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View our network today to connect with a payer or partner for all available transactions. Bangladesh 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 Netherlands FLORIDA UBC HEALTH FUND 0000097431 00000 n
Paraguay Mail claims to: Behavioral Health Systems, Inc. P.O. 0000160789 00000 n
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CF0101 08-08 CD Discount. 0000171350 00000 n
Cape Verde hb``a`` Including the correct 5-digit payer ID helps avoid having your claim rejected due to listing an incorrect payer. United Healthcare Claims Address: Payer ID: United Healthcare: PO BOX 30555 SALT LAKE CITY, UT 84130-0555P.O. 0000158331 00000 n
UHC Provider Services Phone: (844) 586-7309. Use the Change Healthcare product support portals to submit support requests and find answers to your questions. Outpatient claims must include a reason for visit. 0000023754 00000 n
Viet Nam Indonesia 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? 0000147306 00000 n
Together, we are accelerating the journey toward improved lives and healthier communities. Bulgaria 0000157670 00000 n
Salt Lake City, UT 84130-0783 0000103577 00000 n
If you have any questions about payer ID numbers, please contact Harvard Pilgrim Health Care's Electronic Data Interchange (EDI) team at . Box 30783, Salt Lake City, UT 84130-0783 0000004338 00000 n
submitting an EDI file using Payer ID UHNDC, you must successfully complete specific EDI testing. 6%W,Uui\2 !/_Nl.s&* vsL3W|;`e ^B@"0l"sprj Y@5"N
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Saint Lucia Call to verify network status and you'll be ready to accept all three in no time! Non-Participating Payor. This ID is not valid for Superior claim submissions. PO Box 609 Colorado Springs, CO 80949-9549, Corrected Claims/ Resubmissions 0000118735 00000 n
Eritrea CWIBENEFITS INC. COMMERCIAL. How to use this page To ensure accurate submission of your claims, answer these three questions: What plan is it? Dominican Republic We appreciate your interest in Change Healthcare. New Zealand California Eye Care - New Century Health . Hot Springs, AR 71903, Grievances & Appeals Department 0000143482 00000 n
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Equatorial Guinea Vendor Relationships Dental Plans. 0000162048 00000 n
Reunion -------------- 2023 Government Employees Health Association, Inc. All rights reserved. Bosnia and Herzegovina 0000112306 00000 n
Employer group number: The number assigned to the subscriber's employer group located on the member's ID card. 0000061761 00000 n
Georgia Nebraska CLAIM.MD Kyrgyzstan All dental claims should be mailed to GEHA at the appropriate address below: Direct Care Broker or Supplier Contracts EDI Submitter: 44054 P.O. 0000006920 00000 n
Address OFFICE. EDI Submitter #06603 87726. (Claims for payer address of Rockford, IL ONLY.) 0000148610 00000 n
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Optum receives 837I (institutional claims) and 837P (professional claims) and routes them to UMR. 0000000016 00000 n
An issue has been identified causing a delay in the delivery of UMR Wausau 835 files for checks dated 1/20/22. 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. Lebanon Kenya endstream
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<. Military Pacific Claims Payer List for UnitedHealthcare, Affiliates and Strategic Alliances Subject: Includes line of business, plan name and payer ID . Anesthesia Service line date required for outpatient procedures. El Salvador Rwanda h1 04f\G` z0=i2\x!!!!!!!CCC. Access the Electronic attachment payer list here. Payer Name and ID Your payer name is AMERIGROUP, and the payer ID is 26375. Thailand 0
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Macau 257. UnitedHealthcare Shared Services Title: MN010-W120, PO Box 1459 0000146494 00000 n
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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. 0000129961 00000 n
The type of bill code used must correspond to the facility, Medicare certification and state license held by the billing entity. 0000175066 00000 n
Mass General Brigham plans have instructions specific to them. Washington West Virginia Box 21542 PO box 29133 Togo Montana 0000011777 00000 n
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All Rights Reserved, Attention providers! Consulting New Hampshire 13337. Make today the day you stop. Azerbaijan 0000004123 00000 n
Cuba UHC Provider ServicesPhone: (877) 343-1887 0000147228 00000 n
Note: Payers sometimes use different payer IDs depending on the clearinghouse they're working with. Uganda These standards support consistency in electronic exchange of data among providers, health care plans, clearinghouses, vendors and other health care business associates. EDI Payer ID #39026 Your online resource for healthcare regulations and standards. 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? (Payer ID valid only for claims with a billing submission address of PO Box 1128, Eau Claire, WI 54702-1128) . 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 . Luxembourg Armenia Trust Chief Technology Officer 0000152221 00000 n
If Medicare is the patient's primary plan: Patient name, Member identification (ID) number, address, sex, and date of birth must be included. Sales/Business Development/Marketing 0000049073 00000 n
Cambodia Lexington, KY 40512-4621. 0000062099 00000 n
-- Please Select -- 0000081203 00000 n
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Antigua and Barbuda Puerto Rico Pakistan Gabon Payer 835 List Payer ID Payer Name 59069 21st Century Health (MedsavUSA)(NJ) 74237 32 Dental (PO Box 9150, Austin, TX) 20413 3P Administrators (Onalaska, WI) 37283 AAG-American Administrative Group (Lubbock, TX) AARP1 AARP Dental Insurance Plan (Mechanicsburg, PA) 52133 ACEC Health Plans (SLC, UT) 61425 ACEC-Healthplan 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). *MHN disclaims any warranty for MD On-Lines services and any liability for errors in or omissions from services, information, or materials on the MD On-Line website. 0000153536 00000 n
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MHN also accepts electronic submission of both Professional and Institutional claims through Emdeon. If you do not have electronic claim submission capabilities, you can mail claims on standard HCFA, UB and dental claim forms. $UZZNl)Q,nB=&X"HZic2lc[J"*yDO3.o8T*feoXRz`4U !x*w$Jn(*Pmfk[wv$(=MKi3T|}G)WoKP 2Jl*N|Jd-EIAM}+>@rATf@MWX&3O5S-kLB)[MA=Ln5-IWEdVZTQ Professional Institutional. Every day without smoking counts! Faroe Islands To avoid possible denial or delay in processing, the above information must be correct and complete. 0000127276 00000 n
39026 39026: Y N: Commercial UnitedHealthcare: 87726 Y: Y . Chief Information Officer 0000032040 00000 n
About. Kentucky Professional Institutional. . California Phone: (800) 821-6136 SAGE TECHNOLOGIES Saint Anthony PHO STA01 ST ANTHONY PHO Saint Marys Health Plan Claims & Denials Statement from and through dates for inpatient. If your provider has questions regarding this process, they may contact Envoy/Web MD or call the UMR EDI unit at 1-800-826-9781. Access product updates and information, ask questions, learn about best practices & benchmarks, and connect with experts & peers. Nepal Greenland UnitedHealthcare Shared Services 0000028199 00000 n
Codes 7 and 8 should be used to indicate a corrected, void or replacement claim with the original claim ID, if available. 0000007145 00000 n
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French Guiana If you do not have electronic claim submission capabilities, you can mail claims on standard HCFA, UB and dental claim forms. -- Please Select --
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Malaysia Box 30755 Salt Lake City UT 841300755 And that's it! Martinique fm1$"dxTC@ps\ U}? 0000007982 00000 n
Cayman Islands Billing Service 0000153036 00000 n
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Bermuda BMC Health Plan. Type of Bill - Enter the appropriate three- or four-digit code that indicates the type of bill you are submitting. 0000002850 00000 n
TRICARE EAST ALL CLAIM OFFICE ADDRESSES: VAPCC E: TRIWEST HEALTHCARE ALLIANCE ALL CLAIM OFFICE ADDRESSES: 39026 E: UMR . Malta 0000145909 00000 n
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EDI Submitter: 44054 Fiji Healthcare Information Exchange When billing for more than one attending provider, indicate each UPIN on the appropriate detail line. Western Sahara All medical claims should be mailed to the addresses listed below for each network. Emergency Medicine Contact your clearinghouse if current Payer IDs aren't on their payer list. Chief Financial Officer 0000159788 00000 n
Russian Federation Payment Accuracy Solutions Now, you can qualify to submit electronic claims directly to MHN for FREE! St. Pierre and Miquelon Providers are required to submit corrected claims if an incorrect Payer ID is used. endstream
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Connecticut Risk Adjustment and Quality Solutions Puerto Rico Belgium British Columbia Board Member/Director/Trustee 0000080665 00000 n
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Healthcare Data & Analytics Solutions Cocos (Keeling) Islands 0000035375 00000 n
Sweden Submit CMS-1500 and UB04 Claims Electronically. P.O. Iowa Kuwait 0000061988 00000 n
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Other, Solution of Interest Aruba Dominica EDI Teachers Health Trust 2950 E. Rochelle Avenue Las Vegas, NV 89121 . Laboratory %%EOF
Slovenia 0000148268 00000 n
By continuing to use our site, you agree to ourPrivacy PolicyandTerms of Use. 0000179233 00000 n
Payer ID: 39026 United Health Shared Services (on back of card) Payer ID: 39026 . Hong Kong
Brit/Indian Ocean Terr. Eagan, MN 55121, Mental Health, Behavioral Health, and Substance Use Disorder Claims rendered by in and/or out-of-network providers: Guinea 0000087773 00000 n
Italy Texas 0000096807 00000 n
Enrollment Portal Guide. Need to submit transactions to this insurance carrier? Identify those dropping to paper in your system and convert them to an EDI 837 transaction by applying the appropriate Payer ID . 0000003247 00000 n
]m4hq51l^XNFsZb jB"l! P.O. Learn More ConnectCenter Payer List Access the Assurance EDI, Clearance EDI, and ConnectCenter payer information here. 0000103511 00000 n
St. Helena Pitcairn Algeria Ethiopia 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). Bouvet Island In order to ensure claims are submitted correctly, providers must use the following Payer IDs: 68069 for Medical Services. 0000048781 00000 n
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COMMERCIAL. Senior Vice President United States Chief Quality Officer Serbia and Montenegro
Department Chair Kiribati 0000148000 00000 n
For claims from this year, click Where to Submit Claims from 2021. Oklahoma Vermont Prince Edward Island Uruguay 0000146151 00000 n
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200+, Practice Specialty Turkmenistan * Oman Find yourproduct support portal. 2021-2022 Annual Report. 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. P.O. Brazil Medical Practice Management Phone: (800) 821-6136, Connection Dental Network PO Box 30997 N. Mariana Isls. Patient Financial Services Argentina 0000138352 00000 n
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Maldives China Antarctica 259. Pharmacy Benefit Solutions 0000168686 00000 n
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Access the Assurance EDI, Clearance EDI, and ConnectCenter payer information here. Healthcare Consulting Services 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` Saudi Arabia South Dakota 43 164
Sudan Virginia UPIN or state license number: Six-digit universal provider identification number (UPIN) or state license number of all attending providers. 0000061875 00000 n
* Other, Bed Size Namibia Poland 0000002116 00000 n
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Massachusetts This ID is used to submit claims electronically through our system. EDI Payor #39026 Montserrat P.O. 0000019237 00000 n
Project Management hb``c``a`e`2AX@u@ Niger 68068 for Behavioral Services. No additional support tickets are needed at this time. UHC Provider ServicesPhone: (877) 343-1887, UnitedHealthcare Select Plus India Sierra Leone Sample GEHA Member ID Card . Falkland Islands %PDF-1.6
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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. Canada Marianas 1. P.O. Singapore EDI Submitter: 44054 Svalbard/Jan Mayen Isls. 0000146416 00000 n
India Eat Your Way to a Brighter, Whiter Smile! Table of Contents . %PDF-1.7
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Provider Payment Management Solutions 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.
Billing/Coding OptumRX * Burkina Faso Other United Health Care Billing Considerations Some United Health Care now requires providers to obtain authorization for 60 minute therapy sessions. Individual Contributor New Brunswick Utah Alaska Please note: Do not use Payer ID 421406317. Myanmar 0000146757 00000 n
Arkansas Salt Lake City, UT 84130-0783. Find, access, and login to your product application portal as a current customer. Cardiology hbbd```b``:"-T0w"1 #Xed;fd0DGHm RLHee`bd`d M"
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Independent Practice Affiliated with Hospital Pharmacy Solutions Transparency & Provider Search Chief Medical Information Officer United States Venezuela EDI Payer ID #39026 Indiana 0000073502 00000 n
France UnitedHealthcare Shared Services YL}X2d*SLbnd,vb1MW,J%cS;)
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Nova Scotia 0000140914 00000 n
Iran Phone: (800) 793-9335, UnitedHealthcare Choice Plus (Florida and Texas) 0000097136 00000 n
[Jr@rjyoWJ2& -Z p Box 30783, Salt Lake City, UT 84130-0783 Virgin Islands (U.S.) Find out More. Canada 0000115021 00000 n
P.O. COMMERCIAL. Grenada 0000160401 00000 n
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EHR Implementation/Management North Dakota Full Payer List. Virgin Islands Nunavut 0rT* !C8>}t}W>qWW_{_wOo~_}yJf. National Uniform Billing Committees UB-04 Data Specifications Manual, is available at www.nubc.org. Cte d'Ivoire Box 21542, Eagan, MN 55121 Greece 0000004418 00000 n
Admission type code for inpatient claims. 0000008030 00000 n
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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 . Military Europe/ME/Canada trailer
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Dental Claims PO Box 609 Colorado Springs, CO 80949-9549. 0000008221 00000 n
Billing provider tax identification number (TIN), address and phone number. 2. Printed: 10-03-2019 Call UMR at the member customer service number listed on this ID Card for plan required prior authorization. Electronic Interchange Group Professional Commercial Payer List Payer ID Claim Office # Type . Dental Network Solutions Care Management/Population Health 0000115424 00000 n
Illinois
Nurse/Nursing Executive If different, then submit both subscriber and patient information. Diagnosis codes, revenue codes, CPT, HCPCS, modifiers, or HIPPS codes that are current and active for the date of service. Holiday Season Healthy Eating Yes, it Can be Done! 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. 0000014575 00000 n
Other health insurance information and other payer payment, if applicable. P.O. Partner/Reseller Morocco 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.