada The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM), is currently used to code diagnostic information on claims. Physician Practice Management 0000148610 00000 n (Claims for payer address of Rockford, IL ONLY.) UMR formerly UMR Wausau GEHA in Alabama Other ID's: 31107, 33108, 74214, 74223, 75196, 75243, 95266, 87726, UMR01, 37237, UMRWV, 52132 Need to . Chad P.O. Professional Institutional. French Polynesia Box 981707, El Paso, TX 79998-1707 Dental is listed separately, if applicable. Syria Payer Name and ID Your payer name is AMERIGROUP, and the payer ID is 26375. Namibia 0000049073 00000 n Find yourproduct support portal. Learn more about the data we collect or request your data be removed, Choosing Who Can See My Confidential Medical Information, Copyright 2023 Managed Health Network, LLC. BMC Health Plan. 0000049255 00000 n 0000119628 00000 n Mayotte Providers are required to submit corrected claims if an incorrect Payer ID is used. 0 Washington Physician Puerto Rico In order to ensure claims are submitted correctly, providers must use the following Payer IDs: 68069 for Medical Services. Indiana Republic Of South Carolina EDI Submitter: 44054 H[Gi$1~!Xv2X>U! Paper: Homelink, P.O. Armenia Hospital/Health System 0000003410 00000 n Australia Government Agency Provider Network Optimization Solutions EDI Submitter: 44054 Identify those dropping to paper in your system and convert them to an EDI 837 transaction by applying the appropriate Payer ID . 0000061698 00000 n Healthcare Information Exchange Ukraine 0 TRICARE EAST ALL CLAIM OFFICE ADDRESSES: VAPCC E: TRIWEST HEALTHCARE ALLIANCE ALL CLAIM OFFICE ADDRESSES: 39026 E: UMR . 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). 0000080992 00000 n Cal-Optima Direct. 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 0000048658 00000 n 0000028199 00000 n EDI Payer ID #39026 2023 Government Employees Health Association, Inc. All rights reserved. Payer Technology Virginia Call to verify network status and you'll be ready to accept all three in no time! 0000147228 00000 n 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. ICD-10-CM codes are used for procedure coding on inpatient hospital Part A claims. 0000049637 00000 n Learn More ConnectCenter Payer List Access the Assurance EDI, Clearance EDI, and ConnectCenter payer information here. West Virginia If Medicare is the patient's primary plan: Corrected Claims/ Resubmissions Uruguay 200+, Practice Specialty Find out More. 0 39026 39026: Y N: Commercial UnitedHealthcare: 87726 Y: Y . Contact your . 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 Aruba 11694 0 obj <> endobj Dentistry Djibouti Need access to the UnitedHealthcare Provider Portal? 0000081280 00000 n UHC Provider ServicesPhone: (877) 343-1887, UnitedHealthcare Select Plus (If the subscriber lives in California) No additional support tickets are needed at this time. 117 0 obj <>stream 0000134218 00000 n El Paso, TX 79998-1707 0000007982 00000 n Box 21542, Eagan, MN 55121 Myanmar 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. 57080. Mauritania Kyrgyzstan Pharmacy Solutions * 259. YL}X2d*SLbnd,vb1MW,J%cS;) ?310wIApYCD% g Andorra 39026 39026: Y N: Commercial UnitedHealthcare: 87726 Y: Y . UnitedHealthcare Shared Services Only for claims where the submit claims to address on the medical ID card is a CoreSource . Liberia Employer group number: The number assigned to the subscriber's employer group located on the member's ID card. Bolivia Nunavut 43 0 obj <> endobj On the UnitedHealthcare Payer List, medical Payer IDs refer to professional and institutional claim submissions. Blue Shield of Iowa. Beacon, PO Box 1854, Hicksville, NY 11802-1854, Dental Claims British Columbia Austria Multiple entities publish ICD-10-CM manuals and the full ICD-10-CM is available for purchase from the AMA Bookstore on the Internet. * Consumer Payments & Communications Provider Payment Management Solutions 0000152221 00000 n 39026: United Healthcare Oxford: Claims PO BOX 29130 HOT SPRINGS, AR 71903. Australia How to use this page To ensure accurate submission of your claims, answer these three questions: What plan is it? Humana Insurance Company Choice Care Network. Senior Vice President 0000157101 00000 n 0000146757 00000 n Patient Financial Services Barbados Macedonia Illinois -- Please Select -- Marshall Islands N. Mariana Isls. Share of cost is submitted in Value Code field with qualifier 23, if applicable.