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How to Contact Oxford Commercial - Oxford Commercial Supplement, 2018 UnitedHealthcare Administrative Guide

OxfordHealth.com > Providers > Tools and Resources offers instructions, quick reference guides, access to forms and policies, and other resources, without a requirement to be registered.

For step-by-step instructions to using our website transactions, go to OxfordHealth.com > Providers (or Facilities) > Tools & Resources > Administrative Tools & Information. UHCprovider.com is a care provider gateway to many other tools, training, and resources.

Voice Portal: 800-666-1353

In most cases, to use the Voice Portal, you are required to enter your care provider’s or facility’s Oxford provider ID number. A Voice Portal quick reference guide is located on OxfordHealth.com > Providers or Facilities > Tools & Resources > Administrative Tools & Information > Voice Portal Quick Reference.

Other Contact Information and Resources for Commercial Products

Mail:    UnitedHealthcare Grievance Review Board
            P.O. Box 29134
            Hot Springs, AR 71903

Fax: 877-220-7537

Mail: Oxford Clinical Appeals Department
         P.O. Box 29139
         Hot Springs, AR 71903

UBH Appeals Optum
P.O. Box 30512
Salt Lake City UT 84130-0512
Fax: 855-312-1470

OxfordHealth.com > Providers or Facilities > Tools & Resources > Network Information > Forms

  • Claim(s) Review Request Form
  • Member Authorization for a Designated Representative

Mail:  UnitedHealthcare Grievance Review Board
          P.O. Box 29134
          Hot Springs, AR 71903

Forms: OxfordHealth.com > Providers or Facilities > Tools & Resources > Network Information > Forms 

  • Claim(s) Review Request (1-19 claims)
  • Claims Research Project (20 or more claims)
  • New Jersey Provider Claim Appeal Form

Fax: 801-994-1058

Phone: 800-201-6991

  • Utilization Review/Medical Necessity Review
  • Cardiac Catheterization Prior Authorization
  • Echocardiogram and Stress Echocardiogram

Online: evicore.com 24 hours a day seven days a week

Policies: OxfordHealth.com > Providers > Tools & Resources > Medical Information > Medical and Administrative Policies > Medical & Administrative Policy Index.

Phone: 877-PREAUTH | 877-773-2884 (Mon - Fri, 7 a.m. to 7 p.m. ET)

Provider Services/Claims

Online: myoptumhealthphysicalhealth.com

Phone: 800-985-3293

EDI: Commercial Claims Payer ID: 06111

  • Online (EDI): OxfordHealth.com > Providers or Facilities > Transactions > Electronic Payments & Statements
  • Learn more on OxfordHealth.com > Providers or Facilities > Tools & Resources > Administrative Tools & Information > Electronic Data Interchange (EDI)
  • You can also visit PNTdata.com > Customers > Providers to learn about a free submission tool that doesn’t require practice management software.

Online: UHCprovider.com/claims

Mail: (paper claims)

UnitedHealthcare
Attn: Claims Department
P.O. Box 29130
Hot Springs, AR 71903

EDI: Submit facility claim corrections electronically.

Online: claimsLink and UHCprovider.com/claims

Paper: OxfordHealth.com > Providers or Facilities > Tools & Resources > Network Information > Forms

  • Claim Review Request (1-19 claims)
  • Claim Research Project (20 or more claims)
  • New Jersey Provider Claim Appeal Form

EDI: 276/277 Claim Status Inquiry and Response transactions are available through your vendor or clearinghouse.

Online: OxfordHealth.com > Providers or Facilities > Transactions > Check > Claims.

Phone: 800-666-1353 and say “Claims” when prompted to speak with a representative. (Mon – Fri., 8 a.m.-6 p.m. ET)

Online: OxfordHealth.com > Providers or Facilities > Tools & Resources > Medical Information > Medical and Administrative Policies > Medical & Administrative Policy Index.

Phone: 800-666-1353 (Mon – Fri., 8 a.m. – 6 p.m. ET)

Member of the Council for Affordable Quality Healthcare (CAQH)

Online: UHCprovider.com

Phone: United Voice Portal at 877-842-3210


New Jersey Only

Online: State of New Jersey Department of Health or CAQH

Phone: Provider Services at 800-666-1353 or CAQH Support at 888-599-1771

Phone: 800-624-2377 (within New Jersey) 

State of New York and New York City Information: 800-541-2437

Spanish / Bilingual Information: 800-233-7432

TTY/TDD (for the Hearing-Impaired): 800-369-2437

Department of Health Testing Hotline: 800-825-5448

Information and Enrollment

Online:

  • OxfordHealth.com > Provider or Facilities > Tools & Resources > Administrative Tools & Information > Electronic Payments & Statements (EPS), or
  • Optumhealthfinancial.com > Health Care Professional > Log in

Help Desk: 877-620-6194

Payer ID: 06111

EDI Support

Online:

Phone: 800-842-1109 (Mon - Fri, 8:30 a.m. – 5 p.m. ET)

EDI: 270/271 Eligibility and Benefits Inquiry and Response transactions are available through your vendor or clearinghouse.

Online: OxfordHealth.com > Providers or Facilities > Transactions > Check > Eligibility and Benefits

Voice Portal and Provider Services: 800-666-1353 > Say “Benefits and Eligibility” when prompted to speak with a representative. (Mon - Fri, 8 a.m.-6 p.m. ET).

Online: OxfordHealth.com > Provider or Facilities > Tools & Resources > Network Information > Forms

Phone: 866-242-7727

Online: myuhc.com

For additional information on granting remote access to your EMR system: emrcdsa@uhc.com.

Phone: 877-512-9340

Fax: 855-536-0491

EDI: Use your clearinghouse

Online: OxfordHealth.com > Providers or Facilities > Transactions > Submit > Precert Requests

Phone: 800-666-1353

Fax: 800-303-9902

Phone: 800-747-1446 Ext: 65212

Fax: 888-242-9058

Mail:  UnitedHealthcare
          Attn: Clinical Coverage Review
          1300 River Drive, Suite 200
          Moline, IL 61265

Locate participating laboratories:

Online: OxfordHealth.com > Providers or Facilities > Search > Laboratories

Phone: Patient service center locator number for customers 888-LABCORP (522-2677)

  • North New Jersey: 800-223-0631
  • South New Jersey: 800-633-5221
  • New York: 800-223-0631
  • Connecticut: 800-631-5250

Phone: 800-201-4911

  • Available 24 hours per day, 365 days per year
  • Staffed by registered nurses
  • Assistance for urgent and non-urgent medical problems recommend an appropriate site of care

Phone: 800-788-4863

TTY/TDD (for Hearing-Impaired): 800-498-5428

  • Available 24 hours per day, seven days per week, including holidays

Phone: 800-711-4555

  • Available 24 hours per day, seven days per week, including holidays

Provider Services: 877-369-7564

Online: myoptumhealthphysicalhealth.com

  • For claims submitted electronically: Payer ID 06111

Phone: 800-666-1353

Mail: (paper claims)

UnitedHealthcare
Attn: Claims Department
P.O. Box 29130
Hot Springs, AR 71903

Mail:  OptumRx
          P.O. Box 2975
          Mission, KS 66201

EDI: Use your vendor or clearinghouse

Online: OxfordHealth.com > Providers or Facilities > Transactions > Submit > Precert Requests

Fax: Submit our form to:

  • Hospitals: 800-699-4712
  • Providers: 800-303-9902
  • The form can be found on OxfordHealth.com > Providers or Facilities > Tools & Resources > Network Information > Forms

Phone: Provider Services 800-666-1353 (Mon - Fri., 8 a.m.- 6 p.m. ET)

EDI: Use your vendor or clearinghouse

Online: OxfordHealth.com > Providers or Facilities > Transactions > Check > Precert Status.

Phone: 800-666-1353 > Say “Pre-Certification” when prompted. (Mon - Fri, 8 a.m.- 6 p.m. ET)

 

Online: evicore.com 24 hours per day, seven days per week

Forms and Policies: OxfordHealth.com > Providers or Facilities > Tools & Resources > Medical Information > Radiology & Radiation Therapy Information.

Phone: 877-PREAUTH | 877-773-2884 (Mon - Fri, 7 a.m.-7 p.m. ET)

EDI: Use your clearinghouse or vendor

Online: OxfordHealth.com > Providers > Transactions > Submit > Referrals or Transactions > Check > Referrals

Phone: 800-666-1353 > Say “Referral” when prompted. (Mon - Fri, 8 a.m. - 6 p.m. ET)

Online: OxfordHealth.com > Providers or Facilities > Search > (select the provider type)

Phone: 800-666-1353

Phone: 800-666-1353

Mail: Physicians and other health care professionals send by certified mail, return receipt requested to:

UnitedHealthcare
Network Contract Support
Mail Route: TX023-1000
1311 W President George Bush Highway, Suite 100
Richardson, TX 75080-9870

Behavioral Health Providers Only

Phone: 877-614-0484