Pharmacy - Chapter 4, 2021 UnitedHealthcare Administrative Guide
May be subject to change without notice
AdaptHealth/Target:
1-855-406-7867
Byram Healthcare:
1-877-902-9726
byramhealthcare.com (mail order)
Edgepark Medical Supplies:
1-888-394-5375
edgepark.com (mail order) (mail order or pick up at Target)
Medline Industries:
1-800-633-5463
Electronic Claims Submission
Payer ID: 87726
Paper Claims Submission
UnitedHealthcare
P.O. Box 5280 Kingston, NY 12402
Reconsideration and Appeals
UnitedHealthcare
P.O. Box 6111 Cypress, CA 90630
May be subject to change without notice
Advanced Respiratory
Respiratory high frequency chest
compression vest
1-800-826-4224
respiratorycare.hill-rom.com
Alere Home Monitoring
Home PT/INR
1-865-613-8303
ptinr.com
Apria Healthcare
Standard DME
1-800-277-4288
apria.com
Bioventus
Bone growth stimulator
1-800-396-4235
bioventusglobal.com
Cardionet
Cardiac diagnostic monitoring
gobio.com
Cochlear Americas
Cochlear implant replacement parts
1-800-483-3123
cochlearamericas.com
Cranial Technologies
Cranial helmets
1-844-447-5894
cranialtech.com
DJO
Bone growth stimulator
1-800-321-9549
djortho.com
DynaSplint Systems
Dynamic splinting, braces, orthotics
1-800-638-6771
dynasplint.com
EBI
Bone growth stimulator
1-800-26-2579
biomet.com
ElectroMed
Respiratory high frequency chest
compression vest
1-800-462-1045
smartvest.com
Electrostim Medical Svcs
TENS units
1-800-588-8383
wecontrolpain.com
Gordian Medical
Wound care supplies (SNF only)
1-800-568-5514
amtwoundcare.com
Hoveround Corp.
POV and power wheelchairs
1-888-225-1547
hoveround.com
InfuSystem, Inc.
Ambulatory infusion pumps
1-800-962-9256
infusystem.com
Insulet Corporation
Diabetic insulin pumps
1-800-591-3455
myomnipod.com
IRhythm
Zio XT/AT cardiac patch monitor
irhythmtech.com
KCI USA
Negative pressure wound pump
1-800-275-4524
acelity.com/about-kci
Kinex Medical
CPM, ThermoComp, TENS
1-800-845-6364
kinexmedical.com
Lincare
Standard DME
lincare.com
MDINR (a Lincare company)
Home PT/INR monitor
mdinr.com
Linkia Orthotics and Braces
Orthotics/Braces
1-877-754-6542
linkia.com
Medi-Lynx
Cardiac diagnostic monitoring/holter
medilynx.com
Online: UHCprovider.com/edi
Phone: 1-866-509-3210
Provider Services: 1-888-478-4760
May be subject to change without notice
Accredo
1-800-803-2523
Accredo.com
Basic Home Infusion
1-888-822-7428
Basichomeinfusion.com
*Infusion Express (IVX Health)
1-800-746-8147
Infusionexpress.com
*Metro Infusion Services
1-888-330-6432
Midcusa.com
Option Care Health
1-866-827-8203
Optioncare.com
Optum Infusion Services
1-877-306-4036
Briovarxinfusion.com
*Palmetto Infusion Services
1-615-367-1444
Palmettoinfusion.com
*Precision Health Healthcare
1-866-655-1444
precision.com
Information: UHCprovider.com/oncology > Commercial Intensity
Modulated Radiation Therapy Program
Phone: 1-888-478-4760
Online: providerexpress.com
Phone (Provider Services): 1-888-478-4760
Online: UHCprovider.com/priorauth > Oncology
Phone: 1-888-397-8129
Online: UHCprovider.com > Find a Care Provider > Preferred Lab Network
Online: UHCprovider.com > Contact Us > Find a Network Contact
Request prior authorization for services as described in the Outpatient radiology notification/prior authorization protocol section in Chapter 7
Online: UHCprovider.com/radiology
Phone: 1-866-889-8054
Online: UHCprovider.com/skillednursing
Phone: 1-888-478-4760
Request prior authorization
Phone: 1-866-534-7209
Fax: 1-855-250-8157
Diagnostic catheterization, electrophysiology implants, echocardiogram and stress echocardiogram
Online: UHCprovider.com/cardiology Phone: 1-866-889-8054
Request prior authorization in the Outpatient cardiology notification/prior authorization protocol section of Chapter 7: Medical Management.
Provider Services: 1-800-822-5353 Electronic Payer ID: 521337971 Claims Address:
UnitedHealthcare Dental - Claims Unit
P.O. Box 30567
Salt Lake City, UT 84130-0567
Durable Medical Equipment/Cardiac, Respiratory and Commodity Services National Providers (continued)
May be subject to change without notice
Medline Industries
Enterals – adults and children
medline.com
MiniMed/Medtronic
Diabetic insulin pump
1-800-646-4633
medtronicdiabetes.com
National Seating and Mobility
Mobility products, custom
wheelchairs
nsm-seating.com/findus
Novocure
Optune brain stimulator
novocure.com
Numotion
Mobility products, custom
wheelchairs
1-888-232-1333
numotion.com/locations
Orthofix
Bone growth stimulator
1-800-535-4492
orthofix.com
Otto Bock Healthcare
CPM
800-438-4058
ottobockus.com
Prentke Romich
Speech generating devices
1-800-268-5224
prentrom.com
Preventice Services
Cardiac diagnostic monitoring/holter
preventicesolutions.com
RespirTech
Respiratory high frequency chest
compression vest
1-800-793-1261
respirtech.com
Roche Diagnostics
Home INR monitor/test strips
1-800-779-7616
coagucheck.com
Rotech Healthcare
Standard DME
rotech.com
Tactile Technology System
Pneumatic compression devices
1-866-435-3948
tactilemedical.com
Tandem Diabetes Care
Tandem diabetic insulin pump
tandemdiabetes.com
Tobii Dynavox
Speech generating device
1-866-396-2869
tobiidynavox.com
Virtuox
Home sleep testing
virtuox.net
Watermark Medical
Home sleep testing
watermarkmedical.com
ZOLL LifeVest
AED – wearable defribrillator
1-800-543-3267
zoll.com
Zynex Medical
TEN units
1-800-495-6670
zynexmed.com
May be subject to change without notice
Heartland Healthcare
1-800-736-4427
hcr-manorcare.com
Innovative Senior Care
brookdaleliving.com
Maxim Health Care Services
1-800-899-9525
maximhomecare.com
Bayada Home Health Care
1-800-305-3000
bayada.com
PSA Healthcare
770-441-1580
psahealthcare.com
MiniMed Distribution Group (Medtronic)
1-800-933-3322
Minimed.com
Insulate Corporation
1-800-591-3455
Myomnipod.com
May be subject to change without notice
Byram Medical
1-877-902-9726
byramhealthcare.com
Edgepark Medical
1-888-394-5375
edgepark.com
Medline
1-800-633-5463
medline.com
Liberator Medical Supply
1-888-244-0789
liberatormedical.com
Physical, occupational, speech therapy and chiropractic services
Online: myoptumhealthphysicalhealth.com
Phone: 1-800-873-4575
Fax: 248-733-6070
Phone: 1-800-711-4555
Online: UHCprovider.com/paan
Information: UHCprovider.com/priorauth
Confirm member eligibility, provide care coordination notification, check claim status, update facility/practice data
Online: UHCprovider.com
Phone: 1-888-478-4760
EDI: Transaction 278R
Online: UHCprovider.com/referrals
May be subject to change without notice
Accredo
1-800-803-2523
accredo.com
Biologics
1-800-856-1984
biologicsinc.com
Caremark
1-877-287-1234
cvsspecialty.com
Eversana
1-866-336-1336
eversana.com
Genoa Healthcare
1-800-519-1139
genoahealthcare.com
Option Care Health
1-866-827-8203
optioncarehealth.com
Optum Pharmacy
1-866-218-7398
briovarx.com
Orsini Pharmaceutical
1-800-950-3963
orsinihealthcare.com
PANTHERx
1-855-726-8479
pantherspecialty.com
US Bioservices
1-888-518-7246
usbioservices.com
Online: spectera.com
Electronic Payer ID: 00773
Phone: 1-800-638-3120 (Monday-Friday, 8 a.m. to 11 p.m. ET;
Saturday 9 a.m. – 4:30 p.m. ET)
Paper Claims Address:
UnitedHealthcare
P.O. Box 30978
Salt Lake City, UT 84130