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How to Contact River Valley - 2019 UnitedHealthcare Administrative Guide

How to Contact River Valley

Care providers who practice in Illinois, Iowa and Wisconsin should refer to the “Midwest” references below.

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

How to Contact Us

  • Diagnostic Catheterization
  • Electrophysiology Implants
  • Echocardiogram and Stress Echocardiogram

Online: Cardiology Prior Authorization and Notification

Phone: 866-889-8054

Initiate case management and utilization management.

  • Congenital Heart Disease: The number on the back of the member’s healthcare ID card. 
  • Kidney Resource Services: The number on the back of the member’s healthcare ID card.
  • Transplant Resource Services 
    • Fax: 855-250-8157
  • Ventricular Assist Devices: 
    • Fax: 888-936-7246, prompt 2

EDI: Medical claims payer ID: 87726, Dental claims payer ID: 95378

Link: claimsLink

Online: Claims, Payments & Billing (policies, instructions and tips)

Phone: 866-509-1593

Mail Paper Claims to:

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

Online: Claims, Billing & Payments > Submit a Corrected Claim, Claim Reconsideration / Begin Appeal Process

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

Mail to:

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

Fax: 801-938-2100

Phone: 800-369-2704, Option # 4 (available Monday through Friday from 8 a.m - 4:30 p.m. Central Time)

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

Email: MailWebCDM@uhc.com

Online: 

Help Desk: 877-620-6194

EDI: Transactions 270 (Inquiry) and 271 (Response) through your vendor or clearinghouse

Online: eligibilityLink

Phone: 877-842-3210

Fax: 866-756-9733

Mail: 

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

Phone: 877-842-3210

Fax: 866-756-9733

Online: UHCprovider.com/pharmacy, or OptumRx.com

Phone OptumRx: 800-711-4555

Urgent Pharmacy Appeal Fax: 801-994-1058

(Including preauthorization for certain DME. See Cardiology, Radiology, Inpatient Admissions, and End-of-Life Care, for specific contact information)

EDI: See EDI transactions and code sets.  We accept EDI 278 submissions directly to UnitedHealthcare or through a clearinghouse.

Link:Prior Authorization and Advance Notification tool

Online: Prior Authorization & Notifications section (policies, instructions and tips)

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

  • Online: Prior Authorizations & Notifications section, (policies, instructions and tips)
  • Phone: (Inpatient requests only) 877-842-3210, option 3, or call the number on the back of the member’s ID card.
  • Fax: 866-756-9733

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

Online: Radiology Prior Authorization and Notification

Phone: 866-889-8054

  • Phone: 877-842-3210
  • Fax: 866-756-9733

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