How to Contact UnitedHealthcare West Resources - 2018 Administrative Guide

UHCprovider.com > Contact Us > Health Plan Support by State > [Select State].

Online:

Benefit Interpretation Policies: UHCPprovider.com/policies > Commercial Policies > UnitedHealthcare SignatureValue/UnitedHealthcare Benefit Plan of California Benefit Interpretation Policies

Medical Management Guidelines: UHCPprovider.com/policies > Commercial Policies > UnitedHealthcare SignatureValue/UnitedHealthcare Benefits Plan of California Medical Management Guidelines.

To view the most current and complete Advance Notification List, including procedure codes and associated services, go to:

  • Online: UHCprovider.com/priorauth, or Prior Authorization and Notification App on Link
  • Arizona & Colorado Medicare Advantage Phone: 800-746-7405
  • California, Oregon and Washington: SignatureValue, Medicare Advantage, direct contract network and medical group/IPA carve-out Phone: 800-762-8456
  • Nevada Medicare Advantage Phone: 888-866-8297
  • Texas and Oklahoma: Medicare Advantage, SignatureValue Inpatient Notification/Utilization Management Phone: 800-668-8139

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

Request prior authorization of radiology services as described in Outpatient Radiology Notification/Prior Authorization Protocol in Chapter 6: Medical Management.

Diagnostic Catheterization, Electrophysiology Implants, Echocardiogram and Stress, Echocardiogram Clinical Trials

Request prior authorization of cardiology services as described in Outpatient Cardiology Notification/Prior Authorization Protocol in Chapter 6: Medical Management.

See Chapter 6: Medical Management

(Non-delegated) Inpatient includes: Acute Inpatient, Skilled Nursing Admission, Long- Term Acute Care, Inpatient Rehabilitation Places of Service.

  • Phone: 800-799-5252 Fax: 800-274-0569
  • Mental health Medicare Advantage: 800-508-0088
  • Transplant: 866-300-7736 Fax: 888-361-0502

Encounter Collection, Submission & Controls, including ERA/835 transactions

  • Online: UHCprovider.com/edi > EDI Contact > EDI Transaction Support Form. Password and user ID are not required to review and access EDI information on UHCprovider.com.
  • Phone: 800-842-1109 (For UnitedHealthcare West ERA/835 questions, select option 4 and then option 2)
  • Email: supportedi@uhc.com

Have claims payments deposited electronically or make changes to an existing EFT enrollment

(Follow prompts to access information)

Commercial & Medicare Advantage HMO/ MCO:

  • California: 800-542-8789
  • Arizona/Colorado/Nevada: 888-866-8297
  • Oklahoma/Texas: 877-847-2862
  • Oregon: 800-920-9202
  • Washington MCO: 800-213-7356

(Applies only to Commercial UnitedHealthcare Signature Value HMO/ MCO)

California, Oklahoma, Oregon, Texas, Washington

Mail:

Mailstop CA124-0160
P.O. Box 6107
Cypress, CA 90630

Phone:

  • California: 800-624-8822
  • Oklahoma/Texas: 800-825-9355
  • Oregon/Washington: 800-932-3004

Fax: 866-704-3420

Mailstop CA124-0157
P.O. Box 6106
Cypress, CA 90630

Fax: 888-517 7113

AARPMedicareComplete.com

(Applies only to Commercial UnitedHealthcare SignatureValue HMO/ MCO)

California Oklahoma, Oregon, Texas, Washington

  • Phone: 888-277-4232
  • Fax: 800-346-0930

Commercial products: UHCprovider.com

Medicare products: UHCMedicareSolutions.com > Our Plans > Medicare Prescription Drug Plans

Phone: 800-711-4555

Fax: 800-527-0531

See member’s health care ID card for carrier information and contact numbers.

You can view the member’s health care ID when you verify eligibility on UHCprovider.com/eligibility.

(Applies only to commercial products in California)

Phone: 877-840-4085

Fax completed referral form to: 877-406-8212