OxfordHealth.com > Providers > Tools and Resources offers instructions, quick reference guides, access to forms and policies, and other resources, without a requirement to be registered.
For step-by-step instructions to using our website transactions, go to OxfordHealth.com > Providers (or Facilities) > Tools & Resources > Administrative Tools & Information. UHCprovider.com is a care provider gateway to many other tools, training and resources. For members with nine-digit ID numbers, go to OxfordHealth.com. For members with 11-digit ID numbers, go to UHCprovider.com.
Download this Quick Reference Guide for more information and images of sample ID cards for each membership type.
Voice Portal: 1-800-666-1353
In most cases, to use the Voice Portal, you are required to enter your care provider’s or facility’s TIN or NPI number. A Voice Portal quick reference guide is located on OxfordHealth.com > Providers or Facilities > Tools & Resources > Administrative Tools & Information > Voice Portal Quick Reference.
Mail: UnitedHealthcare Grievance Review Board
P.O. Box 29134
Hot Springs, AR 71903
Clinical & Medical Necessity Appeals:
Fax: 1-877-220-7537
Mail:
Oxford Clinical Appeals Department
P.O. Box 29139
Hot Springs, AR 71903
Behavioral Health Appeals:
Phone: 1-800-999-9585
Fax: 1-855-312-1470
Mail:
Behavioral Health Appeals
P.O. Box 30512
Salt Lake City UT 84130-0512
OxfordHealth.com > Providers or Facilities > Tools & Resources > Network Information > Forms
Mail:
UnitedHealthcare Grievance Review Board
P.O. Box 29134
Hot Springs, AR 71903
Forms: OxfordHealth.com > Providers or Facilities > Tools & Resources > Network Information > Forms.
Fax: 1-801-994-1058
Phone: 1-800-201-6991
Online: UHCprovider.com/priorauth > Cardiology 24 hours a day
Online Policies: Refer to the back of the member’s health care ID card for the applicable website.
OR
Phone (eviCore): 1-877-PREAUTH / 1-877-773-2884 (Monday–Friday, 7 a.m. – 7 p.m. ET)
EDI: Commercial Claims Payer ID: 06111
More information about EDI: optumpay.com/optumpay
Learn more on OxfordHealth.com > Providers or Facilities > Tools & Resources > Administrative Tools & Information > Electronic Data Interchange (EDI)
You may also visit PNTdata.com > Customers > Providers to learn about a free submission tool that doesn’t require practice management software.
Online: UHCprovider.com/claims
Mail (paper claims):
UnitedHealthcare
Attn: Claims Department
P.O. Box 29130
Hot Springs, AR 71903
EDI: Submit facility claim corrections electronically.
Online: UHCprovider.com/link
Paper: OxfordHealth.com > Providers or Facilities > Tools & Resources > Network Information > Forms
EDI: 276/277
Claim Status Inquiry and Response transactions are available through your vendor or clearinghouse.
Online: OxfordHealth.com > Providers or Facilities > Transactions > Check > Claims
Phone: 1-800-666-1353 and say “Claims” when prompted. You may speak with a representative Monday–Friday, 8 a.m. - 6 p.m. ET.
Online: Refer to the back of the member’s ID card for the applicable website.
OxfordHealth.com > Providers > Tools & Resources > Medical Information > Medical and Administrative Policies > Medical & Administrative Policy Index
OR
UHCprovider.com/policies > Commercial Policies > UnitedHealthcare Oxford Clinical, Administrative and Reimbursement Policies
Phone: 1-800-666-1353 (Monday–Friday, 8 a.m. – 6 p.m. ET)
Member of the Council for Affordable Quality Healthcare (CAQH)
Online: UHCprovider.com > UnitedHealthcare’s Credentialing & Recredentialing Plan
Phone: United Voice Portal at 1-877-842-3210
New Jersey only:
Online: State of New Jersey Department of Health: nj.gov/health or CAQH.org.
Phone: Provider Services at 1-800-666-1353 or CAQH Support at 1-888-599-1771
Information and Enrollment
Online:
• optum.com/optumpay or
• Optumbank.com > View your account > Log in
Helpdesk: 1-877-620-6194
Check status of referrals, pre- certifications and claims; member eligibility and benefits
Payer ID: 06111 EDI Support:
Online:
• OxfordHealth.com > Providers or Facilities > Tools & Resources > Administrative Tools & Information > Electronic Data Interchange
Phone: 1-800-842-1109, Monday–Friday, 8:30 a.m. – 5 p.m. ET
EDI: 270/271 Eligibility and Benefits Inquiry and Response transactions are available through your vendor or clearinghouse.
Online: OxfordHealth.com > Providers or Facilities > Transactions > Check > Eligibility and Benefits
Voice Portal and Provider Services:
1-800-666-1353 (Say “Benefits and Eligibility” when prompted).
You may speak with a representative Monday–Friday, 8 a.m. - 6 p.m. ET.
Online: OxfordHealth.com > Provider or Facilities > Tools & Resources > Network Information > Forms
Phone: 1-866-242-7727
Online: UHCprovider.com/priorauth and select the specialty you need.
Online: uhc.com/privacy
For additional information on granting remote access to your EMR system: emrcdsa@ uhc.com.
Phone: 1-877-512-9340
Fax: 1-855-536-0491
EDI: Use your clearinghouse.
Online: OxfordHealth.com > Providers or Facilities > Transactions > Submit > Precert Requests
Phone: 1-800-666-1353
Fax: 1-800-303-9902
Phone: 1-800-666-1353
Online: evicore.com (24 hours per day)
OxfordHealth.com > Providers or facilities > Tools & Resources > Medical Information > Radiology and Radiation Therapy Information
UHCprovider.com/policies > Commercial Policies > UnitedHealthcare Oxford Clinical, Administrative and Reimbursement Policies
Fax: 1-888-242-9058
Mail:
UnitedHealthcare
Attn: Clinical Coverage Review 1300 River Drive, Suite 200
Moline, IL 61265
Phone: 1-877-PREAUTH (1-877-773-2884) (Monday–Friday, 7 a.m.-7 p.m. ET)
Locate participating laboratories:
Online: OxfordHealth.com > Providers or Facilities > Search > Laboratories
Online: UHCprovider.com/priorauth > Oncology
Phone: 1-800-201-4911
Phone: 1-800-788-4863
TTY/TDD: 1-800-498-5428
Available 24 hours per day
Phone: 1-800-711-4555
Available 24 hours per day
Provider Services: 1-877-369-7564
Online: myoptumhealthphysicalhealth.com
For claims submitted electronically: Payer ID 06111
Phone: 1-800-666-1353
Mail (paper claims):
UnitedHealthcare
Attn: Claims Department
P.O. Box 29130
Hot Springs, AR 71903
OptumRx
P.O. Box 2975
Mission, KS 66201
EDI: Use your vendor or clearinghouse.
Online: OxfordHealth.com > Providers or Facilities > Transactions > Submit > Precert Requests
Online: UHCprovider.com/paan (use the Link Prior Authorization and Notification tool)
Find the form on OxfordHealth.com > Providers or Facilities > Tools & Resources > Network Information > Forms
Phone: Provider Services 1-800-666-1353 (Monday–Friday, 8 a.m.- 6 p.m. ET)
EDI: Use your vendor or clearinghouse.
Online: OxfordHealth.com > Providers or Facilities > Transactions > Check > Precert Status
Phone: Voice Portal: 1-800-666-1353 (Representatives are available Monday–Friday, 8 a.m.- 6 p.m. ET).
Say “Precertification” when prompted.
Online: UHCprovider.com/priorauth > Radiology (available 24 hours per day, seven days per week)
Forms and policies: OxfordHealth.com > Providers or Facilities > Tools & Resources > Medical Information > Radiology & Radiation Therapy Information
Phone (eviCore): 1-877-PREAUTH (1-877-773-2884) (Monday–Friday, 7 a.m.-7 p.m. ET)
EDI: Use your clearinghouse or vendor.
Online: OxfordHealth.com > Providers > Transactions > Submit > Referrals or Transactions > Check > Referrals
Phone: Voice Portal: 1-800-666-1353 (Monday–Friday, 8 a.m. - 6 p.m. ET) Say “referral” when prompted.
Online: OxfordHealth.com > Providers or Facilities > Search > (select the provider type)
Phone: 1-800-666-1353
Phone: 1-800-666-1353
Mail: Physicians and other health care professionals send by certified mail, return receipt requested to:
UnitedHealthcare
Network Contract Support
Mail Route: TX023-1000
1311 W President George Bush Highway, Suite 100
Richardson, TX 75080-9870
Behavioral health providers only:
Phone: 1-877-614-0484