Care providers who practice in Illinois, Iowa and Wisconsin may refer to the “Midwest” references in the following grid. Care providers who practice in Arkansas, Georgia, Tennessee and Virginia may refer to the “Southeast” references in the following grid.
Initiate case management and utilization management
Congenital Heart Disease: The number on the back of the member’s ID card.
Kidney Resource Services: The number on the back of the member’s ID card.
Transplant Resource Services Fax: 1-855-250-8157
Ventricular Assist Devices: Phone: 1-888-936-7246, prompt 2
Online: UHCprovider.com/claims > Submit a Corrected Claim, Claim Reconsideration / Begin Appeal Process
Refer to the Claim reconsideration and appeals process section in Chapter 10: Our Claims Process for more information, or:
P.O. Box 30432
Salt Lake City, UT 84130-0432
Including preauthorization for certain DME. See Cardiology, Radiology, Inpatient Admissions, and End-of-Life Care, for specific contact information
EDI: See EDI transactions and code sets on UHCprovider.com/edi.
We accept EDI 278 submissions directly to UnitedHealthcare or through a clearinghouse.
Link: Use the Prior Authorization and Advance Notification tool at UHCprovider.com/paan.
Online: UHCprovider.com/priorauth (policies, instructions and tips)
Phone: (Inpatient requests only) 1-877-842-3210, option 3, or the number on the back of the member’s ID card
Fax: 1-801-994-1058 (Urgent appeals only)
Use UHCprovider.com and Link to perform secure transactions, check member eligibility and benefits, and manage claims and prior authorization requests.