How to contact UnitedHealthcare West resources - 2021 UnitedHealthcare Administrative Guide
UHCprovider.com > scroll down to ‘Support and Privacy, Contact Us’> Health Plan Support by State.
Online:
Benefit Interpretation Policies: UHCprovider.com/policies > Commercial Policies> UnitedHealthcare West Benefit Interpretation Policies
Medical Management Guidelines: UHCprovider.com/policies > Commercial Policies >
EDI: Transaction 278
Online: UHCprovider.com/paan
Arizona and Colorado Medicare Advantage Phone: 1-800-746-7405
California, Oregon and Washington: SignatureValue, Medicare Advantage, direct contract network and medical group/IPA carve-out
Phone: 1-800-762-8456
Nevada Medicare Advantage Phone: 1-888-1-866-8297
Texas and Oklahoma: Medicare Advantage, SignatureValue Inpatient Notification/Utilization Management
Phone: 1-800-668-8139
To view the most current and complete Advance Notification List, including procedure codes and associated services, go to UHCprovider.com/priorauth
CT scans, MRIs, MRAs, PET scans and nuclear medicine studies, including nuclear cardiology
Online: UHCprovider.com/radiology; Go to Prior Authorization and Notification tool.
Phone: 1-866-889-8054
Request prior authorization of radiology services as described in Outpatient radiology notification/prior authorization protocol in Chapter 7: Medical Management.
Diagnostic Catheterization, Electrophysiology Implants, Echocardiogram and Stress CT scans, MRIs, MRAs, PET scans and nuclear medicine studies, including nuclear cardiology
Online: UHCprovider.com/radiology; Go to Prior Authorization and Notification tool.
Phone: 1-866-889-8054
Request prior authorization of radiology services as described in Outpatient radiology notification/prior authorization protocol in Chapter 7: Medical Management.
(Non-delegated) Inpatient includes: Acute Inpatient, Skilled Nursing Admission, Long-Term Acute Care,
Inpatient Rehabilitation Places of Service.
EDI: Transaction 278N
Online: UHCprovider.com/paan
Phone: 1-800-799-5252
Mental Health (Medicare Advantage): 1-800-508-0088
Transplant
Phone: 1-866-300-7736
Fax: 1-888-361-0502
Encounter Collection, Submission and Controls, including ERA/835 transactions
Password and user ID are not required to review and access EDI information on UHCprovider.com.
Online:
UHCprovider.com/edi > EDI Contact > EDI Transaction Support Form
Phone: 1-800-842-1109 (For UnitedHealthcare West ERA/835 questions, select option 4 and then option 2)
Email: supportedi@uhc.com
Payer IDs: UnitedHealthcare West encounters, 95958. For claims, the Payer ID is 87726.
For a complete list of Payer IDs, refer to the Payer List for Claims
(SignatureValue and Medicare Advantage Plans only) Have claims payments deposited electronically or make changes to an existing EFT enrollment
Online: UHCprovider.com/claims > Request Change to Electronic Funds Transfer (EFT) for UnitedHealthcare West > UnitedHealthcare West EFT Enrollment App Overview
Link: UnitedHealthcare West EFT tool on your Link dashboard
Email: paymentservicesuhcwest@uhc.com with questions about UnitedHealthcare West EFT.
EDI: Transactions 270 (Inquiry) and 271 (Response) through your vendor or clearinghouse
Online: UHCprovider.com/link
Information: UHCprovider.com/eligibility
(Follow prompts to access information)
Commercial and Medicare Advantage HMO/ MCO:
- California: 1-800-542-8789
- Arizona/Colorado/Nevada: 1-888-1-866-8297
- Oklahoma/Texas: 1-877-847-2862
- Oregon: 1-800-920-9202
- Washington MCO: 1-800-213-7356
(Applies only to Commercial UnitedHealthcare Signature Value HMO/MCO)
California, Oklahoma, Oregon, Texas, Washington
Mail:
Mailstop CA124-0160
P.O. Box 6107
Cypress, CA 90630
Phone:
- California: 1-800-624-8822
- Oklahoma/Texas: 1-800-825-9355
- Oregon/Washington: 1-800-932-3004
Fax: 1-866-704-3420
(Applies only to Commercial UnitedHealthcare SignatureValue HMO/MCO)
California Oklahoma, Oregon, Texas, Washington
Phone: 1-888-277-4232
Fax: 1-800-346-0930
(medical or pharmacy appeals)
Fax: 1-800-346-0930
Commercial products: UHCprovider.com UHCprovider.com/specialtyrx UHCprovider.com/pharmacy
Medicare products: UHCMedicareSolutions.com > Our Plans > Medicare Prescription Drug Plans
Phone: 1-800-711-4555
See member’s ID card for carrier information and contact numbers.
View the member’s health care ID when you verify eligibility on UHCprovider.com
(applies only to commercial products in California)
Online: UHCprovider.com > UnitedHealthcare Links (scroll to bottom right) > Language Assistance
Phone: 1-800-752-6096
Phone: 1-877-840-4085
Fax completed referral form to: 1-877-406-8212