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How to Contact UnitedHealthcare West Resources - 2019 UnitedHealthcare Administrative Guide

How to Contact UnitedHealthcare West Resources

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

  • Online: Prior Authorization & Notifications or Prior Authorization and Notification tool 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

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.

(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
    • Phone: 866-300-7736 
    • Fax: 888-361-0502

Encounter Collection, Submission & Controls, including ERA/835 transactions. Password and user ID are not required to review and access EDI information on UHCprovider.com.

  • Online: Electronica Data Interchange page > EDI Contact > EDI Transaction Support Form. A user ID and password 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
  • Payer IDs: UnitedHealthcare West encounters, 95958. For claims, the payer ID is 87726. For a complete list of payer IDs, refer to the Payer List for Claims.

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

(Follow prompts to access information)

Commercial & Medicare Advantage HMO/ MCO

  • Arizona / Colorado / Nevada: 888-866-8297
  • California: 800-542-8789
  • 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

Mail:

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

Fax: 888-517-7113

Online: 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: 

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.

View the member’s health care ID when you verify eligibility on the Eligibility & Benefits page or using the eligibilityLink tool.

(Applies only to commercial products in California)

Phone: 877-840-4085

Fax completed referral form to: 877-406-8212