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 UHC Provider Services Phone: (844) 586-7309 We make it easier to find the payer information you need with our Easy Search, Real Time, Claims and ERA payer lists. CPT is a numeric coding system maintained by the AMA. -- Please Select -- Enrollment Portal Guide. P.O. Administrative/Human Resources CD Discount. 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 0000032040 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. Aruba * Nevada Gibraltar * Kiribati Grenada Patient Financial Services All medical claims should be mailed to the addresses listed below for each network. Saskatchewan Humana Insurance Company Choice Care Network. 0000061377 00000 n trailer In addition, submitting electronically reduces postage and other paper related expenses and supports improvement to your overall . Palestinian Territory, Occupied 0000087889 00000 n Bolivia When billing for more than one attending provider, indicate each UPIN on the appropriate detail line. Moldova 95 0 obj <>/Filter/FlateDecode/ID[<2A8680A847A02E488D35CBC39B3F8739><741C1DF9A256F44C939C389B842BF915>]/Index[65 53]/Info 64 0 R/Length 129/Prev 237672/Root 66 0 R/Size 118/Type/XRef/W[1 3 1]>>stream Vendor Relationships Ecuador For a more optimal geha.com experience, please click. Payer IDs are used to route EDI transactions to the appropriate payer. Mailing. Turks/Caicos Isls. All Rights Reserved, Attention providers! Director Payer ID: 39026 Sending claims electronically eliminates the need for paper forms and allows for faster and more accurate submission of data. 0000140914 00000 n 0000115424 00000 n Mississippi Board Member/Director/Trustee Benin Care Management/Population Health Dental is listed separately, if applicable. 0000002116 00000 n Israel Mali Micronesia 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 . Indiana 0000081203 00000 n New Brunswick Macau Steps to getting contracted plus plan information, Phone numbers and links for connecting with us, List of contracted, high-quality independent lab providers, Update, verify and attest to your practice's demographic data, Provider search for doctors, clinics and facilities, plus dental and behavioral health, Policies for most plan types, plus protocols, guidelines and credentialing information, Specifically for Commercial and Medicare Advantage (MA) products, Pharmacy resources, tools, and references, Updates and getting started with our range of tools and programs, Reports and programs for operational efficiency and member support, Resources and support to prepare for and deliver care by telehealth, Tools, references and guides for supporting your practice, Log in for our suite of tools to assist you in caring for your patients. View our network today to connect with a payer or partner for all available transactions. 65 0 obj <> endobj Address OFFICE. BENEFIT PLANNERS, INC. 39026 N N/A PO BOX 690450 SAN ANTONIO TX 78269 Manager Cardiology 0000148000 00000 n 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) 1095 tax forms now available Medical members can access your 1095 tax form by, You are using a browser we no longer support. Independent Practice Not Affiliated with Hospital -- Other Locations -- Togo Bhutan Panama Dominican Republic 0000118735 00000 n Ghana Employer group number: The number assigned to the subscriber's employer group located on the member's ID card. Other health insurance information and other payer payment, if applicable. Only for claims where the submit claims to address on the medical ID card is a CoreSource . Together, we are accelerating the journey toward improved lives and healthier communities. Non-Participating Payor. Faroe Islands Philippines Payer ID: 74227 ; Login to your community accounts to get product updates, ask questions, and learn best practices. 0000005887 00000 n 0000022830 00000 n Madagascar EDI Payer ID 39026 Your clearinghouse will also have a payer list that may or may not match up exactly with the UnitedHealthcare payer list. Medical Practice Management Accommodation code is submitted in Value Code field with qualifier 24, if applicable. Original submission is indicated with a 1 in claim frequency box or resubmission code (box 22). hbbd```b``:"-T0w"1 #Xed;fd0DGHm RLHee`bd`d M" Hge 0 BA= Denmark Military Pacific 0000028199 00000 n Statement from and through dates for inpatient. hb``c``a`e`2AX@u@ 0000004183 00000 n *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. Dental and Medicare primary Mail to GEHA, Direct Care Broker or Supplier Contracts 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. Algeria The Provider Services # is 1-877-658-0305. . Healthcare Information Exchange Every day without smoking counts! Radiology 0000103511 00000 n 39026 52180 Unicare Life & Health Insurance Company 80314 35198 34638 . 314. Anguilla Pharmacy Consulting UnitedHealthcare Shared Services 2023 Government Employees Health Association, Inc. All rights reserved. Belize Beacon, PO Box 1854, Hicksville, NY 11802-1854, Dental Claims -- Please Select -- Printed: 10-03-2019 Call UMR at the member customer service number listed on this ID Card for plan required prior authorization. Alabama Additional fields may be required, depending on the type of claim, line of business and/or state regulatory submission guidelines. 0000049714 00000 n Engagement & Experience 259. COMMERCIAL. Palau 0000129651 00000 n 392 0 obj <>/Filter/FlateDecode/ID[<2B6FDBD48D83564DAD4FC2DD51BA67C7>]/Index[376 30]/Info 375 0 R/Length 96/Prev 321559/Root 377 0 R/Size 406/Type/XRef/W[1 3 1]>>stream De + CWIBENEFITS INC. COMMERCIAL. Iran Box 21542, Eagan, MN 55121 Claims: EDI # 39026, UMR, PO Box 30541, Salt Lake City, UT 84130-0541 Vision Claims: Spectera Vision, PO Box 30978, Salt Lake City, UT 84130 This card must be presented each time services are requested. Full Payer List. Mauritius Saudi Arabia Republic Of Antarctica California 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). Ukraine Guam 0000008125 00000 n Please contact Change Healthcare at 1 (866) 371-9066 with any questions regarding electronic claims submission. 0000138352 00000 n Egypt UMR payer ID 39026, if your clearinghouse is not Optum . Norfolk Island 0000087708 00000 n Cte d'Ivoire French Southern Terr. P.O. Paraguay If the subscriber is also the patient, only the subscriber data needs to be submitted. Provider Payment Management Solutions <<78EFBF32BF92FB4DBD42CA49770C2094>]/Prev 183057/XRefStm 4015>> 3. hbbd```b``z"s@$","Yl0&&1d kfj LA{\qz2XDf% N0{13E $400]~l 0 Use Healthcare Common Procedure Coding System (HCPCS) Level I and II codes to indicate procedures on all claims, except for inpatient hospitals. On the UnitedHealthcare Payer List, medical Payer IDs refer to professional and institutional claim submissions. Somalia PO Box 30997 0000048658 00000 n Cook Islands What type of plan is it? Mexico startxref Learn More ConnectCenter Payer List Access the Assurance EDI, Clearance EDI, and ConnectCenter payer information here. Switzerland P.O. 0000062099 00000 n D.C. Payer ID: 39026 . Only for claims where the submit claims to address on the medical ID card is a CoreSource address in the state of Ohio. Providers are required to submit corrected claims if an incorrect Payer ID is used. Turkmenistan Outpatient claims must include a reason for visit. P.O. 0000097318 00000 n Massachusetts For information on submitting claims, visit our updated Where to submit claims webpage. CF0101 08-08 0000035806 00000 n 0000144676 00000 n 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. Procurement/Purchasing/Supply 0000174831 00000 n Tennessee Senior Vice President Fax claims to: 205.449.5505. Germany Billing Service 39026 e umr (formerly umr wausau) all claim office addresses 79480 e umr harrington all claim office addresses 0000115021 00000 n United States P.O. To set up an account,visit the Ability website. Lesotho Claims submitted late may be . If your clearinghouse is not Optum, and you wish to receive an 835 electronic file, your clearinghouse has to enroll at Optum.
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