We have claims processing procedures to help ensure timely claims payment to health care providers. Call us at1-844-359-7736or visituhc.com/fraud to report any issues or concerns. For assistance call 800-689-0106. . It's everything you need to run your business. The consent submitted will only be used for data processing originating from this website. endobj Please review our claim inquiry guidelines below. For a complete list of Payer IDs, refer to the Payer List for Claims. For institutional claims, include the billing provider National Uniform Claim Committee (NUCC) taxonomy. 1070. What Payer ID should I use? Only those inpatient services specifically identified under the terms of the reinsurance provision(s) are used to calculate the stipulated threshold rate. Taking action and making a report is an important first step. Free Account Setup - we input your data at signup. Five most Workers Compensation Mistakes to Avoid in Maryland. Payer List; Contact Us; Forgot Username; Forgot Password; Schedule a Demo (855) 757-6060 Thanks. The Payer ID for electronic claims submission is 84146 for medical claims; however, effective June 1, 2021, there is a new mailing address for paper claims: For appeals or reconsiderations, the new claims address is: Effective June 9, 2021, MPS-MVH is no longer accepting new claims. Mass General Brigham Health Plan network providers in all states and non-contracted providers in Massachusetts should submit claims directly to Mass General Brigham Health Plan. BOX 5240 Kingston, NY 12402 Submit claims using UB04 Claim Form Standard Timely Filing for Par Providers 90 days from the date of service (DOS) Non-Contracted Providers Timely Filing -180 calendar days from DOS Newborn Claims Timely Filing - Optum Provider Provider Phone Number: (800) 888-2998, United Behavioral Health Provider Phone Number: (800) 888-2998. UnitedHealthcare. Others can be found online: Change Healthcare: https://access.emdeon.com/PayerLists/?_ga=2.222729886.401040687.1571891078-551720015.1570553144, Experian Health: https://www.experian.com/content/dam/marketing/na/healthcare/payer-lists/claims-and-remits-payer-list.pdf. Ride Assistance: 1-866-475-5745 2023 Mass General Brigham Health Plan, Inc. All Rights Reserved.Mass General Brigham Health Plan includes Mass General Brigham Health Plan, Inc.and Mass General Brigham Health Insurance Company, Mass General Brigham employee plan members have access to th. Payer ID Claim Office # Type Name Address City St Zip 3833T E TENCON HEALTH PLAN ALL CLAIM OFFICE ADDRESSES . Payer ID: 87726 Paper claims: Mail claims to the address on the back of the member's ID card. 165 0 obj Gone are days when you had to send medical claims through paper on insurance mailing address. <> Medical and Dental Insurance Payer List and Payer ID. Insurance Payer ID is unique series of letters and/or numbers that indicate the digital destination of an electronic claim. United Healthcare Claims Address with Payer ID List. 84130-0755. Medicare Balance members don't need a referral to see a specialist. 2. %%EOF Our certified medical coders and medical billing specialists will manage all aspects of your practice, helping to ensure you receive proper compensation for services provided. %PDF-1.7 Mass General Brigham Health Plan Provider Service: 855-444-4647, Paper Claims: PO Box #323 Glen Burnie, MD 21060, Paper Claims: P.O. Website:www.providerexpress.com, Optum We do eligibility and benefits verification for our providers every day of the week. Claims We follow the Requirements for complete claims and encounter data submission, as found in Chapter 10: Our claims process. 60% of claims are never touched by a human, resulting in faster turnaround times and accurate payments. UnitedHealthcare is her to help your practice successfully transition to the integrated care clinical model. endobj For claims, the Payer ID is 87726. United Behavioral Health Provider Phone Number: (800) 888-2998 If you want to never have to make these sorts of calls, consider our billing service for help. Mass General Brigham Health PlanProvider Service: 855-444-4647Payer ID: 04293Paper Claims: PO Box #323, Glen Burnie, MD 21060, Non-contracted providers outside of Massachusetts should submit claims to UnitedHealthcare Shared Services.UnitedHealthcare Shared ServicesVisithttps://uhss.umr.comor 866-683-6441Payer ID: 39026, Group ID: 78800271Paper Claims: P.O. To view the purposes they believe they have legitimate interest for, or to object to this data processing use the vendor list link below. The first half of 2021 has seen a lot of Payer ID and/or claims address changes. United Health Care (UHC), Optum, and United Behavioral Health (UBH) are all Optum companies which handle mental health claims. Innovations from Mass General Brigham Health Plan, Medical: Mass General Brigham Health Plan network and non-contracted providers in Massachusetts, Medical: Non-contracted providers outside of Massachusetts. Submission through UHC provider portal 11 0 obj An EPSDT Visit coding is required for Early and Periodic Screen, Diagnostic and Treatment (EPSDT) Visits. For claims, the Payer ID is 87726. Eligibility & Benefits Verification (in 2 business days), EAP / Medicare / Medicaid / TriCare Billing, Month-by-Month Contract: No risk trial period. The payer ID is typically a 5 character code, but it could be longer. Source: https://www.uhcprovider.com/content/dam/provider/docs/public/resources/edi/Payer-List-UHC-Affiliates-Strategic-Alliances.pdf. Ifyou suspect another provider or member has committed fraud, waste or abuse, you have a responsibility and a right to report it. This can lead to denial or even claim rejections. Do not resubmit claims that were either denied or pended for additional information using EDI or paper claims forms. 1-866-675-1607 Medical Claims: 1234 Address Street . Medicare Balance provides secondary coverage to Medicare all members are required to have both Medicare Parts A and B. Medicare Balance does not have a provider network, so members may choose to see any doctor, anywhere in the nation, who accepts Medicare. We understand that it's important to actually be able to speak to someone about your billing. Box 31365 Salt Lake City, UT 84131 UnitedHealthcare Community Plan Claims Management and Reconsideration Please call 888-368-7151 or use the claimsLink applications on Link. 3. Easier to be certain than to be wondering what the deal is! 1065 0 obj This can lead to denial or even claim rejections. Claims Mailing Address: UnitedHealthcare Community Plan P.O. Salt Lake City, UT 84131-0365 13162. United States, ensure your collection rate is always high, uncover your revenue cycle leaks and gain insights instantly, Electronic payment posting in nuemd billing, How can i compare physician fee schedule for 2016 vs 2015, Simple steps for Secondary Claims Process through eclinicalworks EMR, How to manage payment posting in eClinicalWorks. Resubmit claims in the UnitedHealthcare Provider Portal at uhcprovider.com > Sign In > Claims & Payments. Add in the unnecessarily difficult insurance billing system and we run the risk of working way over full-time. How to contact UMR - 2022 UnitedHealthcare Administrative Guide. 399 Revolution Drive, Suite 810 Somerville, MA 02145 . Submit behavioral healthclaims to Optum.Provider Service: 844-451-3518Payer ID: 87726Paper Claims: PO Box 30757, Salt Lake City, UT 84130-0757Visit theOptum Provider Express Portal for more information and to check member eligibility. It's our goal to ensure you simply don't have to spend unncessary time on your billing. <>stream To see updated policy changes, select the Bulletin section at left. As private practitioners, our clinical work alone is full-time. Thank you. hbbd``b`V H0qH^ t@vqHpG ^ !d But its important to do your due diligence to ask if you are in network for all of these plans. payer id 95440 87726 N N/A P O Box 6108 Lafayette IN 47903 ASRM CORP ASRM1 N N/A A Submit paper claims to the address on the back of the member ID card. Each clearinghouse has its own Payer ID list and every payer transaction is assigned an ID. There is a lot of address for each department. Non-contracted providers outside of Massachusetts should submit claims to UnitedHealthcare Shared Services. P.O. Alameda Alliance for Health (Provider must contact payer to be approved. For UnitedHealthcare West encounters, the Payer ID is 95958. Need access to the UnitedHealthcare Provider Portal? hb``d``fb`a`fa@ f(Y&00a` 830j_` v!7C WqB~0uI Hp8Xfr1p> n%sE,I\Tv@ 5 One of the most popular insurance in medical billing is United Healthcare. For UnitedHealthcare Community Plan of Hawaii. Claims should be submitted to: OptumHealth SM Behavioral Solutions. Refer to our online Companion Guides for the data elements required for these transactions found on uhcprovider.com/edi. 39190. Payer ID is only for claims with mailing address of: PO Box 2602 Fort Wayne IN 46801. Health Plan (80840):911-87726-04 Member ID:9999999-99 Group Number: HCFAH4 Member: SUBSCRIBER BROWN PLAN CODE: R9Q PCP Name: PROVIDER BROWN Payer ID: LIFE1 PCP Phone: (999) 999-9999 MEDICAL NETWORK NAME H0609 PBP# 027 610097 SHCO 9999 RxBin: RxPCN: RxGrp: AARP MedicareComplete Plan 2 (HMO) Copay: PCP $0 ER $75 Spec $25 The Centers for Medicare & Medicaid Services (CMS) established the Medicaid Managed Care Rule to: Enhance policies related to program integrity With the Medicaid Managed Care Rule, CMS updated the type of information managed care organizations are required to include in their care provider directories. We adjudicate interim bills at the per diem rate for each authorized bed day billed on the claim and reconcile the complete charges to the interim payments based on the final bill. Please follow these steps to submit your credentialing application based onyour practicing specialty. We are your billing staff here to help. Every provider we work with is assigned an admin as a point of contact. Payer ID 87726 Claims Mailing Address: UnitedHealthcare Community Plan P.O. Valid for claims with the following mailing address: P.O. In some cases, you might not bill the correct payer. A new contract will not be issued. BOX 740800 ATLANTA, GA 30374-0800: 87726: United Healthcare Spectra Vision Plan: PO BOX 30978 . Once contracting is completed, youll receive the countersigned agreement with your effective date. hb`````vAb@ ,x>!,Vg`M 6A <>stream endobj Use Payer ID 87726. Please show the card when you see your provider. You can check claims and eligibility 24/7 on our secure provider portal. %PDF-1.7 % P O Box 30755. P.O. My cost is a percentage of what is insurance-approved and its my favorite bill to pay each month! 110 0 obj So, you don't have to collect any out-of-pocket fees from your patients. 02/08/2012. To avoid this follow the table below where you can find the Correct United Healthcare Claims Address and Payor id List of 2022. PO Box 30997 This payer id is valid for all claims addresses on UMR member ID cards with a listed payer id of 31107 . HMO plans include access to the Mass General Brigham Health Plan network. Help Desk Phone:1-800-797-9791 PO Box 30769. Box 650287, Dallas, TX 75265-0287 6111. . Continue with Recommended Cookies. %PDF-1.6 % Claim Type Payer ID Purpose; 13162: 1199 National Benefit Fund: Entire USA: COMMERCIAL: Institutional: Electronic Funds Transfer (EFT) 13162: 1199 . To learn more please select your area of expertise. (filing, payments, reconsiderations), EDI: uhcprovider.com/edi. PCP Phone: (999) 999-9999. . 11. See why independent laboratories choose our purpose built revenue cycle management platform. 0 The calendar day we receive a claim is the receipt date, whether in the mail or electronically. Salt Lake City. If you have any questions about payer ID numbers, please contact Harvard Pilgrim Health Care's Electronic Data Interchange (EDI) team at edi_team@point32health.org or 800- 708-4414 (select option #1 and then Payer ID: 41161; Electronic Services Available (EDI) Professional/1500 Claims: YES: Institutional/UB Claims: YES: Electronic Remittance (ERA) YES: Secondary Claims: YES: This insurance is also known as: American Chiropractic Network ACN . Box 31365 If you do not submit clean claims within these time frames, we reserve the right to deny payment for the claim(s). Its everything you need to run your business. For Grievances & Appeals Department The first, complete practice management system thats priced to fit your size. 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. Applicable eligible member copayments, coinsurance, and/or deductible amounts are deducted from the reinsurance threshold computation. Behavioral health. Below is a list of the insurance companies and payer ID to which Apex EDI sends claims electronically. You may not collect payment from the member for covered services beyond the members copayment, coinsurance, deductible, and for non-covered services unless the member specifically agreed on in writing before receiving the service. Submit your claims and encounters and primary and secondary claims as EDI transaction 837. HIPAA standardized both medical and non-medical codes across the health care industry and under this federal regulation, local medical service codes must now be replaced with the appropriate Healthcare Common Procedure Coding System (HCPCS) and CPT-4 codes. Box 30760, Salt Lake City, UT 84130-0760. for more information and to check member eligibility. Payer ID#: 87726 (EDI Claims Submission), Fax: 1-877-840-5581 You may not balance bill our members. Or you could contact us at TheraThink about our mental health insurance billing service and offload the hassle completely. To find out more, contact your network account manager, physician advocate or hospital advocate or visit uhcprovider.com/claims. Dont be so confused to know about claims submission to UHC. We are committed to paying claims for which we are financially responsible within the time frames required by state and federal law. The following outlines Empire Plan specific contact information that may differ from the standard contacts and tools outlined earlier in this Guide. You'll always be able to get in touch. I]|v|m)RSL2M_~n H4y^"@t 9. Submit behavioral healthclaims to Optum.Provider Service: 844-451-3518Payer ID: 87726Paper Claims: P.O. We partner with MDX and Optum to help manage the credentialing process. 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. Kingston, NY 12402-1600 Need access to the UnitedHealthcare Provider Portal? For more information, call 1-800-341-6141. payer id: 87726 claims address. The Payer ID for electronic claims submission is 84146 for medical claims; however, effective June 1, 2021, there is a new mailing address for paper claims: VHA Office of Community Care. Contact at Alameda is Anet Quiambao at 510-747-6153 or aquiambao@alamedaalliance.com) AllCare (Must contact AllCare, 800-564-6901 for setup and payerID.) are all "Optum" companies which handle mental health claims. The Optum payer ID is 87726. Paper Claims: PO Box #323, Glen Burnie, MD 21060. 84130-0755. You can call, text, or email us about any claim, anytime, and hear back that day. P.O. For more training and educational resources, please clickhere. 113 Interim Continuing Claim: Pay contracted per diem for each authorized bed day billed on the claim (lesser of billed or authorized level of care, unless the contract states otherwise). Box 1600 If you have any questions, please contact the community integration team at hicollaborativecare@uhc.com. SALES (877) 783-1818 PATIENTS (888) 336-8283. CLAIM.MD | Payer Information | WellMed Payer Information WellMed Payer ID: WELM2 This insurance is also known as: WMMI Wellcare WellMed Medical Management, Inc. WELLMED NETWORKS, INC. UHC Medicare Advantage Other ID's: TH023 Need to submit transactions to this insurance carrier? PAPER CLAIMS . Payer Connection - Electronic Claims Payer List Name Payer ID ERA Paper* Address City State Zip 6 DEGREES HEALTH INCORPORATED 20446 N N/A A I BENEFIT PLAN ADMIN AIBPA N N/A 1220 SW MORRISON ST 300 PORTLAND OR 97205 AAI TEST N N/A PO BOX 6680 PORTLAND OR 97228 AARP Medicare Supplement 36273 N N/A PO BOX 30976 Salt Lake City UT 84130 stream Fax: 888-905-9492. When checking eligibility for Mass General Brigham Health Plan members, remember to search by. <. PAYER ID 87726 . Manage Settings endobj December 2022 Bulletin Its Deductible Season! The United Health Care network is very large covering commercial, medicaid, and medicare policies in a variety of states. MN - 55744 6111. . For assistance call 800-689-0106. . ADDRESS AllWays Health Partners . <> Submit behavioral healthclaims to Optum. endstream Primary payer claim payment/denial date as shown on the Explanation of Payment (EOP), Confirmation received date stamp that prints at the top/bottom of the page with the name of the sender. The best way for primary care providers (PCPs) to view and export thefull member roster is using the CommunityCare tool, which allows you to: For help using CommunityCare, please see ourQuick Reference Guide. Email: cmc.customer.service@optum.com. Medica Claim Submission and Product Guidelines Select the appropriate Payer ID below to view Medica claim submission and product guidelines for each plan. To track the specific level of care and services provided to its members, we require health care providers to use the most current service codes (i.e., ICD-10-CM, UB and CPT codes) and appropriate bill type. You free me to focus on the work I love!. Mass General Brigham Health Plan network providers in all states and non-contracted providers in Massachusetts should submit claims directly to Mass General Brigham Health Plan. Schedule a Demo. Box 31362, Salt Lake City, UT 84131-0362 For Pharmacists 1-999-999-9999 Pharmacy Claims OptumRx P.O. Find out More We will accept NPIs submitted through any of the following methods: Claims are processed according to the authorized level of care documented in the authorization record, reviewing all claims to determine if the billed level of care matches the authorized level of care. 87726. Paper Claims: PO Box 30757, Salt Lake City, UT 84130-0757, for more information and to check member eligibility. PO Box 400066 e Mass General Brigham Health Plan network and the UnitedHealthcare Options PPO network outside of Massachusetts. DOB: Anywhere, LA 12345. The following outlines Empire Plan specific contact information that may differ from the standard contacts and tools outlined earlier in this Guide. You are required to submit to clean claims for reimbursement no later than 1) 90 days from the date of service, or 2) the time specified in your Agreement, or 3) the time frame specified in the state guidelines, whichever is greatest. Payer ID#: 87726 (EDI Claims Submission), Prior Authorization Phone:1-800-310-6826 1102 0 obj endstream Phone: 1- 877-7-NYSHIP (1-877-769-7447), Skilled nursing facilities Paper Submission to United Healthcare In case of claims paper submission to United Healthcare, you will need UHC claims mailing address. SUBSCRIBER BROWN Payer ID: 87726. For UnitedHealthcare West encounters, the Payer ID is 95958. Box 30783 Salt Lake City, UT 84130 . OptumInsight Connectivity Solutions, UnitedHealthcares managed gateway, is also available to help you begin submitting and receiving electronic transactions. If UHG policies conflict with provisions of a state contract or with state or federal law, the contractual / statutory / regulatory provisions shall prevail. If you do not have the member ID card and need to confirm the correct payer ID, you can either log in to Medica's provider portal and check eligibility under Electronic Transactions or contact the Provider Service Center at 1-800-458-5512. Credentialing is required for all licensed independent practitioners and facilities to participate in the UnitedHealthcare network. Physicians Group Management (PGM) is one of the fastest-growing medical billing companies in the United States. Happy to help! Clearing houses like Availity, Trizetto, way star allows this ID. If any member who is enrolled in a benefit plan or program of any UnitedHealthcare West affiliate, receives services or treatment from you and/or your sub-contracted health care providers (if applicable), you and/or your subcontracted health care providers (if applicable), agree to bill the UnitedHealthcare West affiliate at billed charges and to accept the compensation provided pursuant to your Agreement, less any applicable copayments and/or deductibles, as payment in full for such services or treatment. Because you need a professional medical billing services to help you manage your claims cycle effectively and save your staff time to assist you better towards quality patient care. These are also theresources to call if you have a question or want tocheck the status of your application. Use the following address to send UnitedHealthcare . If you have questions, please call us at 888-980-8728 from 7:45 a.m. to 4:30 p.m. Hawaii Time, Monday through Friday. The first, complete practice management system that's priced to fit your size. Only for claims where the submit claims to address on the medical ID card is a CoreSource address in the state of Ohio. Open in new window. Claims Processing We are paperless and leverage our technology to maximize our auto-adjudication rates. (7 days ago) WebUMR- Claim Appeals P.O. endobj Payer ID: 87726. payer, claims must be received contact your clearinghouse for instruction. All behavioral health providers should submit claims to Optum.Optum provider Service: 844-451-3520Payer ID: 87726Paper Claims: PO Box 30757, Salt Lake City, UT 84130-0757Visit theOptum Provider Express Portal for more information and to check member eligibility. <> endstream Your access portal for updated claims and reports is secured via our HTTPS/SSL/TLS secured server. %%EOF For over 35 years, PGM has been providing medical billing and practice management services and software to physicians, healthcare facilities, and laboratories. The check mark will change into a dash to indicate that the plan is now disabled. Does united healthcare community plan cover chiropractic treatments? United Healthcare Community Plan - Payer 87726. Box 650287, Dallas, TX 75265-0287 Behavioral Health: 10/29/2021 www.UHCRetiree.com 1-999-999-9999 TTY 711 1-999-999-9999 TTY 711 1-999-999-9999 TTY 711 Mail to Address Member Name Member ID Job ID Processed Date . 108 0 obj This exhaustive list will help you narrow down where to file your United Health Care claims based specifically on the name of the policy. (CRS) former payer id 87726 UnitedHealthcare Community Plan / KS - KanCare ** UnitedHealthcare Community Plan / Missouri ** Claims information For billing purposes, Medicare should be listed as the member's primary coverage and Medicare Balance as their secondary coverage. In some cases, the Payer ID listed onuhcprovider.com/edimay be different from the numbers issued by your clearinghouse. Salt Lake City UT 84130-0755. Grand Rapids What is 25 modifier and how to use it for insurance Payment, What is CO 22 Denial code in medical billing and how to work on it, Place of Service Codes list in medical billing (2023), (AARP) United Health Care Ovations Insurance, 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, United Health One or United Health Care Choice Plus One. The stipulated reinsurance conversion reimbursement rate is applied to all subsequent covered services and submitted claims. United Health Card Provider Phone Number: (877) 842-3210. Health Care Provider. According to these eligibility rules that you set up, any claim with a DOS on or before 12/31/2020 will use the old Medica . For other topics such as contractual questions, demographic updates and credentialing of new providers, use the standard contact information outlined earlier in this Guide and at uhcprovider.com. To bill the claim you need the claims mailing address or the Payor -ID, For paper submission, you can use the physical mailing address for Electronic submission you can use the Payer ID. United healthcare claim submission address PO Box 740080 Altanta GA 30374 PO Box 659767 San Antonio, Tx 78246 PO Box 30555 Salt Lake City, Ut 84130 UHC Empire PO Box 1600 Kingston, NY 12402 AARP United Healthcare plans P. O Box 29127, Step 6: Click Save. Box 30783, Salt Lake City, UT 84130-0783. Members must have Medicaid to enroll. To bill the claim you need the claims mailing address or the Payor -ID, For paper submission, you can use the physical mailing address for Electronic submission you can use the Payer ID. payer id: 87726 claims address. Verify the eligibility of our members before you see them and obtain information about their benefits, including required copayments and any deductibles, out-of-pockets maximums or coinsurance that are the members responsibility. All Rights Reserved. Box 30783, Salt Lake City, UT 84130-0783. Denny has interviewed hundreds of mental health practitioners to better understand their struggles and solutions, all with the goal of making the professional side of behavioral health a little easier, faster, and less expensive. AllWays Health PartnersProvider Manual . Were here to help! For a complete list of Payer IDs, refer to the Payer List for Claims. ForMembers: 1-866-675-1607 TTY 711 NurseLine: 1-877-440-9409 TTY 711 . endstream Any claims submitted to the previous Payer ID (VAPCCC3) will be rejected. $L B| HTLd`bd R8L u Online: UnitedHealthcare Provider Portal at uhcprovider.com > Sign In. P.O. Box 30755 Salt Lake City UT 841300755. AllWays Health PartnersProvider Manual Appendix A Contact Information . Claims Address For All UHC, UBH, and Optum P.O. In some cases, you might not bill the correct payer. Step 5: Go to Eligibility Dates tab in the new payer and enter a From Date of 1/1/2021. Our mental health insurance billing staff is on call Monday Friday, 8am-6pm to ensure your claims are submitted and checked up on with immediacy. Box 30755 Salt Lake City UT 841300755 And that's it! Contact UnitedHealthcare by Mail. For information on EDI claim submission methods and connections, go to EDI 837: Electronic Claims. Our financial and procedural accuracy is consistently 99% and above. Phone: 1-808-535-1000, UnitedHealthcare Community Plan QUEST Integration Please note: YOU ARE NOT ON THE UHC WEBSITE. Salt Lake City, UT 84130-0769. PGMs current client base encompasses the full spectrum of medical specialties, including Internal Medicine, Dermatology, Plastic & Reconstructive Surgery, Pathology, EMS & Ambulatory Services, Cardiology, Nephrology, Urology, Pain Management, OB/GYN, Gastroenterology, Independent Laboratory, and many more. There is a better way to get paid. Note: We only work with licensed mental health providers. Payer ID: 36273; Electronic Services Available (EDI) Professional/1500 Claims: YES: Institutional/UB Claims: YES: Eligibility: YES: Prime: Electronic Remittance (ERA) YES: ERA Enrollment Required: Secondary Claims: YES: This insurance is also known as: . What Is A Payer Id. Let us handle handle your insurance billing so you can focus on your practice. Denny and his team are responsive, incredibly easy to work with, and know their stuff. Once you are credentialed and have received your countersigned agreement, your next step is to know how to get connected with us electronically so you can take advantage of our online tools,paperless options, electronic payments and more. After your report is made, we will work to detect, correct and prevent fraud, waste, and abuse in the health care system. Box 2388, Stow, OH 44224 . UT. Pharmacy Claims:OptumRx, PO Box 650334, Dallas, TX 75265-0334 866-293-1796 800-985 Options include 10, 50, 100, and 500. Connect with us on Facebook, Twitter, YouTube and Linkedin, PGM Billing - Medical Billing Services & Revenue Cycle Managment.