How to contact NHP, Neighborhood Health Partnership supplement - 2022 UnitedHealthcare Administrative Guide

Expand All add_circle_outline

Where to go: 

Where to go: 

  • EDI: See EDI transactions and code sets on uhcprovider.com/edi
  • We accept EDI 278 submissions directly to UnitedHealthcare or through a clearinghouse. Be sure to include the CPT codes for your request.
  • Online: uhcprovider.com/paan 
  • Phone: 1-877-842-3210
  • See member’s ID card for specific service contact information.


Where to go: 

  • Urgent appeals fax:
    Medical: 1-801-994-1083
    Pharmacy: 1-801-994-1058
  • Standard appeals address:
    UnitedHealthcare
    P.O. Box 30559
    Salt Lake City, UT 84130
  • Standard appeals fax:
    Medical: 1-801-938-2100
    Pharmacy: 1-801-994-1345

 

Where to go: 

Request prior authorization of cardiology services as described in the Outpatient cardiology notification/prior authorization protocol section of this guide.

  • Diagnostic catheterization
  • Electrophysiology implants
  • Echocardiogram
  • Stress echocardiogram

Where to go: 

Where to go: 

  • ALIVI
    3511 NW 91st Ave.
    Doral, FL 33172
    (Address ID 003138529)
  • Phone: 1-786-441-8500
  • Fax: 1-305-675-2353


Where to go: 

  • EDI: uhcprovider.com/edi (Payer ID: 87726)
  • The ERA Payer ID number is also changing to 87726. If you would like to receive 835 ERA files for NHP, or if you currently receive 835 ERA files for NHP under Payer ID 95123 or 96107, contact your vendor to enroll under Payer ID 87726. The health plan ID card for members who have transitioned indicates Payer ID 87726.
  • Online: UnitedHealthcare Provider Portal at uhcprovider.com > Sign In. Then, select Claims & Payments from the menu.
  • Information: uhcprovider.com/claims (policies, instructions and tips)
  • Phone: 1-877-842-3210 (follow the prompts for status information)

 

Where to go: 

UnitedHealthcare
P.O. Box 740800
Atlanta, GA 30374-0800

(Oxygen, CPAP, hospital beds, standard wheelchairs)

Where to go: 

Where to go: 

  • Verify primary care physician
  • Verify eligibility and benefits
  • Check claim(s) status
  • Obtain status of referrals
  • Office visit copay
  • Inpatient copay
  • Prescription drug copay (if applicable)

Where to go:

  • EDI: Transactions 270 (Inquiry) and 271 (Response) through your vendor or clearinghouse
  • Online: UnitedHealthcare Provider Portal at uhcprovider.com > Sign In. Then, select Eligibility from the menu.
  • Phone: 1-877-842-3210

Where to go: 

Where to go: 

Where to go: 

  • MiniMed Distribution Group (Medtronic): 1-800-933-3322 minimed.com

 

Where to go: 

Where to go: 

  • Phone: 1-800-817-4705

Where to go: 

Where to go: 

  • Online: professionals.optumrx.com > Prior Authorizations
  • Prior Authorization: 1-800-711-4555
  • Specialty Pharmacy Customer Service: 1-888-739-5820

Where to go: 

  • Phone: 1-800-873-4575
  • Fax: 1-248-733-6070

Where to go: 

  • ALIVI
    3511 NW 91st Ave.
    Doral, FL 33172
    (Address ID 003138529)
  • Phone: 1-786-441-8500
  • Fax: 1-305-675-2353

Where to go: 

Request prior authorization of radiology services as described in the Outpatient radiology notification/prior authorization protocol section of this guide.

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

Where to go: 

Where to go: 

  • Online: UnitedHealthcare Provider Portal at uhcprovider.com > Sign In.
    • Select the Submission and Status link under the Radiology, Cardiology and Radiation Oncology section.
    • Select service type: Radiation Oncology
  • Phone: 1-877-842-3210
  • Information: uhcprovider.com/oncology > Radiation Therapy Services

Where to go: 

  • Optum
  • Phone: 1-800-817-4705

Where to go: 

  • Congenital Heart Disease: 1-877-842-3210
  • Kidney Resource Services: 1-877-842-3210
  • Ventricular Assist Devices: 1-877-842-3210 or fax 1-855-282-8929
  • Transplant Resource Services: 1-877-842-3210 or fax 1-855-250-8157