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How to Contact River Valley - River Valley Entities Supplement, 2018 UnitedHealthcare Administrative Guide

Care providers who practice in Illinois, Iowa and Wisconsin should refer to the “Midwest” references in the following grid. Care providers who practice in Arkansas, Georgia, Tennessee and Virginia should refer to the “Southeast” references in the following grid.

Contact Us Table 

Medical claims payer ID: 87726

Dental claims payer ID: 95378

866-509-1593 or

RVITEDISolutions@uhc.com

UnitedHealthcare
P.O. Box 740800
Atlanta, GA 30374-0800

Refer to the Claim Reconsideration, Appeals Process and Resolving Disputes section in Chapter 9: Our Claims Process for online options, or mail to:

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

Fax: 801-938-2100

If you are enrolled in EPS for UnitedHealthcare Commercial, you’ll automatically start receiving direct deposit and online remittance advice for these members. No additional action is required.

Online: Optum.com/enroll. If you are signed up for our EFT but not EPS, you will receive paper payments and remittance advices. To continue receiving your payments electronically, enroll in EPS.

877-842-3210

  • For procedures and services, except for those otherwise referenced below, including preauthorization for certain DME
  • We accept EDI 278 submissions directly to UnitedHealthcare or through a clearinghouse.
  • Appeals (Urgent)

Online: UHCprovider.com/priorauth

Phone: (Inpatient requests only) 877-842-3210, option 3, or the number on the back of the member’s ID card.

Fax: 866-756-9733 (Include place of service and CPT codes.)

Fax: 801-994-1083

 

Illinois/Iowa/Wisconsin: 800-747-1446

Tennessee/Virginia/Arkansas/Georgia: 800-224-6602

Phone

  • Midwest: 800-747-1446
  • Southeast: 800-224-6602

Fax

  • Midwest: 888-534-3258
  • Southeast: 800-880-5403

Phone: 800-747-1446 Ext: 65212

Fax: 800-340-2184

Mail:

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

Phone

  • Midwest: 800-747-1446
  • Southeast: 800-224-6602

Fax

  • Midwest: 888-534-3258
  • Southeast: 800-880-5403

Initiate case management and utilization management.

  • Congenital Heart Disease: 800-747-1446
  • Kidney Resource Services: 800-747-1446
  • Transplant Resource Services Fax: 855-250-8157
  • Ventricular Assist Devices: Fax: 855-282-8929

Phone: 800-369-2704, Option # 4 (Mon - Fri., 8 a.m - 4:30 p.m., CT)

Fax: 866-950-7759, Attn: CMT Coordinator

Email: MailWebCDM@uhc.com

  • Diagnostic Catheterization
  • Electrophysiology Implants
  • Echocardiogram and Stress Echocardiogram

Online: UHCprovider.com/cardiology; select the Go to Prior Authorization and Notification App.

Phone: 866-889-8054

Certain CT scans, MRIs, MRAs, PET scans and nuclear medicine studies, including nuclear cardiology

Online: UHCprovider.com/radiology; select the Go to Prior Authorization and Notification App.

Phone: 866-889-8054

Use UHCprovider.com and Link to perform secure transactions, including checking member eligibility and benefits as well as managing claims and prior authorization requests.