-- Please Select -- Turkey 0000157101 00000 n 0000036268 00000 n Vice President GEHA FEHB Medical 68047. Latvia 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. IMPORTANT NOTE: We require that all facility claims be billed on the UB-04 form. . Liechtenstein 0000004177 00000 n Phone: (800) 821-6136 PO box 29133 Box 30783, If you have any questions about payer ID numbers, please contact Harvard Pilgrim Health Care's Electronic Data Interchange (EDI) team at . 0000129961 00000 n Botswana PDF Clearance EDI Eligibility Payer List - Change Healthcare All medical claims should be submitted electronically using the network EDI numbers as listed below for each network. trailer Technology India Cal-Optima Direct. 0000146151 00000 n Arkansas Djibouti 0000002289 00000 n Jordan 0000115021 00000 n Accommodation code is submitted in Value Code field with qualifier 24, if applicable. h1 04f\G` z0=i2\x!!!!!!!CCC. 0000004015 00000 n Madagascar CLAIM.MD 0000146835 00000 n New Medicare Card-What to do and how will new MBI number look? Analyst/Administrator 0000160095 00000 n hbbd```b``:"-T0w"1 #Xed;fd0DGHm RLHee`bd`d M" Hge 0 BA= Connecticut 0000049714 00000 n Norfolk Island 0000000016 00000 n 0000088002 00000 n Find yourproduct support portal. Iran PO Box 30783 Saint Kitts and Nevis ICD-10-CM codes are used for procedure coding on inpatient hospital Part A claims. 376 0 obj <> endobj Codes 7 and 8 should be used to indicate a corrected, void or replacement claim with the original claim ID, if available. Find out More. P.O. Zambia -- Please Select -- 0000162048 00000 n 0000159788 00000 n Wyoming Slovak Republic Venezuela Guinea Alaska Nicaragua 0000006751 00000 n Codes 7 and 8 should be used to indicate a corrected, void or replacement claim with the original claim ID, if available. 0000002850 00000 n Libya xref Georgia Corrected Claims/ Resubmissions Zimbabwe, State/Location No additional support tickets are needed at this time. Korea (North) 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. 43 164 Bahamas 0000158914 00000 n 0000005592 00000 n 0000146494 00000 n Saskatchewan Mozambique 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 . Idaho 0 Bhutan Thailand Phone: (800) 821-6136, UnitedHealthcare Choice Plus (If the subscriber lives in any of the following states: Alabama, Arkansas, Delaware, Florida, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Louisiana, Maryland, Minnesota, Mississippi, Missouri, Montana, Nebraska, New Mexico, North Carolina, North Dakota, Oklahoma, Oregon, South Carolina, South Dakota, Tennessee, Texas, Virginia, Washington DC, West Virginia, Wisconsin and Wyoming) El Salvador The Provider Services # is 1-877-658-0305. . Malawi 0000087924 00000 n Burundi Office Manager If different, then submit both subscriber and patient information. Administrative/Human Resources If you do have electronic claim submission capabilities, please submit claims electronically. Access the Assurance EDI, Clearance EDI, and ConnectCenter payer information here. 0000006920 00000 n Hospital Employed Practice Missouri Belize 0000148268 00000 n Physician 0000003049 00000 n Palau Antarctica 0000007354 00000 n Executive 0000138268 00000 n Mayotte Brit/Indian Ocean Terr. Government Agency Payer Lists | Change Healthcare - Support UHC Provider ServicesPhone: (877) 343-1887, UnitedHealthcare Select Plus P.O. Submit Claims | Behavioral Health Systems, Inc. Myanmar )o4 e)wh3}4M`w;4av ':R$r;?\pTUO(WyV'Y0v^.kT! xvbPfRx A{NGyBkE'L*&qht}42S=6C}#*h \-5xQ[|>*{j@ u~;k}f(Plzfu\w~yf(!TaJUQBchpZ3^Yeuqw~:w. Brazil Box 21542, Eagan, MN 55121 Arizona 0000048605 00000 n z8aD>:wr?##:cR29**6$+GZPfz_igKmfB[IIC}(2k%6 RpT-sW1j\7y):X aENYvPo1g+'{1 v;w\9htw-]|6$^AW0pc}ru4O,4*;LcKa1op_e8B+B7~N.iMyB` Laos Finland Phone: (800) 793-9335, UnitedHealthcare Choice Plus (Florida and Texas) Radiology Chad 1095 tax forms now available Medical members can access your 1095 tax form by, You are using a browser we no longer support. Claims Address For All UHC, UBH, and Optum P.O. * If you have any questions regarding this offer, please call Ability at 800-548-2890. President 0000073826 00000 n Address OFFICE. Revenue Cycle Management Solutions SAGE TECHNOLOGIES Saint Anthony PHO STA01 ST ANTHONY PHO Saint Marys Health Plan The members ID card will indicate the Payer ID to use for claims submissions. Care Management/Population Health A member of our team will contact you to better understand your needs and discuss potential solutions. The payer ID is typically a 5 character code, but it could be longer. Cyprus endstream endobj 205 0 obj <>/Filter/FlateDecode/Index[5 38]/Length 20/Size 43/Type/XRef/W[1 1 1]>>stream Indiana 0000006954 00000 n 0000004418 00000 n Kansas 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 . Kuwait Wallis/Futuna Isls. 0000097353 00000 n Chief Technology Officer View our network today to connect with a payer or partner for all available transactions. 0000127723 00000 n Swaziland Austria EDI Submitter #06603 PDF Payer Connection Payer List -- Please Select -- All other providers use their state-assigned license number without modifications. Teachers Health Trust 2950 E. Rochelle Avenue Las Vegas, NV 89121 . Western Sahara Healthcare Consulting Services 0000147306 00000 n Micronesia 13337. Find, access, and login to your product application portal as a current customer. Manager 0000003576 00000 n UHC Provider ServicesPhone: (877) 343-1887, UnitedHealthcare Choice Plus (all 50 states) 0000073502 00000 n California Health & Wellness. Admitting diagnosis required for inpatient claims. CD Plus. Including the correct 5-digit payer ID helps avoid having your claim rejected due to listing an incorrect payer. 11729 0 obj <>stream Mongolia 0000074003 00000 n hb``c``a`e`2AX@u@ Northwest Territories 0000146757 00000 n Puerto Rico 0000162376 00000 n COMMERCIAL. Anguilla <<5EBD9ADF93626F458FA1B929BDAFF42F>]/Prev 669182/XRefStm 1766>> Heard/McDonald Isls. Patient name, Member identification (ID) number, address, sex, and date of birth must be included. submitting an EDI file using Payer ID UHNDC, you must successfully complete specific EDI testing. Rhode Island 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. 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 0000007492 00000 n Vatican City 0000013455 00000 n Claim.MD | Payer List 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. (Claims for payer address of Rockford, IL ONLY.) Service line date required for outpatient procedures. Your online resource for healthcare regulations and standards. Claims Submission | MHN hb``a`` Manitoba Canada Title: MN010-W120, PO Box 1459 Benin Type of Bill - Enter the appropriate three- or four-digit code that indicates the type of bill you are submitting. Algeria Argentina Contact us. 0000159481 00000 n Box 1860, Waterloo, IA 60704. Need to submit transactions to this insurance carrier? Nebraska XLSX Optum - Health Services Innovation Company 0000147575 00000 n Employer group number: The number assigned to the subscriber's employer group located on the member's ID card. 0000153536 00000 n 0000143443 00000 n United Kingdom St. Helena Finance/Accounting Box 830724. News. 0000160401 00000 n Chief Medical Information Officer 0000004069 00000 n El Paso, TX 79998-1707 0000123934 00000 n endstream endobj startxref Now, you can qualify to submit electronic claims directly to MHN for FREE! 4q<={Wm|? All institutional claims require the following mandatory items: This is not meant to be a fully inclusive list of claim form elements. Newfoundland and Labrador 0 Azerbaijan 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. 0000096807 00000 n 0000133800 00000 n Alabama United Kingdom Congo, The Dem. Please select Note: If you use a clearinghouse, billing service or vendor, please work with them directly to determine payer ID. Bouvet Island All medical claims should be mailed to the addresses listed below for each network. New York Emergency Medical Service Israel 0000137409 00000 n Unsure, Company Type 0000157670 00000 n Salt Lake City, UT 84130-0783 P.O. French Guiana Alberta Access the Electronic attachment payer list here. Comoros Maine 0000148346 00000 n Gibraltar CD Discount. 0000145909 00000 n CD Plus. South Africa Printed: 10-03-2019 Call UMR at the member customer service number listed on this ID Card for plan required prior authorization. 0000112372 00000 n Chief Compliance Officer Doctor Adding insurance payers and selecting the correct payer ID 0000023307 00000 n * PDF Payer 835 List - Dental Electronic Claims Clearinghouse Member Engagement By continuing to use our site, you agree to ourPrivacy PolicyandTerms of Use. Slovenia 270/271: Eligibility and Benefit Inquiry and Response. 0000004845 00000 n Maryland UnitedHealthcare Shared Services Denmark Salt Lake City, UT 84130, WellMed Claims address 0 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.