January 1, 2021 at 12:00 AM CT

Applicable to all states except NC.

UnitedHealthcare Level Funded supplement

Applicability of this supplement

You are subject to both the main guide and this supplement. This supplement controls if it conflicts with information in the main guide. If there are additional protocols, policies or procedures online, you will be directed to that location. Refer to the main guide for anything not found in this supplement.

Starting Dec. 1, 2020, rolling out over the next 24-36 months, employer groups previously sold under the name All Savers®

Alternate Funding will now be sold under the new product name UnitedHealthcare Level Funded for the following states:

  • Alabama
  • Delaware
  • North Dakota
  • South Dakota

How to contact us

Diagnostic Catheterization, Electrophysiology Implants, Echocardiogram and Stress Echocardiogram

Online: UHCprovider.com/paan

Information: UHCprovider.com/cardiology

Phone: 1-866-889-8054

Request prior authorization for services as described in the Outpatient cardiology notification/prior authorization protocol section of Chapter 7: Medical management

Payer ID 87726

Online: UHCprovider.com/priorauth and select the specialty you need.

Online: UHCprovider.com/priorauth >  Oncology

Phone: 1-888-397-8129

Policies and instructions

Prior Authorizations:

1-800-711-4555

Benefit Information:

Call the number on the back of the ID Card.

For information on the Prescription Drug List (PDL), myallsavers.com

Online: UHCprovider.com/paan

Information: UHCprovider.com/priorauth (Policies and instructions)

Phone: 1-800-999-3404

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

Online: UHCprovider.com/paan

Information: UHCprovider.com/radiology

Phone: 1-866-889-8054

Request prior authorization for services as described in the Outpatient radiology notification/ prior authorization protocol section of Chapter 7: Medical management

Health plan ID card

Members receive health plan ID cards with information that helps you submit claims. The cards list the claims address, copayment information and phone numbers.

UHC cards

Our claims process

Follow these steps for fast payment:

  1. Notify UnitedHealthcare Level Funded.
  2. Prepare a complete and accurate claim form.
  3. For UnitedHealthcare Level Funded members, submit electronic claims using Payer ID number 87726. Submit paper claims to the address on the member’s ID card.
  4. For contracted care providers who submit electronic claims and would like to receive electronic payments and statements, call Optum Financial Services Customer Service line at 1-877-620-6194 or visit Optumbank.com > Partners > Providers.

Claim reimbursement (adjustments)

If you think your claim was processed incorrectly, call the number on the member’s ID card. If you find a claim where you were overpaid, send us the overpayment within 30 calendar days. If we find a claim was overpaid, payment is due within 30 calendar days.

If you disagree with our decision regarding a claim adjustment, you may appeal.

Claim reconsideration, appeals and disputes

Claim reconsideration does not apply to some states based on applicable state legislation (e.g. Arizona, California, Colorado, New Jersey or Texas). For states with applicable legislation, any request for dispute will follow the state specific process.

There is a two-step process available for review of your concern. Step one is a claim reconsideration. If you disagree with the outcome of the claim reconsideration, you may request a claim appeal (step two).