-- Please Select -- Box 21542, Eagan, MN 55121 Phone: (800) 821-6136 PO Box 609 Colorado Springs, CO 80949-9549, Corrected Claims/ Resubmissions 0000023754 00000 n Find, access, and login to your product application portal as a current customer. 0000155014 00000 n Single Page Claims: Claims without attachments are the simplest to file electronically. 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 Billing provider tax identification number (TIN), address and phone number. 0000087379 00000 n 0000002334 00000 n Contact us. Box 21542, Eagan, MN 55121 Need to submit transactions to this insurance carrier? 0000022830 00000 n Mississippi Andorra 0000009289 00000 n NCH05. France Hong Kong Payer Name and ID Your payer name is AMERIGROUP, and the payer ID is 26375. Salt Lake City, UT 84130-0783 P.O. Non-Participating Payor. EDI Payer ID #39026 Phone: (800) 821-6136, UnitedHealthcare Choice Plus (If the subscriber lives in any of the following states: Alabama, Arkansas, Delaware, Florida, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Louisiana, Maryland, Minnesota, Mississippi, Missouri, Montana, Nebraska, New Mexico, North Carolina, North Dakota, Oklahoma, Oregon, South Carolina, South Dakota, Tennessee, Texas, Virginia, Washington DC, West Virginia, Wisconsin and Wyoming) 0000115021 00000 n Sweden Reunion Diagnosis codes, revenue codes, CPT, HCPCS, modifiers, or HIPPS codes that are current and active for the date of service. 0000074003 00000 n Patient Financial Services We appreciate your interest in Change Healthcare. 0000123653 00000 n Myanmar 0000140914 00000 n Share of cost is submitted in Value Code field with qualifier 23, if applicable. Claims Payer List for UnitedHealthcare, Affiliates and Strategic Alliances Subject: Includes line of business, plan name and payer ID . Pakistan 0000152456 00000 n 0000127276 00000 n Payer ID: 39026 Student Insurance Harvard Pilgrim Health Care/ StudentResources . Note: Payers sometimes use different payer IDs depending on the clearinghouse they're working with. Suriname View our network today to connect with a payer or partner for all available transactions. Cocos (Keeling) Islands P.O. Other, Subscribe to Change Healthcare Communications. Contact your . 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? Mass General Brigham plans have instructions specific to them. South Africa Dental Network Solutions 0000018618 00000 n 0 Value-Based Care Solutions, Solution Type If you do not have electronic claim submission capabilities, you can mail claims on standard HCFA, UB and dental claim forms. 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 Thailand 0000148268 00000 n Legal/Regulatory/Compliance To set up an account,visit the Ability website. 0000007492 00000 n hbbd```b``:"-T0w"1 #Xed;fd0DGHm RLHee`bd`d M" Hge 0 BA= hbbd```b``"fHL NA$>d4 9`v Canada 257. New Medicare Card-What to do and how will new MBI number look? 0000143443 00000 n 0000138268 00000 n HUMANA INC. Arcadian Management Services Inc Other ID's: 61104, L0200, 72127, 62072, 61120, 62073, 73288, 95885. All medical claims should be mailed to the addresses listed below for each network. 0000061761 00000 n If Medicare is the patient's primary plan: 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: Humana Insurance Company Choice Care Network. Afghanistan Corrected Claims/ Resubmissions 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. Medical Practice Management General Management Georgia Indonesia American Samoa COMMERCIAL. endstream endobj startxref United States submitting an EDI file using Payer ID UHNDC, you must successfully complete specific EDI testing. Chief Operating Officer Pharmacy Executive Authorization, if applicable, should be sent in the 2300 Loop, REF segment with a G1 qualifier for electronic claims (box 63 for UB-04). California Eye Care - New Century Health . 0000133800 00000 n PO BOX 1449 GOODLETTSVILLE, TN 37070-1449, Behavioral Health Claims Bhutan Consumer Payments & Communications Bahrain 0000112488 00000 n Sierra Leone Germany Other health insurance information and other payer payment, if applicable. Martinique 6%W,Uui\2 !/_Nl.s&* vsL3W|;`e ^B@"0l"sprj Y@5"N ]v3[BA'P TdR\F!|w+d} e$Sfe J @.DBF@LJ !c-fJP`-@1%xA@ 0l &%%% P-}@dYkE_2aX0a2,45 0favec8Y9yoMZLgHC7P+C:C"%g603;Z .c`?"ik.S+P & i h1 04f\G` z0=i2\x!!!!!!!CCC. 0000018151 00000 n Tunisia UHC Provider ServicesPhone: (877) 343-1887, UnitedHealthcare Select Plus $UZZNl)Q,nB=&X"HZic2lc[J"*yDO3.o8T*feoXRz`4U !x*w$Jn(*Pmfk[wv$(=MKi3T|}G)WoKP 2Jl*N|Jd-EIAM}+>@rATf@MWX&3O5S-kLB)[MA=Ln5-IWEdVZTQ Armenia South Dakota Laos Universal product number (UPN) codes as required. Please select Military Americas 0000147653 00000 n Bermuda 57080. Hh2lW` kd+*~(s*#Oo6XvF#rQUUi1@Hk3Y-2` Djibouti %%EOF -- Please Select -- MHN collects some private data about site visitors. Brit/Indian Ocean Terr. FLORIDA UBC HEALTH FUND P.O. Vatican City Alaska Your online resource for healthcare regulations and standards. By continuing to use our site, you agree to ourPrivacy PolicyandTerms of Use. Emergency Medicine 0000035806 00000 n 0000153036 00000 n 0000147922 00000 n Enrollment Portal Guide. Cte d'Ivoire Cook Islands Provider Network Optimization Solutions PO box 29133 Dental Plans. Virginia Uruguay 0000003049 00000 n 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. 0000013455 00000 n land Islands 0000004183 00000 n 0000103806 00000 n !C8>}t}W>qWW_{_wOo~_}yJf. Netherlands Gabon * 0000152773 00000 n Tonga Find forms for medical claims, patient eligibility, ERA, and EFT payment information. 0000003576 00000 n 39026 39026: Y N: Commercial UnitedHealthcare: 87726 Y: Y . Chief Financial Officer Outpatient claims must include a reason for visit. Only for claims where the submit claims to address on the medical ID card is a CoreSource address in the state of Ohio. 0000074037 00000 n Jordan Birmingham, AL 35283-0724. 39026 e umr (formerly umr wausau) all claim office addresses 79480 e umr harrington all claim office addresses 0000123185 00000 n Payment Accuracy Solutions 0000167211 00000 n 0000087708 00000 n Finland Oregon Military Pacific 0000006751 00000 n Administrator Sample GEHA Member ID Card . Eat Your Way to a Brighter, Whiter Smile! Unsure, Company Type A. 0000177444 00000 n 314. For information on submitting claims, visit our updated Where to submit claims webpage. startxref Paper: Homelink, P.O. * Blue Shield of Iowa. 0000162376 00000 n Equatorial Guinea 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. If you do not have electronic claim submission capabilities, you can mail claims on standard HCFA, UB and dental claim forms. Services Lithuania San Marino Call to verify network status and you'll be ready to accept all three in no time! Bosnia and Herzegovina 0000148000 00000 n Brazil Analyst/Administrator Box 830724. Grenada If your clearinghouse is not Optum, and you wish to receive an 835 electronic file, your clearinghouse has to enroll at Optum. If you do have electronic claim submission capabilities, please submit claims electronically. 0000010920 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. Patient name, Member identification (ID) number, address, sex, and date of birth must be included. American Samoa 0000002850 00000 n endstream endobj 300 0 obj <. Iceland Other, Job Level When billing for more than one attending provider, indicate each UPIN on the appropriate detail line. COMMERCIAL. 0000159481 00000 n Accommodation code is submitted in Value Code field with qualifier 24, if applicable. 206 0 obj <>stream Make today the day you stop. 0000061698 00000 n . Antigua and Barbuda Sales/Business Development/Marketing Dental Plans. 87726. Belize Comoros Electronic Interchange Group Professional Commercial Payer List Payer ID Claim Office # Type . A Claims must be received within 90 days from the service date. Maine Panama 0000103184 00000 n 52192. Please Use Payor ID# 63100. Virgin Islands (British) Swaziland 0000097318 00000 n Puerto Rico Box 14621 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 0000145948 00000 n [Jr@rjyoWJ2& -Z p Colorado 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). Paraguay 0000004845 00000 n %PDF-1.6 % Oman Correct coding is key to submitting valid claims. Ethiopia Nevada North Carolina The members ID card will indicate the Payer ID to use for claims submissions. 0000012577 00000 n 0000008424 00000 n 0000161114 00000 n Independent Practice Affiliated with Hospital z8aD>:wr?##:cR29**6$+GZPfz_igKmfB[IIC}(2k%6 RpT-sW1j\7y):X aENYvPo1g+'{1 v;w\9htw-]|6$^AW0pc}ru4O,4*;LcKa1op_e8B+B7~N.iMyB` 0000003410 00000 n For a more optimal geha.com experience, please click. 336 0 obj <>stream El Salvador Peru Contact your clearinghouse if current Payer IDs arent on their payer list. UHC Provider Services Phone: (844) 586-7309 Chief Medical Officer Together, we are accelerating the journey toward improved lives and healthier communities. All medical claims should be mailed to the addresses listed below for each network. endstream endobj startxref )o4 e)wh3}4M`w;4av ':R$r;?\pTUO(WyV'Y0v^.kT! xvbPfRx A{NGyBkE'L*&qht}42S=6C}#*h \-5xQ[|>*{j@ u~;k}f(Plzfu\w~yf(!TaJUQBchpZ3^Yeuqw~:w. Paper Claims . EDI Submitter: 44054 Laboratory 43 164 Senegal Use Healthcare Common Procedure Coding System (HCPCS) Level I and II codes to indicate procedures on all claims, except for inpatient hospitals. Feb 2, 2022 Knowledge. Healthcare Information Exchange Access the Assurance EDI, Clearance EDI, and ConnectCenter payer information here. Nicaragua To enroll, contact UMR 835 File Enrollment at Optum, 866 -367 . 0000007145 00000 n 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. Professional Institutional. 0000115424 00000 n Chief Technology Officer Contact us. 0 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. 0000097136 00000 n 0000007354 00000 n   0000061988 00000 n 0000127855 00000 n 0000153297 00000 n trailer Luxembourg 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 . 0000087924 00000 n 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 . 0000061875 00000 n Statement from and through dates for inpatient. 0000073502 00000 n 800.821.6136. 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.
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