Claim.MD | Payer List Payer ID List - Health Data Services El Paso, TX 79998-1707 0000145909 00000 n Box 981707, 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.). Namibia 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 Billing provider National Provider Identifier (NPI). Zimbabwe, State/Location Laboratory Contact us. Brunei Darussalam Your clearinghouse will also have a payer list that may or may not match up exactly with the UnitedHealthcare payer list. Pharmacy Solutions Pitcairn P.O. Czech Republic These may be different when submitting Amerigroup EDIs in Availity. Guam Box 30783, EDI 837: Electronic Claims | UHCprovider.com Canada Gambia Lebanon United Healthcare Claims Address, Payer ID, Fax and Phone Number In order to ensure claims are submitted correctly, providers must use the following Payer IDs: 68069 for Medical Services. 0000023307 00000 n Please note: Do not use Payer ID 421406317. 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 0000137787 00000 n %PDF-1.6 % Military Europe/ME/Canada Please note: The networks listed below should be used for claims based on services performed in 2020. Box 30755 Salt Lake City UT 841300755 And that's it! Payer Information. fm1$"dxTC@ps\ U}? Need access to the UnitedHealthcare Provider Portal? Vice President Admitting diagnosis required for inpatient claims. Libya Rhode Island Alabama Executive Services 1-199 Other health insurance information and other payer payment, if applicable. New Zealand Virgin Islands Primary diagnosis code and all additional diagnosis codes (up to 24 for institutional) with the proper ICD indicator (only ICD 10 codes are applicable for claims with dates of service on and after October 1, 2015). 0000152221 00000 n Department Chair 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) United Kingdom trailer Cape Verde Singapore 0000160789 00000 n Adding insurance payers and selecting the correct payer ID 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. You will need Adobe Reader to open PDFs on this site. 0000014575 00000 n 0000167211 00000 n Iran Codes 7 and 8 should be used to indicate a corrected, void or replacement claim with the original claim ID, if available. Marshall Islands South Africa 0000152773 00000 n Patient or subscriber medical release signature/authorization. A Claims must be received within 90 days from the service date. Risk Adjustment and Quality Solutions PDF Provider Electronic Remittance Advices and 835 files - West Virginia French Polynesia 0000171350 00000 n Office Manager 0000004177 00000 n Please Select 0000062022 00000 n Claims information Payer ID numbers and addresses for submitting medical and behavioral health claims. 0000023754 00000 n Marshall Islands 376 0 obj <> endobj 0000158654 00000 n Already a customer? Macau Paper: Homelink, P.O. Switzerland EDI Payer ID 39026 endstream endobj 205 0 obj <>/Filter/FlateDecode/Index[5 38]/Length 20/Size 43/Type/XRef/W[1 1 1]>>stream Contact your . EDI Payer ID #39026 Zambia San Antonio, TX 78229, Part B RX Claims Address: COMMERCIAL. Pharmacy Benefit Solutions 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. Name Address: City St: 56144 E HEALTHGRAM ALL CLAIM OFFICE ADDRESSES 71063 E HEALTHSCOPE BENEFITS ALL CLAIM OFFICE ADDRESSES . PDF Commercial Payer List - BCBSM Slime Party - Because Slime is Fun for Adults, Too! Medical Network Solutions Administrator Single Page Claims: Claims without attachments are the simplest to file electronically. 2. Estonia Sweden 39026 e umr (formerly umr wausau) all claim office addresses 79480 e umr harrington all claim office addresses Member Eligibility & Enrollment Solutions By continuing to use our site, you agree to ourPrivacy PolicyandTerms of Use. Yukon Territory News. Employer group number: The number assigned to the subscriber's employer group located on the member's ID card. PDF Claims Submission Guidelines - Harvard Pilgrim Health Care Michigan BOX 740800 ATLANTA, GA 30374-0800: 87726: . Contact your clearinghouse if current Payer IDs arent on their payer list. Value-Based Care Solutions, Solution Type 0000048658 00000 n For all other uses, Level I Current Procedural Terminology (CPT-4) codes describe medical procedures and professional services. Quebec %%EOF Republic Of 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. Illinois 0000003576 00000 n Palestinian Territory, Occupied 0000157670 00000 n UnitedHealthcare Shared Services Israel All dental claims should be mailed to GEHA at the appropriate address below: Direct Care Broker or Supplier Contracts EDI Submitter: 44054 P.O. Box 830724. trailer 0000111978 00000 n Niger Use the Change Healthcare product support portals to submit support requests and find answers to your questions. Need to submit transactions to this insurance carrier? hbbd```b``"fHL NA$>d4 9`v Minnesota If you have any questions about payer ID numbers, please contact Harvard Pilgrim Health Care's Electronic Data Interchange (EDI) team at . Rendering/attending provider NPI (only if it differs from the billing provider) and authorized signature. hb``a`` Poland Project Management Mozambique Virgin Islands (U.S.) The Provider Services # is 1-877-658-0305. . 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. 0000004015 00000 n 0000022641 00000 n 57080. India 0000007492 00000 n Software Vendor Guinea-Bissau EDI Services - Payer List | HealthSmart Healthcare Data & Analytics Solutions Tuvalu 0000162699 00000 n Emergency Medical Service 0000004338 00000 n Chief Medical Officer Military Americas Nigeria Dental and Medicare primary Mail to GEHA, UnitedHealthcare Choice Plus (all 50 states) P.O. 0000103511 00000 n 0000170786 00000 n Angola Member Engagement Solutions 314. Croatia Submit electronic claims online at www.uhis.com, Emdeon payer ID 39026. Armenia Finance/Accounting Sao Tome/Principe Myanmar 0000127723 00000 n 0000003410 00000 n EDI Payer ID #39026 0000000016 00000 n Bahrain 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) 0000162048 00000 n This ID is not valid for Superior claim submissions. 0000028199 00000 n Address OFFICE. Falkland Islands UPIN or state license number: Six-digit universal provider identification number (UPIN) or state license number of all attending providers. $UZZNl)Q,nB=&X"HZic2lc[J"*yDO3.o8T*feoXRz`4U !x*w$Jn(*Pmfk[wv$(=MKi3T|}G)WoKP 2Jl*N|Jd-EIAM}+>@rATf@MWX&3O5S-kLB)[MA=Ln5-IWEdVZTQ PDF Payer Connection Payer List Director Nunavut Colorado Palau * 0000061988 00000 n 0000114704 00000 n Eat Your Way to a Brighter, Whiter Smile! Saskatchewan Payer IDs for Electronic Claims Submission - Superior HealthPlan Marianas Vatican City Saint Kitts and Nevis 0000146494 00000 n Payer Connection - Electronic Claims Payer List Name Payer ID ERA Paper* Address City State Zip 6 DEGREES HEALTH INCORPORATED 20446 N N/A A I BENEFIT PLAN ADMIN AIBPA N N/A 1220 SW MORRISON ST 300 PORTLAND OR 97205 . -- Please Select -- Nicaragua Burundi Box 30783, Salt Lake City, UT 84130-0783 Uruguay Syria Box 21542 299 0 obj <> endobj 0000146151 00000 n Nepal 0000018151 00000 n )o4 e)wh3}4M`w;4av ':R$r;?\pTUO(WyV'Y0v^.kT! xvbPfRx A{NGyBkE'L*&qht}42S=6C}#*h \-5xQ[|>*{j@ u~;k}f(Plzfu\w~yf(!TaJUQBchpZ3^Yeuqw~:w. Newfoundland and Labrador Western Sahara 206 0 obj <>stream GEHA FEHB Medical Russian Federation United States This ID is used to submit claims electronically through our system. Prince Edward Island Gabon PDF UMR PO Box 30541 Salt Lake City, UT 84130-0541 Mass General Brigham plans have instructions specific to them. Payer ID: 39026 United Health Shared Services (on back of card) Payer ID: 39026 . 0000049255 00000 n 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 . Trust Procurement/Purchasing/Supply 0000157101 00000 n Liberia San Marino 0000138268 00000 n FLORIDA UBC HEALTH FUND 0000140914 00000 n 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. 0000003714 00000 n Sample GEHA Member ID Card . Delaware Haiti Dominican Republic 0000010081 00000 n Gibraltar Manitoba 322 0 obj <>/Filter/FlateDecode/ID[<304D90465B8F264FB3821BFEF410E30F><42BF6E1904DCEB468D2C308771CC1222>]/Index[299 38]/Info 298 0 R/Length 114/Prev 222343/Root 300 0 R/Size 337/Type/XRef/W[1 3 1]>>stream UHC Provider Services Phone: (844) 586-7309 Dental Plans. Hospital/Health System * Ireland EDI Submitter #06603 Cal-Optima Direct. Guyana xref -- Please Select -- CLAIM.MD EDI Payor #39026 Box 30783, Salt Lake City, UT 84130-0783 Italy hbbbd`b``l $ u All medical claims should be mailed to the addresses listed below for each network. (Payer ID valid only for claims with a billing submission address of PO Box 1128, Eau Claire, WI 54702-1128) . Please find frequently asked questions on the Provider FAQs tab or click, OHS Driving Under the Influence (DUI) Program, Understanding Your Out-of-Network Benefits, You Too Can be a Hero by Wearing a Face Mask, Fireworks Safety: Dont Let a Good Time Blow Up in Your Face. 0000080992 00000 n All medical claims should be mailed to the addresses listed below for each network. Germany 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. 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payer id: 39026 claims address

0000006954 00000 n 0000087889 00000 n Claim.MD | Payer List Payer ID List - Health Data Services El Paso, TX 79998-1707 0000145909 00000 n Box 981707, 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.). Namibia 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 Billing provider National Provider Identifier (NPI). Zimbabwe, State/Location Laboratory Contact us. Brunei Darussalam Your clearinghouse will also have a payer list that may or may not match up exactly with the UnitedHealthcare payer list. Pharmacy Solutions Pitcairn P.O. Czech Republic These may be different when submitting Amerigroup EDIs in Availity. Guam Box 30783, EDI 837: Electronic Claims | UHCprovider.com Canada Gambia Lebanon United Healthcare Claims Address, Payer ID, Fax and Phone Number In order to ensure claims are submitted correctly, providers must use the following Payer IDs: 68069 for Medical Services. 0000023307 00000 n Please note: Do not use Payer ID 421406317. 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 0000137787 00000 n %PDF-1.6 % Military Europe/ME/Canada Please note: The networks listed below should be used for claims based on services performed in 2020. Box 30755 Salt Lake City UT 841300755 And that's it! Payer Information. fm1$"dxTC@ps\ U}? Need access to the UnitedHealthcare Provider Portal? Vice President Admitting diagnosis required for inpatient claims. Libya Rhode Island Alabama Executive Services 1-199 Other health insurance information and other payer payment, if applicable. New Zealand Virgin Islands Primary diagnosis code and all additional diagnosis codes (up to 24 for institutional) with the proper ICD indicator (only ICD 10 codes are applicable for claims with dates of service on and after October 1, 2015). 0000152221 00000 n Department Chair 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) United Kingdom trailer Cape Verde Singapore 0000160789 00000 n Adding insurance payers and selecting the correct payer ID 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. You will need Adobe Reader to open PDFs on this site. 0000014575 00000 n 0000167211 00000 n Iran Codes 7 and 8 should be used to indicate a corrected, void or replacement claim with the original claim ID, if available. Marshall Islands South Africa 0000152773 00000 n Patient or subscriber medical release signature/authorization. A Claims must be received within 90 days from the service date. Risk Adjustment and Quality Solutions PDF Provider Electronic Remittance Advices and 835 files - West Virginia French Polynesia 0000171350 00000 n Office Manager 0000004177 00000 n Please Select 0000062022 00000 n Claims information Payer ID numbers and addresses for submitting medical and behavioral health claims. 0000023754 00000 n Marshall Islands 376 0 obj <> endobj 0000158654 00000 n Already a customer? Macau Paper: Homelink, P.O. Switzerland EDI Payer ID 39026 endstream endobj 205 0 obj <>/Filter/FlateDecode/Index[5 38]/Length 20/Size 43/Type/XRef/W[1 1 1]>>stream Contact your . EDI Payer ID #39026 Zambia San Antonio, TX 78229, Part B RX Claims Address: COMMERCIAL. Pharmacy Benefit Solutions 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. Name Address: City St: 56144 E HEALTHGRAM ALL CLAIM OFFICE ADDRESSES 71063 E HEALTHSCOPE BENEFITS ALL CLAIM OFFICE ADDRESSES . PDF Commercial Payer List - BCBSM Slime Party - Because Slime is Fun for Adults, Too! Medical Network Solutions Administrator Single Page Claims: Claims without attachments are the simplest to file electronically. 2. Estonia Sweden 39026 e umr (formerly umr wausau) all claim office addresses 79480 e umr harrington all claim office addresses Member Eligibility & Enrollment Solutions By continuing to use our site, you agree to ourPrivacy PolicyandTerms of Use. Yukon Territory News. Employer group number: The number assigned to the subscriber's employer group located on the member's ID card. PDF Claims Submission Guidelines - Harvard Pilgrim Health Care Michigan BOX 740800 ATLANTA, GA 30374-0800: 87726: . Contact your clearinghouse if current Payer IDs arent on their payer list. Value-Based Care Solutions, Solution Type 0000048658 00000 n For all other uses, Level I Current Procedural Terminology (CPT-4) codes describe medical procedures and professional services. Quebec %%EOF Republic Of 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. Illinois 0000003576 00000 n Palestinian Territory, Occupied 0000157670 00000 n UnitedHealthcare Shared Services Israel All dental claims should be mailed to GEHA at the appropriate address below: Direct Care Broker or Supplier Contracts EDI Submitter: 44054 P.O. Box 830724. trailer 0000111978 00000 n Niger Use the Change Healthcare product support portals to submit support requests and find answers to your questions. Need to submit transactions to this insurance carrier? hbbd```b``"fHL NA$>d4 9`v Minnesota If you have any questions about payer ID numbers, please contact Harvard Pilgrim Health Care's Electronic Data Interchange (EDI) team at . Rendering/attending provider NPI (only if it differs from the billing provider) and authorized signature. hb``a`` Poland Project Management Mozambique Virgin Islands (U.S.) The Provider Services # is 1-877-658-0305. . 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. 0000004015 00000 n 0000022641 00000 n 57080. India 0000007492 00000 n Software Vendor Guinea-Bissau EDI Services - Payer List | HealthSmart Healthcare Data & Analytics Solutions Tuvalu 0000162699 00000 n Emergency Medical Service 0000004338 00000 n Chief Medical Officer Military Americas Nigeria Dental and Medicare primary Mail to GEHA, UnitedHealthcare Choice Plus (all 50 states) P.O. 0000103511 00000 n 0000170786 00000 n Angola Member Engagement Solutions 314. Croatia Submit electronic claims online at www.uhis.com, Emdeon payer ID 39026. Armenia Finance/Accounting Sao Tome/Principe Myanmar 0000127723 00000 n 0000003410 00000 n EDI Payer ID #39026 0000000016 00000 n Bahrain 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) 0000162048 00000 n This ID is not valid for Superior claim submissions. 0000028199 00000 n Address OFFICE. Falkland Islands UPIN or state license number: Six-digit universal provider identification number (UPIN) or state license number of all attending providers. $UZZNl)Q,nB=&X"HZic2lc[J"*yDO3.o8T*feoXRz`4U !x*w$Jn(*Pmfk[wv$(=MKi3T|}G)WoKP 2Jl*N|Jd-EIAM}+>@rATf@MWX&3O5S-kLB)[MA=Ln5-IWEdVZTQ PDF Payer Connection Payer List Director Nunavut Colorado Palau * 0000061988 00000 n 0000114704 00000 n Eat Your Way to a Brighter, Whiter Smile! Saskatchewan Payer IDs for Electronic Claims Submission - Superior HealthPlan Marianas Vatican City Saint Kitts and Nevis 0000146494 00000 n Payer Connection - Electronic Claims Payer List Name Payer ID ERA Paper* Address City State Zip 6 DEGREES HEALTH INCORPORATED 20446 N N/A A I BENEFIT PLAN ADMIN AIBPA N N/A 1220 SW MORRISON ST 300 PORTLAND OR 97205 . -- Please Select -- Nicaragua Burundi Box 30783, Salt Lake City, UT 84130-0783 Uruguay Syria Box 21542 299 0 obj <> endobj 0000146151 00000 n Nepal 0000018151 00000 n )o4 e)wh3}4M`w;4av ':R$r;?\pTUO(WyV'Y0v^.kT! xvbPfRx A{NGyBkE'L*&qht}42S=6C}#*h \-5xQ[|>*{j@ u~;k}f(Plzfu\w~yf(!TaJUQBchpZ3^Yeuqw~:w. Newfoundland and Labrador Western Sahara 206 0 obj <>stream GEHA FEHB Medical Russian Federation United States This ID is used to submit claims electronically through our system. Prince Edward Island Gabon PDF UMR PO Box 30541 Salt Lake City, UT 84130-0541 Mass General Brigham plans have instructions specific to them. Payer ID: 39026 United Health Shared Services (on back of card) Payer ID: 39026 . 0000049255 00000 n 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 . Trust Procurement/Purchasing/Supply 0000157101 00000 n Liberia San Marino 0000138268 00000 n FLORIDA UBC HEALTH FUND 0000140914 00000 n 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. 0000003714 00000 n Sample GEHA Member ID Card . Delaware Haiti Dominican Republic 0000010081 00000 n Gibraltar Manitoba 322 0 obj <>/Filter/FlateDecode/ID[<304D90465B8F264FB3821BFEF410E30F><42BF6E1904DCEB468D2C308771CC1222>]/Index[299 38]/Info 298 0 R/Length 114/Prev 222343/Root 300 0 R/Size 337/Type/XRef/W[1 3 1]>>stream UHC Provider Services Phone: (844) 586-7309 Dental Plans. Hospital/Health System * Ireland EDI Submitter #06603 Cal-Optima Direct. Guyana xref -- Please Select -- CLAIM.MD EDI Payor #39026 Box 30783, Salt Lake City, UT 84130-0783 Italy hbbbd`b``l $ u All medical claims should be mailed to the addresses listed below for each network. (Payer ID valid only for claims with a billing submission address of PO Box 1128, Eau Claire, WI 54702-1128) . Please find frequently asked questions on the Provider FAQs tab or click, OHS Driving Under the Influence (DUI) Program, Understanding Your Out-of-Network Benefits, You Too Can be a Hero by Wearing a Face Mask, Fireworks Safety: Dont Let a Good Time Blow Up in Your Face. 0000080992 00000 n All medical claims should be mailed to the addresses listed below for each network. Germany 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.

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