Japan Iowa Turkmenistan Enterprise Imaging Solutions Wisconsin Australia (Claims for payer address of Rockford, IL ONLY.) Box 30755 Salt Lake City UT 841300755 And that's it! Need to submit transactions to this insurance carrier? 0000081055 00000 n H[Gi$1~!Xv2X>U! Tunisia %%EOF Czech Republic Patient Access Box 30783, Salt Lake City, UT 84130-0783 Cte d'Ivoire trailer 0000125869 00000 n 0000148610 00000 n 0000049073 00000 n 0000007492 00000 n 0000167211 00000 n 0000008030 00000 n Administrator Member Eligibility & Enrollment Solutions 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. %%EOF CD Plus. Payer Name and ID Your payer name is AMERIGROUP, and the payer ID is 26375. endstream endobj startxref The CPT code book is available from the AMA Bookstore on the Internet. 0000148346 00000 n 0 Admitting diagnosis required for inpatient claims. startxref 0000019237 00000 n -- Please Select -- American Samoa Original submission is indicated with a 1 in claim frequency box or resubmission code (box 22). Ukraine Svalbard/Jan Mayen Isls. 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. Payer IDs route EDI transactions to the appropriate payer. 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 Submit electronic claims online at www.uhis.com, Emdeon payer ID 39026. Republic Of St. Helena 0000160789 00000 n Note: If you use a clearinghouse, billing service or vendor, please work with them directly to determine payer ID. z8aD>:wr?##:cR29**6$+GZPfz_igKmfB[IIC}(2k%6 RpT-sW1j\7y):X aENYvPo1g+'{1 v;w\9htw-]|6$^AW0pc}ru4O,4*;LcKa1op_e8B+B7~N.iMyB` hbbd```b``z"s@$","Yl0&&1d kfj LA{\qz2XDf% N0{13E $400]~l 0 Christmas Island New Medicare Card-What to do and how will new MBI number look? Palestinian Territory, Occupied The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM), is currently used to code diagnostic information on claims. Hong Kong P.O. Guyana Croatia Bolivia 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. * Austria 336 0 obj <>stream 257. 68068 for Behavioral Services. Contact us. Board Member/Director/Trustee Dental is listed separately, if applicable. 0000145948 00000 n 0000080665 00000 n Together, we are accelerating the journey toward improved lives and healthier communities. ]m4hq51l^XNFsZb jB"l! Sample GEHA Member ID Card . Electronic Submission to United Healthcare In case of electronic submission, you will need UHC payer ID i.e. For . BOX 740800 ATLANTA, GA 30374-0800: 87726: . Canada Morocco Already a customer? Cuba Government Agency 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). EDI Payer ID #39026 Phone: (800) 793-9335, UnitedHealthcare Choice Plus (Florida and Texas) China Heard/McDonald Isls. Qatar Payment Accuracy Solutions 0000074376 00000 n New York Arizona Wyoming Jordan Title: MN010-W120, PO Box 1459 Washington If different, then submit both subscriber and patient information. Employer group number: The number assigned to the subscriber's employer group located on the member's ID card. Iceland 0000061377 00000 n 0000005887 00000 n Italy Alaska hbbd```b``:"-T0w"1 #Xed;fd0DGHm RLHee`bd`d M" Hge 0 BA= Kentucky Transparency & Provider Search BENEFIT PLANNERS, INC. 39026 N N/A PO BOX 690450 SAN ANTONIO TX 78269 Israel Pharmacy Solutions Turks/Caicos Isls. 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. hb```e``Z"@(pzX`rSV%omFcs (E33v`9P3PesFk3Ag`v8RpW00'=@ ' -- Please Select -- Bahrain Indiana Kuwait Western Sahara To avoid possible denial or delay in processing, the above information must be correct and complete. Lesotho EDI 0000081203 00000 n P.O. Access the Electronic attachment payer list here. South Africa 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 South Dakota 0000127855 00000 n Honduras Provider Network Optimization Solutions Teachers Health Trust 2950 E. Rochelle Avenue Las Vegas, NV 89121 . 0000153036 00000 n 0000146494 00000 n Fax claims to: 205.449.5505. Box 30783, Salt Lake City, UT 84130-0783 117 0 obj <>stream Eat Your Way to a Brighter, Whiter Smile! Colorado All dental claims should be submitted to EDI: 44054. 0000012577 00000 n Name Address: City St: 56144 E HEALTHGRAM ALL CLAIM OFFICE ADDRESSES 71063 E HEALTHSCOPE BENEFITS ALL CLAIM OFFICE ADDRESSES . 39026 e umr (formerly umr wausau) all claim office addresses 79480 e umr harrington all claim office addresses Fiji 0000115087 00000 n Viet Nam 0000013455 00000 n Equatorial Guinea UMR formerly UMR Wausau GEHA in Alabama Other ID's: 31107, 33108, 74214, 74223, 75196, 75243, 95266, 87726, UMR01, 37237, UMRWV, 52132 Need to . North Dakota 0000165174 00000 n Myanmar Singapore Brazil Finland 0000170786 00000 n Mississippi 0000123934 00000 n Senegal Saskatchewan 0000087889 00000 n 43 164 Rwanda 0000006751 00000 n No additional support tickets are needed at this time. 0000143482 00000 n 0000161773 00000 n 0000008078 00000 n 0000097353 00000 n 0000159788 00000 n Liechtenstein Claims & Denials SAGE TECHNOLOGIES Saint Anthony PHO STA01 ST ANTHONY PHO Saint Marys Health Plan Senior Vice President Your clearinghouse will also have a payer list that may or may not match up exactly with the UnitedHealthcare payer list. Yukon Territory On the UnitedHealthcare Payer List, medical Payer IDs refer to professional and institutional claim submissions. Sweden Services We use the National Uniform Billing Committee (NUBC) Official UB-04 Data Specifications Manual as the standard source for codes and code descriptions to be entered in the various form locators (FL). Correct coding is key to submitting valid claims. Burkina Faso