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
Phone: 1-877-842-3210
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.