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How to Contact NHP - 2019 UnitedHealthcare Administrative Guide

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 

Advance Notifications, Prior Authorizations, Admission Notifications

Where to Go: 
  • EDI: See EDI transactions and code sets on UHCprovider.com/edi. We accept EDI 278 submissions directly to UnitedHealthcare or through a clearinghouse. Besure to include the CPT codes for your request.
  • Online: UHCprovider.com/priorauth
  • Phone: United Voice Portal, 877-842-3210
  • Fax: Only Admission Notifications to 844-831-5077. Submit Advance Notifications and Prior Authorizations online or by calling 877-842-3210. See member’s health care ID card for specific service contact information. 

Urgent Appeals 

  • Fax - Medical: 801-994-1083
  • Fax - Pharmacy: 801-994-1058 

Standard Pre-Service Appeals 

Standard Appeals Address: 

UnitedHealthCare
PO Box 30559
Salt Lake City, UT 84130 

Standard Appeals Fax: 

  • Medical: 801-938-2100
  • Pharmacy: 801-994-1345 
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: 
Where to Go: 

Quality Managed Healthcare, Inc.

  • Phone: 954-236-3143
  • Fax: 954-236-3254
  • EDI: UHCprovider.com/edi., 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: 
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
  • EDI: Transactions 270 (Inquiry) and 271 (Response) through your vendor or clearinghouse
  • Phone: 877-842-3210
Where to Go: 
Where to Go: 
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Where to Go: 

(Disposable supplies, ostomy, urological, incontinence supplies)

Where to Go: 

Optum Behavioral Health

Where to Go: 
  • Phone: 800-817-4705
Where to Go: 
Where to Go: 
  • Phone: 800-873-4575
  • Fax: 248-733-6070

Foot and Ankle Network (FAN)

  • Phone: 305-558-1227
  • Fax: 305-557-3810

Prior Authorization and Advance Notification

  • EDI: Transactions (278A) and (278N).
  • Online: UHCprovider.com/paan
  • Phone: 877-842-3210 (if you do not have access to electronic services)

 

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: 877-842-3210
  • Ventricular Assist Devices: 877-842-3210 or fax 855-282-8929
  • Transplant Resource Services: 877-842-3210 or fax 855-250-8157