Malawi 0000061988 00000 n PO Box 609 Colorado Springs, CO 80949-9549, Corrected Claims/ Resubmissions 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 Rhode Island Value-Based Care Solutions, Solution Type 0000161773 00000 n CD Plus. 2-2-22-UMR-WAUSAU-39026-Delayed-ERAs-Checks-Dated-1-20-22. El Paso, TX 79998-1707 Chief Financial Officer Note: Payers sometimes use different payer IDs depending on the clearinghouse they're working with. fm1$"dxTC@ps\ U}? Claims submitted late may be . Costa Rica 68047. 0000123934 00000 n Haiti General Management Payment Accuracy Solutions GEHA-ASA Salt Lake City, UT 84130, WellMed Claims address Where to Submit Claims | GEHA 0000006751 00000 n Nevada Nigeria 0000008030 00000 n Kenya Payer ID: 39026 . To set up an account,visit the Ability website. 4q<={Wm|? 0000165174 00000 n hbbd```b``:"-T0w"1 #Xed;fd0DGHm RLHee`bd`d M" Hge 0 BA= Vendor Relationships Electronic Data Interchange | UHCprovider.com 0000008078 00000 n Mauritius 206 0 obj <>stream DOS on/after 1/1/15 need to be sent through UMR Wausau Payer ID 39026. 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 Antarctica Value-Based Care Enablement Access the Electronic attachment payer list here. 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 . San Marino A complete claim is a claim, or portion of a claim that is submitted on a complete format adopted by the National Uniform Billing Committee and which includes attachments and supplemental information or documentation that provide reasonably relevant information or information necessary to determine payer liability. Korea (South) Chief Technology Officer Malta 0000097136 00000 n French Guiana 0000073826 00000 n Sweden }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! 0000153297 00000 n 0000011777 00000 n Alberta 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 . Chief Executive Officer Electronic claims filing allows for earlier detection of errors and drastically reduces the likelihood of claims being rejected or denied for payment and, more often than not, will result in faster processing. Tajikistan 0000080665 00000 n Cook Islands * 0000081169 00000 n Payer ID: 74227 ; 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. Marshall Islands 2021-2022 Annual Report. Pharmacy Non-Participating Payor. Box 14621 Vatican City EDI Other, Solution of Interest Electronic Interchange Group Professional Commercial Payer List Payer ID Claim Office # Type . endstream endobj 11728 0 obj <>/Filter/FlateDecode/Index[236 11458]/Length 191/Size 11694/Type/XRef/W[1 1 1]>>stream Box 981707, El Paso, TX 79998-1707 In order to ensure claims are submitted correctly, providers must use the following Payer IDs: 68069 for Medical Services. PDF Clearance EDI Eligibility Payer List - Change Healthcare Puerto Rico %PDF-1.7 % endstream endobj startxref 258. Slime Party - Because Slime is Fun for Adults, Too! Box 30783, Salt Lake City, UT 84130-0783 The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM), is currently used to code diagnostic information on claims. How to use this page To ensure accurate submission of your claims, answer these three questions: What plan is it? Software Vendor Georgia Uruguay Adding insurance payers and selecting the correct payer ID French Polynesia Patient Financial Services 0000137409 00000 n Solomon Islands ICD-10-CM codes are used for procedure coding on inpatient hospital Part A claims. Mali Tonga 0000008125 00000 n Saudi Arabia Enrollment EDI Submitter #06603 0000006954 00000 n 3. 0000074037 00000 n Claims Submission | MHN Estonia COMMERCIAL. Nova Scotia Belize TRICARE EAST ALL CLAIM OFFICE ADDRESSES: VAPCC E: TRIWEST HEALTHCARE ALLIANCE ALL CLAIM OFFICE ADDRESSES: 39026 E: UMR . Contact your . 0000087889 00000 n 0000179233 00000 n Electronic Claims - Magellan Provider National Drug Code (NDC) for drug claims as required. Aruba Latvia %PDF-1.4 % Uganda Including the correct 5-digit payer ID helps avoid having your claim rejected due to listing an incorrect payer. Northwest Territories Nauru C-Level 0000074376 00000 n 0000144715 00000 n If you do have electronic claim submission capabilities, please submit claims electronically. Codes 7 and 8 should be used to indicate a corrected, void or replacement claim with the original claim ID, if available. %PDF-1.6 % 0000088002 00000 n Military Europe/ME/Canada Eat Your Way to a Brighter, Whiter Smile! Connecticut Single Page Claims: Claims without attachments are the simplest to file electronically. Germany 0000138268 00000 n Illinois Venezuela A Submit paper claims to the address on the back of the member ID card. 0000097353 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. 0000103806 00000 n Printed: 10-03-2019 Call UMR at the member customer service number listed on this ID Card for plan required prior authorization. Congo Office Manager 0000061761 00000 n Chief Quality Officer Japan Name Address: City St: 56144 E HEALTHGRAM ALL CLAIM OFFICE ADDRESSES 71063 E HEALTHSCOPE BENEFITS ALL CLAIM OFFICE ADDRESSES . Liechtenstein Salt Lake City, UT 84130-0783 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 . Saskatchewan endstream endobj startxref News. 11694 36 Address OFFICE. Bahamas Angola 0000087708 00000 n Liberia 0000008221 00000 n Chile Other, Country Suriname Home Health Agency trailer Trust 1. A. 0000003247 00000 n 0000028199 00000 n 0000157961 00000 n United States 0000119628 00000 n To ensure claims are as accurate as possible, use current valid diagnosis, procedure codes, and modifier codes and code them to the highest level of specificity (maximum number of digits) available. 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. UMR formerly UMR Wausau GEHA in Alabama Other ID's: 31107, 33108, 74214, 74223, 75196, 75243, 95266, 87726, UMR01, 37237, UMRWV, 52132 Need to . 0000159481 00000 n Chief Medical Information Officer Kazakhstan Kyrgyzstan Finance/Accounting 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. Germany Payer ID: 39026 Student Insurance Harvard Pilgrim Health Care/ StudentResources . 0000152221 00000 n Lexington, KY 40512-4621. 0000147306 00000 n Christmas Island Romania Outpatient claims must include a reason for visit. Claims Payer List for UnitedHealthcare, Affiliates and Strategic Alliances Subject: Includes line of business, plan name and payer ID . 0000035806 00000 n EDI Payer ID: 50701 Singapore 0000103184 00000 n SAGE TECHNOLOGIES Saint Anthony PHO STA01 ST ANTHONY PHO Saint Marys Health Plan All Rights Reserved, Attention providers! Laboratory P.O. Pharmacy Benefit Solutions 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). The EDI 837 Health Care Claim transaction is the electronic transaction for claims submissions. 0000004069 00000 n All dental claims should be mailed to GEHA at the appropriate address below: Direct Care Broker or Supplier Contracts EDI Submitter: 44054 P.O. endstream endobj 66 0 obj <. 0000074003 00000 n Revenue Cycle Management 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` Only for claims where the submit claims to address on the medical ID card is a CoreSource . hb```e``Z"@(pzX`rSV%omFcs (E33v`9P3PesFk3Ag`v8RpW00'=@ ' 0000127723 00000 n 0000125869 00000 n 0000146416 00000 n Humana Insurance Company Choice Care Network. British Columbia Together, we are accelerating the journey toward improved lives and healthier communities. [Jr@rjyoWJ2& -Z p 0000157101 00000 n 0000023307 00000 n 0000138352 00000 n Republic Of Palau Protect Yourself This Holiday Season with Health Tips, Indoor Activities for Kids That Dont Include Screen Time, No Excuses: How to Accomplish Your Goals In the New Year, Need More Vitamin D? Independent Practice Affiliated with Hospital 0000145909 00000 n 0000103577 00000 n Billing/Coding Panama Gambia Lesotho In addition, submitting electronically reduces postage and other paper related expenses and supports improvement to your overall . 0 0000003049 00000 n All medical claims should be mailed to the addresses listed below for each network. Kansas startxref 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. 0000049016 00000 n CWIBENEFITS INC. COMMERCIAL. The Provider Services # is 1-877-658-0305. . Guam Rwanda Medical Auditing Croatia This ID is used to submit claims electronically through our system. San Antonio, TX 78229, Part B RX Claims Address: 0 EDI Payor #39026 Uzbekistan Central African Republic Nebraska Analyst/Administrator Missouri Anguilla If the subscriber is also the patient, only the subscriber data needs to be submitted. 0000010920 00000 n Ecuador 0000134218 00000 n -- Other Locations -- Ambulatory/outpatient surgery claim: If implantable devices are included on the claim, one of the following must be submitted for each implant billed on the claim form: o Copy of the manufacturer invoice; or o Copy of the medical record's implant log. An issue has been identified causing a delay in the delivery of UMR Wausau 835 files for checks dated 1/20/22. For information on submitting claims, visit our updated Where to submit claims webpage. 57080. Niue View our network today to connect with a payer or partner for all available transactions. 0000115424 00000 n hbbd```b``z"s@$","Yl0&&1d kfj LA{\qz2XDf% N0{13E $400]~l 0 Patient or subscriber medical release signature/authorization. 0000022641 00000 n CALOP. Portugal 0000129961 00000 n Netherlands PDF Payer 835 List - Dental Electronic Claims Clearinghouse Laos Fiji Professional Institutional. Payer Information. 0000146026 00000 n MHN collects some private data about site visitors. Employer group number: The number assigned to the subscriber's employer group located on the member's ID card. Codes 7 and 8 should be used to indicate a corrected, void or replacement claim with the original claim ID, if available. 0000005887 00000 n Military Pacific Project Management 0000155014 00000 n 0000087379 00000 n CALOP. 0000174831 00000 n Yukon Territory Box 30783, 0000134302 00000 n Botswana . 0000112488 00000 n Algeria GEHA FEHB Medical Sweden California Eye Care - New Century Health . Malaysia Mail claims to: Behavioral Health Systems, Inc. P.O. Original submission is indicated with a 1 in claim frequency box or resubmission code (box 22). Legal/Regulatory/Compliance Billing provider tax identification number (TIN), address and phone number. Contact us. Hong Kong ]m4hq51l^XNFsZb jB"l! St. Vincent and Grenadines Note: If you use a clearinghouse, billing service or vendor, please work with them directly to determine payer ID. H[Gi$1~!Xv2X>U! 0000159195 00000 n 0000103728 00000 n 0000112372 00000 n Tokelau P.O. Need access to the UnitedHealthcare Provider Portal? Box 21542, Eagan, MN 55121 Birmingham, AL 35283-0724. Svalbard/Jan Mayen Isls. Netherlands UnitedHealthcare Shared Services 0000005075 00000 n Transparency & Provider Search P.O. Holiday Season Healthy Eating Yes, it Can be Done! Statement from and through dates for inpatient. 39026 52180 Unicare Life & Health Insurance Company 80314 35198 34638 . Box 1860, Waterloo, IA 60704. Gabon Chief Compliance Officer Dental Claims PO Box 609 Colorado Springs, CO 80949-9549. MHN.com uses cookies. 0000112306 00000 n Hot Springs, AR 71903, Grievances & Appeals Department Cape Verde Fax claims to: 205.449.5505. United Kingdom United Arab Emirates Mozambique Wisconsin PDF Understanding your new ID card - UMR Already a customer? Andorra Imaging Center Multiple entities publish ICD-10-CM manuals and the full ICD-10-CM is available for purchase from the AMA Bookstore on the Internet. 0000141716 00000 n Consulting 0000158914 00000 n YL}X2d*SLbnd,vb1MW,J%cS;) ?310wIApYCD% g 0rT* Chief Operating Officer Director 0000153036 00000 n * Saint Kitts and Nevis Other, Bed Size 0000013455 00000 n Moldova Consumer Payments & Communications PDF UMR PO Box 30541 Salt Lake City, UT 84130-0541 13337. Quebec Other, Job Level Senior Vice President Table of Contents . Turkmenistan Nepal 0000177444 00000 n Israel Hawaii Louisiana Myanmar Michigan Argentina 0000158654 00000 n 0000018618 00000 n Claim Type Address Commercial (HMO, POS, PPO) - in CT, MA, ME, NH, RI and VT Medicare Enhance (including ancillary and DME claims) Medicare Supplement . Government Agency Colombia PO BOX 1449 GOODLETTSVILLE, TN 37070-1449, Behavioral Health Claims Cameroon Box 981707, Sales/Business Development/Marketing France Ability also has a special offer for MHN practitioners to submit electronically to all payers who accept electronic claims (over 1600 payers). Use Healthcare Common Procedure Coding System (HCPCS) Level I and II codes to indicate procedures on all claims, except for inpatient hospitals. United Healthcare Claims Address: Payer ID: United Healthcare: PO BOX 30555 SALT LAKE CITY, UT 84130-0555P.O. Turkey Tennessee Radiology 299 0 obj <> endobj Qatar Micronesia United States Cardiology Russian Federation Your clearinghouse will also have a payer list that may or may not match up exactly with the UnitedHealthcare payer list. 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). Contact your . Finland 0000004183 00000 n Dental and Medicare primary Mail to GEHA, UnitedHealthcare Choice Plus (all 50 states) CLAIM.MD Comoros * It's never too late to quit smoking. If different, then submit both subscriber and patient information. 0000162048 00000 n 0000009289 00000 n 0000162699 00000 n Administrative/Human Resources Guatemala Tuvalu California Health & Wellness. PDF Commercial Payer List - BCBSM 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). 0000140914 00000 n Other health insurance information and other payer payment, if applicable. Korea (North) Contact your clearinghouse if current Payer IDs arent on their payer list. Phone: (800) 821-6136 P.O. Cyprus 0000035375 00000 n Wyoming Independent Practice Not Affiliated with Hospital Morocco The members ID card will indicate the Payer ID to use for claims submissions. @=&F]`00Rx@ 6Z (Payer ID valid only for claims with a billing submission address of PO Box 1128, Eau Claire, WI 54702-1128) . MEDICARE CLAIMS TO Wallis/Futuna Isls. BENEFIT PLANNERS, INC. 39026 N N/A PO BOX 690450 SAN ANTONIO TX 78269 11694 0 obj <> endobj Togo All medical claims should be submitted electronically using the network EDI numbers as listed below for each network. 0000010081 00000 n 316. 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 If you do not have electronic claim submission capabilities, you can mail claims on standard HCFA, UB and dental claim forms. 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 Delaware Monaco 0000049490 00000 n 52192. Dominican Republic Macedonia UnitedHealthcare Shared Services 0000018151 00000 n 0000160095 00000 n Services Payer ID: 39026 United Health Shared Services (on back of card) Payer ID: 39026 . -- Please Select -- St. Helena Care Management/Population Health Guinea 0000081280 00000 n 800.821.6136. Contact your clearinghouse if current Payer IDs aren't on their payer list. 0000148000 00000 n Risk Adjustment and Quality Solutions Admission type code for inpatient claims. Zambia Engagement & Experience PO box 29133 If you have any questions about payer ID numbers, please contact Harvard Pilgrim Health Care's Electronic Data Interchange (EDI) team at . 87726. Hospital/Health System A Claims must be received within 90 days from the service date. 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 0000152773 00000 n Clinical Decision Support Solutions Share of cost is submitted in Value Code field with qualifier 23, if applicable. What type of plan is it? Member Engagement Solutions Payer ID: 39026 Sending claims electronically eliminates the need for paper forms and allows for faster and more accurate submission of data. 11729 0 obj <>stream Barbados By continuing to use our site, you agree to ourPrivacy PolicyandTerms of Use. Claims Payer List for UnitedHealthcare, Affiliates and Strategic Alliances Subject: Includes line of business, plan name and payer ID . Brazil Dominica lB8W)! Technology 0000048781 00000 n If your provider has questions regarding this process, they may contact Envoy/Web MD or call the UMR EDI unit at 1-800-826-9781. ^l,W~!u8XO7VZa}XhDt$Xq)5 %",g|0 *@&DX LZ2U[bfWPA Iceland 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. P.O. 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).