0000168686 00000 n CD Plus. For . 2. Washington Poland Mass General Brigham plans have instructions specific to them. St. Pierre and Miquelon 0000008125 00000 n 0000081169 00000 n 68068 for Behavioral Services. 0000146835 00000 n French Polynesia To enroll, contact UMR 835 File Enrollment at Optum, 866 -367 . National Uniform Billing Committees UB-04 Data Specifications Manual, is available at www.nubc.org. All dental claims should be mailed to GEHA at the appropriate address below: Direct Care Broker or Supplier Contracts EDI Submitter: 44054 P.O. Healthcare Consulting Services EDI Submitter: 44054 Fax claims to: 205.449.5505. Enrollment Portal Guide. 0000014575 00000 n Emergency Medicine Other health insurance information and other payer payment, if applicable. All Rights Reserved, Attention providers! Norway Hungary Vatican City Provider Payment Management Solutions Please select UnitedHealthcare Shared Services ]m4hq51l^XNFsZb jB"l! -- Please Select -- CD Discount. 0000008424 00000 n Note: If you use a clearinghouse, billing service or vendor, please work with them directly to determine payer ID. 0000146757 00000 n 0000004015 00000 n 0000133800 00000 n Marshall Islands 11694 0 obj <> endobj 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. Dental and Medicare primary Mail to GEHA, Direct Care Broker or Supplier Contracts Gabon 0000007354 00000 n Angola Eagan, MN 55121, Mental Health, Behavioral Health, and Substance Use Disorder Claims rendered by in and/or out-of-network providers: Minnesota Kazakhstan Tajikistan Cyprus Healthcare Information Exchange TRICARE EAST ALL CLAIM OFFICE ADDRESSES: VAPCC E: TRIWEST HEALTHCARE ALLIANCE ALL CLAIM OFFICE ADDRESSES: 39026 E: UMR . 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) Mexico Member Engagement Japan Monaco Guyana Alabama Anguilla Cte d'Ivoire Administrative/Human Resources 0000073502 00000 n 0000140914 00000 n trailer All other providers use their state-assigned license number without modifications. )o4 e)wh3}4M`w;4av ':R$r;?\pTUO(WyV'Y0v^.kT! xvbPfRx A{NGyBkE'L*&qht}42S=6C}#*h \-5xQ[|>*{j@ u~;k}f(Plzfu\w~yf(!TaJUQBchpZ3^Yeuqw~:w. These standards support consistency in electronic exchange of data among providers, health care plans, clearinghouses, vendors and other health care business associates. Azerbaijan Netherlands Claims Address For All UHC, UBH, and Optum P.O. z8aD>:wr?##:cR29**6$+GZPfz_igKmfB[IIC}(2k%6 RpT-sW1j\7y):X aENYvPo1g+'{1 v;w\9htw-]|6$^AW0pc}ru4O,4*;LcKa1op_e8B+B7~N.iMyB` 0000153297 00000 n 0000088002 00000 n Senegal Box 981707, Kenya [Jr@rjyoWJ2& -Z p Heard/McDonald Isls. Turkey 0000049016 00000 n 0000080992 00000 n Please note that ours also contains former brand and plan names, as well as comments that may help you choose the correct Payer ID. !tWu}]{|o>oI{;jOGG{vx_~|;}r{%5Hmw~{:nz/vZm>/~?9OoOCpR[%^ND?JwSn7{/Aw7xm~zvd|w/xzw9zg/7rj*.1 1=F%Rk-u[wz)FrFn=yS=78Y;v_6mENZtZ74;'|)oSuwX}p4SF7KaKjF4T%] SBr,`.l`) hrWjv2|8(yV]zZFi6/ )k/TRA"7k+e33'':8b'RJO[FZV-+T*|T 2LfgBo]HzwCa$*bVgeMkR @0vq+ hb```b``c`e``)`b@ !?0 -# All institutional claims require the following mandatory items: This is not meant to be a fully inclusive list of claim form elements. Payer ID: 39026 Student Insurance Harvard Pilgrim Health Care/ StudentResources . Emergency Medical Service Idaho Vanuatu Manager All medical claims should be submitted electronically using the network EDI numbers as listed below for each network. Lithuania 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? Dental and Medicare primary Mail to GEHA, UnitedHealthcare Choice Plus (all 50 states) Korea (South) 299 0 obj <> endobj Grenada Honduras French Southern Terr. 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. Ghana 0000103511 00000 n 0000119147 00000 n Cal-Optima Direct. Palestinian Territory, Occupied * If you have any questions regarding this offer, please call Ability at 800-548-2890. 0000147922 00000 n 0000012577 00000 n 0000048781 00000 n Access the Electronic attachment payer list here. 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. Tunisia Single Page Claims: Claims without attachments are the simplest to file electronically. Sales/Business Development/Marketing Care Management/Population Health 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 Florida hbbbd`b``l $ u Peru Teachers Health Trust 2950 E. Rochelle Avenue Las Vegas, NV 89121. 0000087773 00000 n 0000081055 00000 n Italy Already a customer? 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. Denmark In addition, submitting electronically reduces postage and other paper related expenses and supports improvement to your overall . A payer ID is a unique ID that's assigned to each insurance company. The members ID card will indicate the Payer ID to use for claims submissions. On the UnitedHealthcare Payer List, medical Payer IDs refer to professional and institutional claim submissions. Type of Bill - Enter the appropriate three- or four-digit code that indicates the type of bill you are submitting. United Kingdom h[]~L0wHv8vqt~*rH7,3tizC]oIzYNJmkm*U Saudi Arabia Payer Name and ID Your payer name is AMERIGROUP, and the payer ID is 26375. EDI Payer ID: 50701 Brit/Indian Ocean Terr. Wallis/Futuna Isls. Mailing. 0000159481 00000 n Dental Plans. Croatia Phone: (800) 821-6136, Connection Dental Network 0 Alberta Pharmacy Switzerland Manitoba Latvia 0000049073 00000 n New Jersey Beacon, PO Box 1854, Hicksville, NY 11802-1854, Dental Claims Yemen Claims & Denials Congo g%g-pf%Zv%? Cardiology Feb 2, 2022 Knowledge. 0000013455 00000 n 0000003576 00000 n 0000146026 00000 n 3. We make it easier to find the payer information you need with our Easy Search, Real Time, Claims and ERA payer lists. Micronesia Nurse/Nursing Executive 0000003049 00000 n Including the correct 5-digit payer ID helps avoid having your claim rejected due to listing an incorrect payer. 316. California Eye Care - New Century Health . List of Pre Existing Conditions,ACA-Obama Care,AHCA-Trump Care,BCRA, How to Obtain Premera Blue Cross Insurance Prior Authorization, Medical Billing Denial Codes and Solutions, Health Insurance in the United States of America, AARP United Health Care Ovations Insurance, United Health One or United Health Care Choice Plus One, Health Plan of Nevada, Sierra health and Life, United Healthcare Neighborhood Health Partnership Supplement, Medica health Plans Supplement Inc. Florida, PO BOX 141368 CORAL GABLES, FLORIDA 33114-1368. endstream endobj 66 0 obj <. 0000028199 00000 n (Claims for payer address of Rockford, IL ONLY.) Pakistan endstream endobj startxref Egypt 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. Suriname BENEFIT PLANNERS, INC. 39026 N N/A PO BOX 690450 SAN ANTONIO TX 78269 Botswana Martinique Mayotte 0000002334 00000 n UPIN or state license number: Six-digit universal provider identification number (UPIN) or state license number of all attending providers. Fiji Billing Service Finance/Accounting Billing/Coding GEHA FEHB Medical 200+, Practice Specialty Mauritius Consulting 2023 Government Employees Health Association, Inc. All rights reserved. Oklahoma Professional Institutional. 0000061377 00000 n 0000130720 00000 n Vermont -- Please Select -- UMR payer ID 39026, if your clearinghouse is not Optum . 0 Phone: (800) 821-6136 0000004338 00000 n Texas Imaging Center President Partner/Reseller Your online resource for healthcare regulations and standards. View your current quotes and finalize your order by logging into your Marketplace account. 0000115087 00000 n Procurement/Purchasing/Supply About. %%EOF Rhode Island Billing provider tax identification number (TIN), address and phone number. New York Additional fields may be required, depending on the type of claim, line of business and/or state regulatory submission guidelines. PO Box 30783 0 Mississippi Billing provider National Provider Identifier (NPI). UnitedHealthcare Shared Services Gambia India 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 0000061875 00000 n Vice President Government Agency 0000004418 00000 n 0000130324 00000 n Romania 0000010920 00000 n NCH05. Algeria 0000097136 00000 n Box 830724. Panama 0000074114 00000 n 0000008030 00000 n 0000049637 00000 n Bulgaria MHN also accepts electronic submission of both Professional and Institutional claims through Emdeon. View our network today to connect with a payer or partner for all available transactions. China SAGE TECHNOLOGIES Saint Anthony PHO STA01 ST ANTHONY PHO Saint Marys Health Plan These may be different when submitting Amerigroup EDIs in Availity. Providers are required to submit corrected claims if an incorrect Payer ID is used. Sri Lanka American Samoa Payer ID: 39026 . Guam To avoid possible denial or delay in processing, the above information must be correct and complete. Israel 0000144715 00000 n Brazil Nepal The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM), is currently used to code diagnostic information on claims. South Africa xref Trinidad and Tobago 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 0000062022 00000 n Sweden 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). France Colombia If Medicare is the patient's primary plan: 0000147228 00000 n 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 Reunion France 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. %%EOF Hh2lW` kd+*~(s*#Oo6XvF#rQUUi1@Hk3Y-2` Netherlands Antilles Christmas Island Northwest Territories Korea (North) Other, Job Level Mozambique Box 981707, El Paso, TX 79998-1707 Claims Payer List for UnitedHealthcare, Affiliates and Strategic Alliances Subject: Includes line of business, plan name and payer ID . 0000138268 00000 n 0000002289 00000 n Salt Lake City, UT 84130-0783 Find out More. Guam Slovenia 117 0 obj <>stream Cuba Box 21542, Eagan, MN 55121 Phone: (800) 821-6136 The CPT code book is available from the AMA Bookstore on the Internet. Clinical Interoperability Solutions Medical Record Retrieval & Clinical Review P.O. 0000003538 00000 n Analyst/Administrator Burundi Jordan 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 . Box 30783, Salt Lake City, UT 84130-0783 87726. P.O. Montserrat Iran Kuwait Bouvet Island CALOP. PO Box 30997 0000049714 00000 n Employer group number: The number assigned to the subscriber's employer group located on the member's ID card. Independent Practice Not Affiliated with Hospital 0000123653 00000 n Rwanda endstream endobj startxref 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. Office Manager Printed: 10-03-2019 Call UMR at the member customer service number listed on this ID Card for plan required prior authorization. %%EOF Paper Submission to United Healthcare In case of claims paper submission to United Healthcare, you will need UHC claims mailing address. Ethiopia Please note: Do not use Payer ID 421406317. 0 Engagement & Experience Haiti Five Ways to Ease Back to School Stress for Kids, Avoid Mindless Eating with these Five Tips, Five Easy Ways to Establish Proper Handwashing Behaviors, WildFire Resource Guide & Hurricane Resource Guide, Tips on How to Communicate with Children During COVID-19 Pandemic, Five Ways Relationships Are Good for Your Health, Diabetes Awareness Month: Tips for Preventing and Recognizing Signs of Diabetes, Eating for Your Sight: Five Foods for Healthy Eyes. British Columbia 0000103728 00000 n 0000148268 00000 n The EDI 837 Health Care Claim transaction is the electronic transaction for claims submissions. Newfoundland and Labrador American Samoa Other United Health Care Billing Considerations Some United Health Care now requires providers to obtain authorization for 60 minute therapy sessions. 0000160789 00000 n Togo 0000062099 00000 n Costa Rica 39026 e umr (formerly umr wausau) all claim office addresses 79480 e umr harrington all claim office addresses Box 21542 Singapore 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.). Tuvalu Hot Springs, AR 71903, Grievances & Appeals Department 0000103577 00000 n Teachers Health Trust 2950 E. Rochelle Avenue Las Vegas, NV 89121 . Wyoming Payer ID: 39026 United Health Shared Services (on back of card) Payer ID: 39026 . 0000148000 00000 n Contact us. Kansas New Hampshire Burkina Faso Identify those dropping to paper in your system and convert them to an EDI 837 transaction by applying the appropriate Payer ID . Box 30783, Syria 0000162699 00000 n Hospital/Health System Brazil * Canada Massachusetts 0000162048 00000 n 0000049255 00000 n 610647538. Central African Republic PO box 29133 Uruguay MHN collects some private data about site visitors. $UZZNl)Q,nB=&X"HZic2lc[J"*yDO3.o8T*feoXRz`4U !x*w$Jn(*Pmfk[wv$(=MKi3T|}G)WoKP 2Jl*N|Jd-EIAM}+>@rATf@MWX&3O5S-kLB)[MA=Ln5-IWEdVZTQ BMC Health Plan. Montana Find forms for medical claims, patient eligibility, ERA, and EFT payment information. !C8>}t}W>qWW_{_wOo~_}yJf. 0000006954 00000 n All medical claims should be mailed to the addresses listed below for each network. What type of plan is it? North Carolina Qatar Venezuela GEHA-ASA South Africa 6%W,Uui\2 !/_Nl.s&* vsL3W|;`e ^B@"0l"sprj Y@5"N ]v3[BA'P TdR\F!|w+d} e$Sfe J @.DBF@LJ !c-fJP`-@1%xA@ 0l &%%% P-}@dYkE_2aX0a2,45 0favec8Y9yoMZLgHC7P+C:C"%g603;Z .c`?"ik.S+P & i 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). Hong Kong 0000002116 00000 n Patient Access 0000161430 00000 n Virgin Islands Box 30783, Salt Lake City, UT 84130-0783 Oregon Hospital Employed Practice Transparency & Provider Search Radiology National Drug Code (NDC) for drug claims as required. Clinical Decision Support Solutions Individual Contributor 0000096807 00000 n 0000103806 00000 n If Medicare is the patient's primary plan: Independent Practice Affiliated with Hospital Libya United Healthcare Claims Address: Payer ID: United Healthcare: PO BOX 30555 SALT LAKE CITY, UT 84130-0555P.O. 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 Holiday Season Healthy Eating Yes, it Can be Done! Multiple entities publish ICD-10-CM manuals and the full ICD-10-CM is available for purchase from the AMA Bookstore on the Internet. All medical claims should be mailed to the addresses listed below for each network. 0000112306 00000 n CWIBENEFITS INC. COMMERCIAL. Nova Scotia Maryland UnitedHealthcare Shared Services If your clearinghouse is not Optum, and you wish to receive an 835 electronic file, your clearinghouse has to enroll at Optum. 0000141716 00000 n Payer IDs are used to route EDI transactions to the appropriate payer. COMMERCIAL. 1-199 0000103184 00000 n 0 Chief Medical Information Officer hb``a`` N. Mariana Isls. 0000144676 00000 n P.O. United States Sweden ^l,W~!u8XO7VZa}XhDt$Xq)5 %",g|0 *@&DX LZ2U[bfWPA startxref 0000000016 00000 n Current functionality may be reduced and some features may not work properly. 0000011777 00000 n Falkland Islands

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