Pharmacy - Chapter 4, 2021 UnitedHealthcare Administrative Guide

 May be subject to change without notice

AdaptHealth/Target:

1-855-406-7867          

adapthealth.com

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

 medline.com

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

UHCprovider.com/paan

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 > 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

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.

uhcdental.com

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

 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

EDI: Transactions 270 and 271

Online: UHCprovider.com/link

Phone: 1-800-210-5315

 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

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