-- Please Select -- United States 0000008173 00000 n Independent Practice Affiliated with Hospital Nevada 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 0000097136 00000 n 0000145948 00000 n Provider Payment Management Solutions %PDF-1.6 % 0000114704 00000 n Risk Adjustment and Quality Solutions All dental claims should be submitted to EDI: 44054. Vermont Arizona To enroll, contact UMR 835 File Enrollment at Optum, 866 -367 . Boost Your Intake with These Tips, Five Ways to Get Something Positive Out of Dealing with Your Emotions, Five Health Benefits of Smiling and Laughing, Five Simple Stretching Exercises to Improve Total Body Flexibility, Tips for Finding the Perfect Primary Care Provider, Breakfast with Benefits: Tips to Make Your First Meal Healthier. Connecticut 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. Netherlands Antilles Gambia 0000006954 00000 n submitting an EDI file using Payer ID UHNDC, you must successfully complete specific EDI testing. All dental claims should be submitted to EDI: 44054. Marshall Islands Please Use Payor ID# 63100. Samoa Including the correct 5-digit payer ID helps avoid having your claim rejected due to listing an incorrect payer. 0000087708 00000 n MHN.com uses cookies. Legal/Regulatory/Compliance 0000014575 00000 n 0000177444 00000 n Finance/Accounting Contact your clearinghouse if current Payer IDs aren't on their payer list. 0000153036 00000 n Costa Rica Peru Nepal 314. France 65 0 obj <> endobj Cambodia All dental claims should be mailed to GEHA at the appropriate address below: Direct Care Broker or Supplier Contracts EDI Submitter: 44054 P.O. -- Please Select -- New Caledonia Togo All medical claims should be submitted electronically using the network EDI numbers as listed below for each network. 0000160095 00000 n 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). Wallis/Futuna Isls. UMR - Wausau Payer ID: 39026 This insurance is also known as: United Medical Resources Employers Insurance of Wausau Harrington Benefit Services Inc Benefit Planners Inc Texas Municipal League Uniform Medical Plan PCIP UMR UMR formerly UMR Wausau Micronesia Nunavut Make today the day you stop. Healthcare Consulting Services Dental Tennessee CF0101 08-08 0000080992 00000 n UnitedHealthcare Shared Services 376 0 obj <> endobj France If you do have electronic claim submission capabilities, please submit claims electronically. }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! Nicaragua What type of plan is it? 0000002334 00000 n 315. 0000003538 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. Administrator North Dakota Rendering/attending provider NPI (only if it differs from the billing provider) and authorized signature. hbbd```b``"fHL NA$>d4 9`v Payer IDs for Electronic Claims Submission - Superior HealthPlan %PDF-1.4 % Andorra 57080. EDI Submitter: 44054 French Guiana Belize 0000146494 00000 n 0000002850 00000 n Mali Louisiana Office Manager Viet Nam Dental Network Solutions C-Level Marianas Value-Based Care Enablement 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). Your online resource for healthcare regulations and standards. 0000048430 00000 n 0000097202 00000 n Box 21542 0000123185 00000 n Executive Professional Institutional. Montserrat Lithuania Laboratory 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. Home Health Agency Christmas Island Admitting diagnosis required for inpatient claims. Electronic Submission to United Healthcare In case of electronic submission, you will need UHC payer ID i.e. 0000153297 00000 n Salt Lake City, UT 84130, WellMed Claims address 0000002116 00000 n Member Engagement 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. (Payer ID valid only for claims with a billing submission address of PO Box 1128, Eau Claire, WI 54702-1128) . United Healthcare Claims Address with Payer ID List Cuba Minnesota Find out More. P.O. Uruguay 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. PO box 29133 0000165174 00000 n The Provider Services # is 1-877-658-0305. . 0000097318 00000 n Gibraltar 0000028199 00000 n Additional fields may be required, depending on the type of claim, line of business and/or state regulatory submission guidelines. Qatar Codes 7 and 8 should be used to indicate a corrected, void or replacement claim with the original claim ID, if available. Bravo Health - Cigna Healthspring. Grenada 0000161773 00000 n Sweden Electronic Data Interchange | UHCprovider.com Maine 0000081055 00000 n 258. CALOP. Iowa g%g-pf%Zv%? EHR Implementation/Management South Dakota Djibouti %%EOF Sample GEHA Member ID Card . BOX 740800 ATLANTA, GA 30374-0800: 87726: . Eat Your Way to a Brighter, Whiter Smile! Adding insurance payers and selecting the correct payer ID New Zealand Iraq h1 04f\G` z0=i2\x!!!!!!!CCC. Moldova Chief Medical Information Officer Holiday Season Healthy Eating Yes, it Can be Done! A Submit paper claims to the address on the back of the member ID card. Radiology 0000008424 00000 n In order to ensure claims are submitted correctly, providers must use the following Payer IDs: 68069 for Medical Services. <<78EFBF32BF92FB4DBD42CA49770C2094>]/Prev 183057/XRefStm 4015>> Ability also has a special offer for MHN practitioners to submit electronically to all payers who accept electronic claims (over 1600 payers). Director Korea (South) Guatemala lB8W)! 0000049490 00000 n Croatia Cayman Islands Other United Health Care Billing Considerations Some United Health Care now requires providers to obtain authorization for 60 minute therapy sessions. Claims information Payer ID numbers and addresses for submitting medical and behavioral health claims. Micronesia 68047. 0000010920 00000 n Paper: Homelink, P.O. Nigeria 0000035375 00000 n Board Member/Director/Trustee Belgium hb```e``Z"@(pzX`rSV%omFcs (E33v`9P3PesFk3Ag`v8RpW00'=@ ' Dental and Medicare primary Mail to GEHA, UnitedHealthcare Choice Plus (all 50 states) 0000129961 00000 n P.O. Germany FLORIDA UBC HEALTH FUND Anesthesia EDI 837: Electronic Claims | UHCprovider.com Ohio Seychelles PDF Payer 835 List - Dental Electronic Claims Clearinghouse Note: If you use a clearinghouse, billing service or vendor, please work with them directly to determine payer ID. 0000175066 00000 n North Carolina 0000157670 00000 n 270/271: Eligibility and Benefit Inquiry and Response. Faroe Islands 0000147306 00000 n 0000000016 00000 n United Healthcare Claims Address: Payer ID: United Healthcare: PO BOX 30555 SALT LAKE CITY, UT 84130-0555P.O. Printed: 10-03-2019 Call UMR at the member customer service number listed on this ID Card for plan required prior authorization. Fax claims to: 205.449.5505. 0000152456 00000 n Malaysia 0000087889 00000 n 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. Individual Contributor 0000141716 00000 n COMMERCIAL. UnitedHealthcare Shared Services Clinical Decision Support Solutions Zimbabwe, State/Location Somalia PDF UMR PO Box 30541 Salt Lake City, UT 84130-0541 Chief Medical Officer PDF Claims Payer List for UnitedHealthcare, Affiliates and Strategic Alliances Taiwan Claims & Denials On the UnitedHealthcare Payer List, medical Payer IDs refer to professional and institutional claim submissions. 0000002289 00000 n Doctor Please note: The networks listed below should be used for claims based on services performed in 2020. 0000022641 00000 n Singapore * Learn More Change Healthcare Attachment Payer List Austria Box 30783, Cape Verde Sierra Leone Reunion Access the Electronic attachment payer list here. 0000160401 00000 n Where to Submit Claims | GEHA 0000155014 00000 n 0000049016 00000 n Sales/Business Development/Marketing UPIN or state license number: Six-digit universal provider identification number (UPIN) or state license number of all attending providers. Central African Republic Guinea 117 0 obj <>stream 2023 Government Employees Health Association, Inc. All rights reserved. Operations 0000147653 00000 n Niue endstream endobj 205 0 obj <>/Filter/FlateDecode/Index[5 38]/Length 20/Size 43/Type/XRef/W[1 1 1]>>stream Provider Network Optimization Solutions TRICARE EAST ALL CLAIM OFFICE ADDRESSES: VAPCC E: TRIWEST HEALTHCARE ALLIANCE ALL CLAIM OFFICE ADDRESSES: 39026 E: UMR .