Cameroon Philippines 314. If you do not have electronic claim submission capabilities, you can mail claims on standard HCFA, UB and dental claim forms. Humana Insurance Company Choice Care Network. CD Plus. (Claims for payer address of Rockford, IL ONLY.) P.O. Viet Nam @=&F]`00Rx@ 6Z 0000006954 00000 n 0000004183 00000 n 0000137409 00000 n UnitedHealthcare Shared Services Connecticut Box 30783, Salt Lake City, UT 84130-0783 Mayotte 117 0 obj <>stream National Drug Code (NDC) for drug claims as required. 0000035375 00000 n Faroe Islands All dental claims should be submitted to EDI: 44054. Non-Participating Payor. No additional support tickets are needed at this time. Nauru A Claims must be received within 90 days from the service date. UHC Provider ServicesPhone: (877) 343-1887 0000007887 00000 n 39026 e umr (formerly umr wausau) all claim office addresses 79480 e umr harrington all claim office addresses Israel Procurement/Purchasing/Supply %%EOF 0000103511 00000 n Primary diagnosis code and all additional diagnosis codes (up to 24 for institutional) with the proper ICD indicator (only ICD 10 codes are applicable for claims with dates of service on and after October 1, 2015). Payer 0000003410 00000 n Claims Payer List for UnitedHealthcare, Affiliates and Strategic Alliances Subject: Includes line of business, plan name and payer ID . COMMERCIAL. 0000148610 00000 n Please contact Change Healthcare at 1 (866) 371-9066 with any questions regarding electronic claims submission. Laos Use Healthcare Common Procedure Coding System (HCPCS) Level I and II codes to indicate procedures on all claims, except for inpatient hospitals. Payer IDs route EDI transactions to the appropriate payer. Other, Subscribe to Change Healthcare Communications. Macedonia Timor-Leste Mass General Brigham plans have instructions specific to them. lB8W)! 0000097202 00000 n 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). Uruguay 0000153536 00000 n 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 43 0 obj <> endobj GEHA-ASA Dentistry Belarus Wallis/Futuna Isls. 0000007492 00000 n Note: If you use a clearinghouse, billing service or vendor, please work with them directly to determine payer ID. Ohio American Samoa 0000103184 00000 n Accommodation code is submitted in Value Code field with qualifier 24, if applicable. News. startxref Moldova Dental 0000008221 00000 n Admission type code for inpatient claims. 0000112488 00000 n Vice President Uzbekistan Aruba 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.). India Eritrea Beacon, PO Box 1854, Hicksville, NY 11802-1854, Dental Claims Patient name, Member identification (ID) number, address, sex, and date of birth must be included. We make it easier to find the payer information you need with our Easy Search, Real Time, Claims and ERA payer lists. 68047. EDI Payor #39026 0000112372 00000 n 0000062099 00000 n Alabama submitting an EDI file using Payer ID UHNDC, you must successfully complete specific EDI testing. %PDF-1.6 % EHR Implementation/Management Brazil 0000007145 00000 n Healthcare Data & Analytics Solutions This ID is used to submit claims electronically through our system. If you do have electronic claim submission capabilities, please submit claims electronically. 0000146026 00000 n 43 164 Marshall Islands The EDI 837 Health Care Claim transaction is the electronic transaction for claims submissions. !tWu}]{|o>oI{;jOGG{vx_~|;}r{%5Hmw~{:nz/vZm>/~?9OoOCpR[%^ND?JwSn7{/Aw7xm~zvd|w/xzw9zg/7rj*.1 1=F%Rk-u[wz)FrFn=yS=78Y;v_6mENZtZ74;'|)oSuwX}p4SF7KaKjF4T%] SBr,`.l`) hrWjv2|8(yV]zZFi6/ )k/TRA"7k+e33'':8b'RJO[FZV-+T*|T 2LfgBo]HzwCa$*bVgeMkR @0vq+ IMPORTANT NOTE: We require that all facility claims be billed on the UB-04 form. Guyana Colombia Germany 0000018151 00000 n All medical claims should be mailed to the addresses listed below for each network. All medical claims should be mailed to the addresses listed below for each network. Nicaragua 0000035806 00000 n Care Management/Population Health   0000159481 00000 n 0000129961 00000 n COMMERCIAL. Florida If you do have electronic claim submission capabilities, please submit claims electronically. 0000022641 00000 n 0000127276 00000 n 610647538. Puerto Rico Optum receives 837I (institutional claims) and 837P (professional claims) and routes them to UMR. Azerbaijan 404 0 obj <>stream Poland 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. Salt Lake City, UT 84130-0783 Box 30755 Salt Lake City UT 841300755 And that's it! If your clearinghouse is not Optum, and you wish to receive an 835 electronic file, your clearinghouse has to enroll at Optum. 0000160401 00000 n Box 21542, Eagan, MN 55121 Phone: (800) 821-6136 Georgia Micronesia About. Claims Payer List for UnitedHealthcare, Affiliates and Strategic Alliances Subject: Includes line of business, plan name and payer ID . Risk Adjustment and Quality Solutions Salt Lake City, UT 84130-0783. 0000073889 00000 n San Antonio, TX 78229, Part B RX Claims Address: 0000152456 00000 n CALOP. EDI Submitter #06603 Revenue Cycle Management Solutions Revenue Performance Advisor Payer List We make it easier to find the payer information you need with our Easy Search, Real Time, Claims and ERA payer lists. Kuwait Training/Education Saint Kitts and Nevis 0000003888 00000 n Pennsylvania 0000157670 00000 n Sao Tome/Principe Drug testing Dates of service on and after January 1, 2017: We follow the Centers for Medicare & Medicaid Services (CMS) coding guidelines for reporting drug testingprocedures as outlined in the 2017 CMS Clinical Laboratory Fee Schedule (CLFS) Final Determinations document posted on the CMS website (CMS8). Original submission is indicated with a 1 in claim frequency box or resubmission code (box 22). South Africa Maine hbbd```b``:"-T0w"1 #Xed;fd0DGHm RLHee`bd`d M" Hge 0 BA= Hospital Employed Practice UHC Provider Services Phone: (844) 586-7309 Virgin Islands (U.S.) Massachusetts Argentina 0000146835 00000 n * MHN.com uses cookies. 0000000016 00000 n Member Engagement Administrator 0000005346 00000 n All dental claims should be mailed to GEHA at the appropriate address below: If the patient has Medicare primary coverage, mail to GEHA: ]m4hq51l^XNFsZb jB"l! 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. Billing provider tax identification number (TIN), address and phone number. A payer ID is a unique ID that's assigned to each insurance company. CD Discount. 0000114704 00000 n 0000087924 00000 n 0000146494 00000 n Medical Record Retrieval & Clinical Review Box 981707, 57080. Louisiana 0000036268 00000 n Ethiopia Netherlands 0000143443 00000 n 0000008173 00000 n UnitedHealthcare Shared Services Egypt Project Management If your practice management system uses Emdeon as its clearinghouse, you can submit claims using MHN's payer ID: To find out if your practice management software uses Emdeon's clearinghouse, check with your vendor. 0000165174 00000 n 0000097431 00000 n 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. OptumRX Nova Scotia Korea (North) Full Payer List. Vatican City 0000081055 00000 n By continuing to use our site, you agree to ourPrivacy PolicyandTerms of Use. 0000115087 00000 n Somalia Outpatient claims must include a reason for visit. DOS on/after 1/1/15 need to be sent through UMR Wausau Payer ID 39026. A. Swaziland Radiology 0000115424 00000 n Cayman Islands 0 Contact us. 0000081280 00000 n 0 COMMERCIAL. Please Select The members ID card will indicate the Payer ID to use for claims submissions. 0000145948 00000 n Samoa 0000119147 00000 n Saskatchewan Box 21542, Eagan, MN 55121 Electronic Interchange Group Professional Commercial Payer List Payer ID Claim Office # Type . P.O. h[]~L0wHv8vqt~*rH7,3tizC]oIzYNJmkm*U -- Please Select -- France 200+, Practice Specialty 0000002289 00000 n California (Payer ID valid only for claims with a billing submission address of PO Box 1128, Eau Claire, WI 54702-1128) . endstream endobj startxref All dental claims should be mailed to GEHA at the appropriate address below: Direct Care Broker or Supplier Contracts EDI Submitter: 44054 P.O. Share of cost is submitted in Value Code field with qualifier 23, if applicable. Indiana Pathology Billing provider tax identification number (TIN), address and phone number. South Carolina Box 981707, El Paso, TX 79998-1707 Hospital/Health System Tokelau }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! Chief Operating Officer Thailand Afghanistan 0000061761 00000 n xref 87726. Individual Contributor Wyoming Access the Electronic attachment payer list here. Patient or subscriber medical release signature/authorization. The payer ID is typically a 5 character code, but it could be longer. 0000097318 00000 n 39026 39026: Y N: Commercial UnitedHealthcare: 87726 Y: Y . These may be different when submitting Amerigroup EDIs in Availity.