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How to Contact NHP - Neighborhood Health Partnership Supplement, 2018 UnitedHealthcare Administrative Guide

Applicability of This Supplement 

This Neighborhood Health Partnership (“NHP”) Supplement applies to covered services provided to members enrolled in NHP benefit plans when the care provider fits into the following two categories:

  1. Your participation agreement with UnitedHealthcare includes a reference to the NHP protocols or Guides, or you have directly contracted with NHP to participate in networks maintained for NHP members.
  2. The participating care provider is located in the NHP Service Area, which is expanding. 

NHP Flex Benefit Plans: This supplement does not apply to care providers located outside the NHP Service Area.

NHP participating care providers are subject to both the main guide and this supplement. This supplement controls if it conflicts with information in the main guide. For protocols, policies and procedures not referenced in this supplement, please refer to appropriate chapter in the main guide.

The term “prior authorization” referenced in this supplement is also referred to as “pre-certification”. We use both terms in this supplement. 

How to Contact Neighborhood Health Partnership

What You Can Do:
  • Medical Policies, Drug Policies and Coverage Determination Guidelines
  • Provider news and updates, such as the Medical Policy Update Bulletins
Where to Go: 
Where to Go: 
  • Phone: 877-842-3210
Urgent Appeals

Address:

UnitedHealthcare Appeals
P.O. Box 30432
Salt Lake City, UT 84130-0432

Fax: 801-938-2100 

Pre-Service Appeals
  • Medical Appeals Fax: 801-994-1083
  • Pharmacy Appeals Fax: 801-994-1058
Where to Go: 

Prior authorization of cardiology services as described in the Outpatient Cardiology Notification/Prior Authorization Protocol section of this guide.

Where to Go: 
Where to Go: 
  • Online: UHCprovider.com/priorauth > Oncology
  • Phone: 866-889-8054
Where to Go: 

Quality Managed Healthcare, Inc.

  • Phone: 954-236-3143
  • Fax: 954-236-3254

Payer ID: 87726

The ERA Payer ID number is also changing to 87726.

If you would like to receive 835 ERA files for NHP, or if you currently receive 835 ERA files for NHP under Payer ID 95123 or 96107, please contact your vendor to enroll under Payer ID 87726.

The health care ID card for members who have transitioned indicates payer ID 87726.

Where to Go: 
  • Mail:
    UnitedHealthcare
    P.O. Box 740800
    Atlanta, GA 30374-0800

(Oxygen, CPAP, hospital beds, standard wheelchairs)

Where to Go: 
Where to Go: 
  • Phone: 866-509-1593
What You Can Do:

Eligibility Verification

  • Verify Primary Care Physician
  • Verify eligibility and benefits
  • Check claim(s) status
  • Obtain status of referrals
  • Office visit copay
  • Inpatient copay
  • Prescription drug copay (if applicable)
Where to Go:  
  • Online: UHCprovider.com/eligibility
  • Provider Services number is 877-842-3210. Please refer to the back of the health care ID card to help ensure the appropriate provider services department is contacted. 
Where to Go: 
Where to Go: 
Where to Go: 
Where to Go: 
  • Phone: 800-550-5568
  • Fax: 800-731-2515

(Disposable supplies, ostomy, urological, incontinence supplies)

Where to Go: 

United Behavioral Health (UBH), operating under the brand Optum.

Where to Go: 
  • Phone: 800-817-4705
Where to Go: 
  • Prior Authorization: 800-711-4555
  • Customer Service: 888-739-5820
  • Fax: 800-837-0959
Where to Go: 
  • Phone: 800-873-4575
  • Fax: 248-733-6070
Where to Go: 
  • Phone: 305-558-1227
  • Fax: 305-557-3810

Prior authorization of radiology services as described in the Outpatient Radiology Notification/Prior Authorization Protocol section of this guide.

Where to Go: 

United Behavioral Health (UBH), operating under the brand Optum.

Where to Go: 
  • Phone: 800-817-4705
Where to Go:
  • Congenital Heart Disease: 877-842-3210
  • Kidney Resource Services: 800-550-5568
  • Ventricular Assist Devices: 877-842-3210 or fax 855-282-8929
  • Transplant Resource Services: 877-842-3210 or fax 855-250-8157

We accept EDI 278 submissions directly to UnitedHealthcare or through a clearinghouse. Be sure to include the CPT codes for your request.

Where to Go: