0000074114 00000 n (Payer ID valid only for claims with a billing submission address of PO Box 1128, Eau Claire, WI 54702-1128) . Netherlands Contact your clearinghouse if current Payer IDs arent on their payer list. Kyrgyzstan 0000103577 00000 n UMR payer ID 39026, if your clearinghouse is not Optum . COMMERCIAL. 0000097136 00000 n * 0000003049 00000 n hb```b``c`e``)`b@ !?0 -# Fiji Falkland Islands Albania Feb 2, 2022 Knowledge. 0000004183 00000 n submitting an EDI file using Payer ID UHNDC, you must successfully complete specific EDI testing. Trinidad and Tobago French Guiana 0000088002 00000 n 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 Other, Bed Size Revenue Cycle Management Solutions 11694 0 obj <> endobj EDI Submitter: 44054 0000074376 00000 n hb``Xo:1Gl$ 4"c0ax`L^ H^;wxlO8.dVa,Pe8h6?RJ% kS; qTgaU`p*`b`a::*CX^C(($!!,719w !IC!1KO#k*X~b^1lH-fxfg=39X9bB;Y\"Y2lXZfLpFQYeR2#`*\(6 _4 0000004069 00000 n Operations United Arab Emirates Use Healthcare Common Procedure Coding System (HCPCS) Level I and II codes to indicate procedures on all claims, except for inpatient hospitals. 0000148268 00000 n 0000103511 00000 n 0000115087 00000 n Georgia The CPT code book is available from the AMA Bookstore on the Internet. Idaho Find out More. Quebec Please note that ours also contains former brand and plan names, as well as comments that may help you choose the correct Payer ID. You will need Adobe Reader to open PDFs on this site. 0000112372 00000 n Wisconsin -- Please Select -- 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. For claims from this year, click Where to Submit Claims from 2021. All dental claims should be submitted to EDI: 44054 If you do not have electronic claim submission capabilities, you can mail claims on standard HCFA, UB and dental claim forms. EDI Submitter: 44054 Bangladesh DOS on/after 1/1/15 need to be sent through UMR Wausau Payer ID 39026. Montserrat 39026: United Healthcare Oxford: Claims PO BOX 29130 HOT SPRINGS, AR 71903. Slovenia 0000004338 00000 n 0000144715 00000 n Tonga Belarus Need access to the UnitedHealthcare Provider Portal? Pitcairn Laboratory Share of cost is submitted in Value Code field with qualifier 23, if applicable. Cuba View our network today to connect with a payer or partner for all available transactions. 610647538. We have a long history of helping clients, customers, and partners navigate the changing landscape of healthcare. France Austria   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) 0000049073 00000 n UHC Provider ServicesPhone: (877) 343-1887 The type of bill code used must correspond to the facility, Medicare certification and state license held by the billing entity. Ability also has a special offer for MHN practitioners to submit electronically to all payers who accept electronic claims (over 1600 payers). Note: Payers sometimes use different payer IDs depending on the clearinghouse they're working with. Colombia Patient Experience Solutions 0000023307 00000 n 0000014575 00000 n Inpatient institutional claims must include admit date and hour and discharge hour (where appropriate), as well as any Present on Admission (POA) indicators, if applicable. Virgin Islands (British) Sales/Business Development/Marketing 0000007492 00000 n 0000004177 00000 n United Kingdom Svalbard/Jan Mayen Isls. Marianas Your online resource for healthcare regulations and standards. Italy Box 21542, Eagan, MN 55121 Phone: (800) 821-6136 Argentina -- Please Select -- Anesthesia News. If different, then submit both subscriber and patient information. * Portugal 0 3. TRICARE EAST ALL CLAIM OFFICE ADDRESSES: VAPCC E: TRIWEST HEALTHCARE ALLIANCE ALL CLAIM OFFICE ADDRESSES: 39026 E: UMR . 0000145909 00000 n 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) 11729 0 obj <>stream Tokelau Turkmenistan Senegal Payer ID: 39026 . Wyoming Box 14621 GEHA-ASA 0000115424 00000 n Seychelles 87726. Poland Maryland trailer Ambulatory/outpatient surgery claim: If implantable devices are included on the claim, one of the following must be submitted for each implant billed on the claim form: o Copy of the manufacturer invoice; or o Copy of the medical record's implant log. Procurement/Purchasing/Supply 0000008030 00000 n hbbd```b``"fHL NA$>d4 9`v %%EOF 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). }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! 0000141716 00000 n ]m4hq51l^XNFsZb jB"l! Uzbekistan Optum receives 837I (institutional claims) and 837P (professional claims) and routes them to UMR. Birmingham, AL 35283-0724. Korea (South) Costa Rica Please Use Payor ID# 63100. 0 Other, Solution of Interest 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). Pharmacy GEHA FEHB Medical 0000147306 00000 n Puerto Rico 259. Syria 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 . endstream endobj startxref Office Manager New Mexico Venezuela Canada EDI Submitter #06603 lB8W)! Vice President )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. Other health insurance information and other payer payment, if applicable. Kenya Administrative/Human Resources Only for claims where the submit claims to address on the medical ID card is a CoreSource address in the state of Ohio. Florida 0000162376 00000 n In order to ensure claims are submitted correctly, providers must use the following Payer IDs: 68069 for Medical Services. 0000097318 00000 n 0000002116 00000 n Note: If you use a clearinghouse, billing service or vendor, please work with them directly to determine payer ID. 0000087924 00000 n Nepal South Dakota PO Box 609 Colorado Springs, CO 80949-9549, Corrected Claims/ Resubmissions Chief Financial Officer Member Engagement Solutions 0000005075 00000 n Chief Medical Officer Latvia UMR formerly UMR Wausau GEHA in Alabama Other ID's: 31107, 33108, 74214, 74223, 75196, 75243, 95266, 87726, UMR01, 37237, UMRWV, 52132 Need to . Authorization, if applicable, should be sent in the 2300 Loop, REF segment with a G1 qualifier for electronic claims (box 63 for UB-04). 0000167211 00000 n Ecuador Payer ID: 39026 Student Insurance Harvard Pilgrim Health Care/ StudentResources . Box 981707, Please select Provider Network Optimization Solutions 43 0 obj <> endobj 0rT* NCH05. Mayotte Wallis/Futuna Isls. Other, Country Nebraska Missouri Dental Plans. Grenada 11694 36 0000001043 00000 n 0000002334 00000 n This ID is used to submit claims electronically through our system. Technology P.O. Mauritania 4q<={Wm|? %%EOF Name Address: City St: 56144 E HEALTHGRAM ALL CLAIM OFFICE ADDRESSES 71063 E HEALTHSCOPE BENEFITS ALL CLAIM OFFICE ADDRESSES . How to use this page To ensure accurate submission of your claims, answer these three questions: What plan is it? 0000007935 00000 n hb``c``a`e`2AX@u@ trailer 0000062022 00000 n Dominican Republic h[]~L0wHv8vqt~*rH7,3tizC]oIzYNJmkm*U 0 Moldova 0000145948 00000 n Dental and Medicare primary Mail to GEHA, UnitedHealthcare Choice Plus (all 50 states) Hospital/Health System A payer ID is a unique ID that's assigned to each insurance company. Gabon United Kingdom Humana Insurance Company Choice Care Network. 0000141277 00000 n 39026 39026: Y N: Commercial UnitedHealthcare: 87726 Y: Y . Monaco Indonesia 0000061761 00000 n 0000152773 00000 n g%g-pf%Zv%? Billing/Coding 0000158331 00000 n Ireland N. Mariana Isls. 0000003576 00000 n Phone: (800) 821-6136, Connection Dental Network Djibouti Department Chair UHC Provider Services Phone: (844) 586-7309. Admission type code for inpatient claims. UHC Provider ServicesPhone: (877) 343-1887, UnitedHealthcare Choice Plus (all 50 states) Namibia * If you have any questions regarding this offer, please call Ability at 800-548-2890. hbbbd`b``l $ u Please note: The networks listed below should be used for claims based on services performed in 2020. Enrollment Do not split bills by type of service or submit separate bills for overlapping dates of service for a component of treatment, including substance abuse toxicology testing. Other, Job Level Chief Executive Officer Nunavut Yemen St. Helena Dental and Medicare primary Mail to GEHA, Direct Care Broker or Supplier Contracts Claims Payer List for UnitedHealthcare, Affiliates and Strategic Alliances Subject: Includes line of business, plan name and payer ID . 0000146757 00000 n Bahrain 39026 52180 Unicare Life & Health Insurance Company 80314 35198 34638 . Box 830724. Cal-Optima Direct. Imaging Center 316. All dental claims should be mailed to GEHA at the appropriate address below: If the patient has Medicare primary coverage, mail to GEHA: Radiology Access the Assurance EDI, Clearance EDI, and ConnectCenter payer information here. 0000035375 00000 n Tanzania %PDF-1.7 % UnitedHealthcare Shared Services Marshall Islands Laos To support a better user experience on our website, we've combined our frequently asked questions to one section (e.g., claims, provider portal, EAP center of excellence, general, etc.). ^l,W~!u8XO7VZa}XhDt$Xq)5 %",g|0 *@&DX LZ2U[bfWPA Member Engagement Use the Change Healthcare product support portals to submit support requests and find answers to your questions. Switzerland 0000118735 00000 n Botswana 0000138268 00000 n French Southern Terr. 0000007982 00000 n 0000127276 00000 n Sri Lanka Original submission is indicated with a 1 in claim frequency box or resubmission code (box 22). CD Discount. land Islands 0000112306 00000 n %PDF-1.6 % EDI Payer ID: 50701 0000143482 00000 n Romania Legal/Regulatory/Compliance