Project Management trailer . The payer ID is typically a 5 character code, but it could be longer. 800.821.6136. 0000008424 00000 n 0000127855 00000 n Thailand 0000097431 00000 n 314. 0000146026 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: Togo 0000061377 00000 n Slovak Republic Sao Tome/Principe * Seychelles 0000008221 00000 n Patient name, Member identification (ID) number, address, sex, and date of birth must be included. MEDICARE CLAIMS TO 39026 52180 Unicare Life & Health Insurance Company 80314 35198 34638 . 0000146151 00000 n Director 404 0 obj <>stream COMMERCIAL. land Islands Other, Country * 0000003538 00000 n PO Box 30783 Every day without smoking counts! Learn More ConnectCenter Payer List Access the Assurance EDI, Clearance EDI, and ConnectCenter payer information here. 0000087889 00000 n UHC Provider Services Phone: (844) 586-7309 0000049637 00000 n lB8W)! Germany San Marino Swaziland submitting an EDI file using Payer ID UHNDC, you must successfully complete specific EDI testing. Hungary Rendering/attending provider NPI (only if it differs from the billing provider) and authorized signature. 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. 0000133800 00000 n DOS on/after 1/1/15 need to be sent through UMR Wausau Payer ID 39026. EDI Submitter: 44054 North Dakota UnitedHealthcare Shared Services Teachers Health Trust 2950 E. Rochelle Avenue Las Vegas, NV 89121. Minnesota Payer ID: 39026 United Health Shared Services (on back of card) Payer ID: 39026 . All medical claims should be submitted electronically using the network EDI numbers as listed below for each network. All dental claims should be mailed to GEHA at the appropriate address below: Aetna Signature Administrators (Alaska, Arizona, California, Connecticut, Georgia, Kentucky, Maine, Massachusetts, Michigan, Nevada, New Hampshire, New Jersey, New York, Oregon, Pennsylvania, Rhode Island, Vermont, Washington) 0000073826 00000 n Saudi Arabia Patient Experience Solutions 270/271: Eligibility and Benefit Inquiry and Response. Healthcare Data & Analytics Solutions 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 . 43 164 Login to your community accounts to get product updates, ask questions, and learn best practices. 0000170786 00000 n California Eye Care - New Century Health . Libya 206 0 obj <>stream Administrator 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). fm1$"dxTC@ps\ U}? 0000018151 00000 n Greenland Jamaica CD Discount. hb```e``Z"@(pzX`rSV%omFcs (E33v`9P3PesFk3Ag`v8RpW00'=@ ' 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 Teachers Health Trust 2950 E. Rochelle Avenue Las Vegas, NV 89121 . C-Level 376 0 obj <> endobj Indiana Operations EHR Implementation/Management 0 If different, then submit both subscriber and patient information. Full Payer List. Transparency & Provider Search 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 0000130324 00000 n Lexington, KY 40512-4621. Box 830724. 0000007935 00000 n 0000123653 00000 n 0000112306 00000 n Tuvalu Chief Quality Officer All institutional claims require the following mandatory items: This is not meant to be a fully inclusive list of claim form elements. 0000003049 00000 n Lesotho Chad New Zealand Technology * Quebec Brazil -- Please Select -- No additional support tickets are needed at this time. Martinique To enroll, contact UMR 835 File Enrollment at Optum, 866 -367 . 3. YL}X2d*SLbnd,vb1MW,J%cS;) ?310wIApYCD% g Dental and Medicare primary Mail to GEHA, UnitedHealthcare Choice Plus (all 50 states) Administrative/Human Resources Please note: The networks listed below should be used for claims based on services performed in 2020. 0000005887 00000 n Connecticut Payer Name and ID Your payer name is AMERIGROUP, and the payer ID is 26375. Bahamas 336 0 obj <>stream Reunion 0000035375 00000 n Cal-Optima Direct. Mozambique 0000147922 00000 n 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? Provider Network Optimization Solutions 0000174831 00000 n Emergency Medical Service 0000134302 00000 n Antarctica 0000004418 00000 n P.O. To submit paper claims, please mail your form to: MHN Claims 0000143443 00000 n 0000019237 00000 n 0000146835 00000 n HUMANA INC. Arcadian Management Services Inc Other ID's: 61104, L0200, 72127, 62072, 61120, 62073, 73288, 95885. 2. 0000103693 00000 n Tunisia 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. Outpatient claims must include a reason for visit. Enrollment   0000003576 00000 n 0000162048 00000 n Arkansas Original submission is indicated with a 1 in claim frequency box or resubmission code (box 22). Patient Financial Services Care Management/Population Health Egypt Mass General Brigham plans have instructions specific to them. Laos 0000162699 00000 n Dental Claims PO Box 609 Colorado Springs, CO 80949-9549. United Kingdom 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. Honduras UMR formerly UMR Wausau GEHA in Alabama Other ID's: 31107, 33108, 74214, 74223, 75196, 75243, 95266, 87726, UMR01, 37237, UMRWV, 52132 Need to . 0000048430 00000 n 0000003247 00000 n <<5EBD9ADF93626F458FA1B929BDAFF42F>]/Prev 669182/XRefStm 1766>> Botswana Service line date required for outpatient procedures. Cuba 0000008030 00000 n 0000145909 00000 n Procurement/Purchasing/Supply 0000143482 00000 n Information Systems/Technology If you do have electronic claim submission capabilities, please submit claims electronically. Saint Kitts and Nevis The type of bill code used must correspond to the facility, Medicare certification and state license held by the billing entity. United Healthcare Claims Address: Payer ID: United Healthcare: PO BOX 30555 SALT LAKE CITY, UT 84130-0555P.O. Vice President Department Chair This ID is not valid for Superior claim submissions. PO BOX 29045 Hot Springs, AR 71903, Denial Code CO 4 The procedure code is inconsistent with the modifier used or a required modifier is missing, Denial Code CO 18 Duplicate Claim or Service, Denial Code CO 16 Claim or Service Lacks Information which is needed for adjudication, Denial Code CO 22 This care may be covered by another payer per coordination of benefits, Denial Code CO 24 Charges are covered under a capitation agreement or managed care plan, Denial Code CO 29 The time limit for filing has expired, Denial Code CO 50 These are non covered services because this is not deemed medical necessity by the payer, Denial Code CO 97 The benefit for this service is Included, Denial Code CO 109 Claim or Service not covered by this payer or contractor, United Healthcare Customer Service Phone Numbers, Cigna Claims address and Customer Service Phone Number, Insurances claim mailing address and Customer Service Phone Numbers, Healthfirst customer service phone number, claim and appeal address, United Healthcare Claims Address with Payer ID List, Aetna Claims Address for Mailing and Insurance Phone Numbers for provider and Member, Medicare Claims address-When and How to file for reimbursement, List of Worker Compensation Insurance with Claim mailing address, List of Auto Insurances with Claim mailing address, Insurance Claims address and Phone Number, Insurance with Alphabet A Claims address and Phone Number, Insurance with Alphabet B Claims address and Phone Number, Insurance with Alphabet C Claims address and Phone Number, Insurance with Alphabet D Claims address and Phone Number, Insurance with Alphabet E Claims address and Phone Number, Insurance with Alphabet F Claims address and Phone Number, Insurance with Alphabet G Claims address and Phone Number, Insurance with Alphabet H Claims address and Phone Number, Insurance with Alphabet I Claims address and Phone Number, Insurance with Alphabet J Claims address and Phone Number, Insurance with Alphabet K Claims address and Phone Number, Insurance with Alphabet L Claims address and Phone Number, Insurance with Alphabet M Claims address and Phone Number, Insurance with Alphabet N Claims address and Phone Number, Insurance with Alphabet O Claims address and Phone Number, Insurance with Alphabet P Claims address and Phone Number, Insurance with Alphabet Q and R Claims address and Phone Number, Insurance with Alphabet S Claims address and Phone Number, Insurance with Alphabet T Claims address and Phone Number, Insurance with Alphabet U Claims address and Phone Number, Insurance with Alphabet V Claims address and Phone Number, Insurance with Alphabet W to Z Claims address and Phone Number, Medical Billing Terminology of United States of America, What is Explanation of Benefits of Health Insurance in Medical Billing. Israel (Claims for payer address of Rockford, IL ONLY.) Canada endstream endobj startxref 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 . 0000048605 00000 n UHC Provider ServicesPhone: (877) 343-1887, UnitedHealthcare Select Plus Payer ID: 39026 Sending claims electronically eliminates the need for paper forms and allows for faster and more accurate submission of data. 0000158914 00000 n We have a long history of helping clients, customers, and partners navigate the changing landscape of healthcare. French Southern Terr. 0000159195 00000 n 0000097202 00000 n 0000129651 00000 n For information on submitting claims, visit our updated Where to submit claims webpage. West Virginia Senegal El Paso, TX 79998-1707 Romania 0000147653 00000 n Box 14621 Hawaii Western Sahara Papua New Guinea 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? Argentina Home Health Agency 0000001766 00000 n The CPT code book is available from the AMA Bookstore on the Internet. On the UnitedHealthcare Payer List, medical Payer IDs refer to professional and institutional claim submissions. 0000087773 00000 n Salt Lake City, UT 84130, WellMed Claims address Pharmacy Benefit Solutions California Health & Wellness. CD Plus. Central African Republic P.O. 0000074376 00000 n 0000137787 00000 n Blue Shield of Iowa. 0000080992 00000 n 0000012577 00000 n Niger 0000002850 00000 n Risk Adjustment and Quality Solutions 0000123934 00000 n Billing/Coding Micronesia 0000002334 00000 n Learn More Change Healthcare Attachment Payer List %PDF-1.4 % Submission through UHC provider portal Morocco Call to verify network status and you'll be ready to accept all three in no time! Access product updates and information, ask questions, learn about best practices & benchmarks, and connect with experts & peers. President A member of our team will contact you to better understand your needs and discuss potential solutions. Suriname General Management Poland HIPAA has national standards for health care EDI transaction and code sets. Andorra Printed: 10-03-2019 Call UMR at the member customer service number listed on this ID Card for plan required prior authorization.