How to contact River Valley - 2021 UnitedHealthcare Administrative Guide

Care providers who practice in Illinois, Iowa and Wisconsin may refer to the “Midwest” references in the following grid. Care providers who practice in Arkansas, Georgia, Tennessee and Virginia may refer to the “Southeast” references in the following grid.

  • Diagnostic catheterization
  • Electrophysiology implants
  • Echocardiogram and stress echocardiogram

Online: UHCprovider.com/cardiology

Phone: 1-866-889-8054

Initiate case management and utilization management

Congenital Heart Disease: The number on the back of the member’s ID card.

Kidney Resource Services: The number on the back of the member’s ID card.

Transplant Resource Services Fax: 1-855-250-8157

Ventricular Assist Devices: Phone: 1-888-936-7246, prompt 2

EDI: Medical claims Payer ID: 87726 Dental claims Payer ID: 95378

Online: UHCprovider.com/link

Information: UHCprovider.com/claims (policies, instructions and tips)

Phone: 1-866-509-1593

Mail paper claims to: UnitedHealthcare

P.O. Box 740800

Atlanta GA 30374-0800

Online: UHCprovider.com/claims > Submit a Corrected Claim, Claim Reconsideration / Begin Appeal Process

Refer to the Claim reconsideration and appeals process section in Chapter 10: Our Claims Process for more information, or:

Mail to:

UnitedHealthcare Appeals
P.O. Box 30432
Salt Lake City, UT 84130-0432

Fax: 1-801-938-2100

Phone: 1-800-369-2704, Option 4 (Monday–Friday, 8 a.m. - 4:30 p.m., CT)

Fax: 1-866-950-7759, Attn: CMT Coordinator

Email: MailWebCDM@uhc.com

Online: UHCprovider.com/edi

Help: UHCprovider.com > Contact Us > Technical Assistance

Phone: 1-800-842-1109 (Monday–Friday, 7 a.m. – 9 p.m. CT)

EDI: Transactions 270 (Inquiry) and 271 (Response) through your vendor or clearing house

Online: UHCprovider.com/link

Online: UHCprovider.com/paan

Phone: 1-877-842-3210

Mail: UnitedHealthcare

Attn: Clinical Coverage Review

1300 River Drive

Moline, IL 61265

EDI: Transactions 278N

Online: UHCprovider.com/paan

Phone: 1-877-842-3210

Online:

UHCprovider.com/EPS

optum.com/optumpay

• The EPS tool on Link

Help Desk: 1-877-620-6194

Online: UHCprovider.com/pharmacy or professionals.optumrx.com

Phone OptumRx: 1-800-711-4555

Urgent Pharmacy Appeal Fax: 1-801-994-1058

Including preauthorization for certain DME. See Cardiology, Radiology, Inpatient Admissions, and End-of-Life Care, for specific contact information

EDI: See EDI transactions and code sets on UHCprovider.com/edi.

We accept EDI 278 submissions directly to UnitedHealthcare or through a clearinghouse.

Link: Use the Prior Authorization and Advance Notification tool at UHCprovider.com/paan.

Online: UHCprovider.com/priorauth (policies, instructions and tips)

Phone: (Inpatient requests only) 1-877-842-3210, option 3, or the number on the back of the member’s ID card

Fax: 1-801-994-1058 (Urgent appeals only)

Certain CT scans, MRIs, MRAs, PET scans and nuclear medicine studies, including nuclear cardiology

Online: UHCprovider.com/radiology

Phone: 1-866-889-8054

Online: UHCprovider.com/paan

Phone: 1-877-842-3210

Phone: 1-866-509-1593 or email RVITEDISolutions@uhc.com

Phone: 1-877-842-3210

Use UHCprovider.com and Link to perform secure transactions, check member eligibility and benefits, and manage claims and prior authorization requests.