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How to Contact UnitedHealthOne Resources - UnitedheatlhOne Individual Plans Supplement, 2018 UnitedHealthcare Administrative Guide

Notification

Benefits and Eligibility

  • To inquire about a member’s plan benefits or eligibility, call the number on the back of the member’s health care ID card, or go to myuhone.com.

Claims

  • To view pending and processed claims, go to myuhone.com.

Pharmacy Services

Prior Authorizations:

  • Phone: 800-711-4555
  • Fax for non-specialty meds: 800-527- 0531
  • Fax for specialty meds: 800-853-3844

Benefit Information:

  • Call the pharmacy number on the back of the member’s health care ID card.

For information on the Prescription Drug List (PDL), go to UHCprovider.com/pharmacy.

Behavioral Health Services

Submit admission notification or prior authorization for behavioral health, including substance use and autism:

Cardiology:

Diagnostic catheterization, electrophysiology implants, echocardiogram and stress echocardiogram.

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

Chiropractic, Physical and Occupational Therapy

Follow the clinical submission process for chiropractic, physical and occupational therapy as described in Chapter 6: Medical Management.

Claims Submission

  • Electronic Claims Submission: Payer ID 37602
  • Paper Claims Submission: Mail to the address listed on the back of the ID card.

Pharmacy Services

Prior Authorizations:

  • Phone: 800-711-4555
  • Fax for non-specialty meds: 800-527- 0531
  • Fax for specialty meds: 800-853-3844

Benefit Information:

  • Call the pharmacy number on the back of the member’s health care ID card.

For information on the Prescription Drug List (PDL), go to UHCprovider.com/pharmacy.

Prior Authorization and Notification

Prior authorization and admission notification is required as described in Chapter 6: Medical Management. EDI 278A transactions are not available.

Radiology/Advanced Outpatient Imaging Procedures

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

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

Health Care ID Card

Members receive health care ID cards with information to help you submit claims accurately. Information varies in appearance or location on the card. However, cards display the same basic information (e.g., claims address, copayment information, and phone numbers).

Be sure to check the member’s health care ID card at each visit and to copy both sides of the card for your files. When filing electronic claims, be sure to use the electronic payer ID on the health care ID card.

For more detailed information on ID cards and to see a sample health care ID card, please refer to the Health Care Identification (ID) Cards Section of Chapter 2: Provider Responsibilities and Standards.