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How to contact, Neighborhood Health Partnership supplement - 2021 UnitedHealthcare Administrative Guide

Where to go: 

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. Be sure to include the CPT codes for your request.
  • Online: UHCprovider.com/paan
  • Phone: 1-877-842-3210 See member’s ID card for specific service contact information.

Where to go: 

Urgent Appeals Fax:
Medical: 1-801-994-1083
Pharmacy: 1-801-994-1058

Standard Appeals Address:
UnitedHealthcare
PO Box 30559
Salt Lake City, UT 84130

Standard Appeals Fax:
Medical: 1-801-938-2100
Pharmacy: 1-801-994-1345

 

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: 

Quality Managed Healthcare, Inc.

Phone: 954-236-3143

Fax: 954-236-3254

Where to go: 

  • 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, contact your vendor to enroll under Payer ID 87726. The health plan ID card for members who have transitioned indicates Payer ID 87726.
  • Online: UHCprovider.com. Click Sign in to Link in the top right corner. Then, select Claims.
  • Information: UHCprovider.com/claims (policies, instructions and tips)
  • Phone: 1-877-842-3210 (Follow the prompts for status information.)

 

Where to go: 

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

Where to go: 

Where to go: 

  • 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:

  • EDI: Transactions 270 (Inquiry) and 271 (Response) through your vendor or clearinghouse
  • Online: UHCprovider.com/link
  • Phone: 1-877-842-3210

Where to go: 

Where to go: 

Where to go: 

MiniMed Distribution Group (Medtronic): 1-800-933-3322 minimed.com

 

Where to go: 

  • Link: Use the Prior Authorization and Advance Notification tool at UHCprovider.com/paan.
  • Online: UHCprovider.com/oncology > Commercial Intensity Modulated Radiation Therapy Program (program information)
  • Phone: 1-877-842-3210

Where to go: 

 

Where to go: 

  • Phone: 1-800-817-4705

Where to go: 

Where to go: 

  • Online: professionals.optumrx.com > Prior Authorizations
  • Prior Authorization: 1-800-711-4555
  • Specialty Pharmacy Customer Service: 1-888-739-5820

Where to go: 

  • Phone: 1-800-873-4575
  • Fax: 248-733-6070

Foot and Ankle Network (FAN)

Prior authorization and advance notification

Where to go: 

Prior authorization of radiology services as described in the Outpatient radiology notification/prior authorization protocol section of this guide

Where to go: 

Where to go: 

Optum

Phone: 1-800-817-4705

Where to go: 

  • Congenital Heart Disease: 1-877-842-3210 
  • Kidney Resource Services: 1-877-842-3210
  • Ventricular Assist Devices: 1-877-842-3210 or fax 1-855-282-8929 
  • Transplant Resource Services: 1-877-842-3210 or fax 1-855-250-8157