How to contact, Oxford Commercial Supplement - 2022 UnitedHealthcare Administrative Guide

Commercial Products

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Mail:
UnitedHealthcare Grievance Review Board
P.O. Box 31387
Salt Lake City, UT 84131

Clinical & Medical Necessity Appeals:
Fax: 1-877-220-7537
Mail:
Oxford Clinical Appeals Department
P.O. Box 31388
Salt Lake City, UT 84131
Phone: 1-800-666-1353

Behavioral Health Appeals:
Mail:
Behavioral Health Appeals
P.O. Box 30512
Salt Lake City UT 84130-0512
Phone: 1-800-999-9585
Fax:
 1-855-312-1470

uhcprovider.com > Menu > Claims, Billing and Payments

Mail:  
UnitedHealthcare Grievance Review Board
P.O. Box 31387
Salt Lake City, UT 84131

Fax: 1-801-994-1058

Phone: 1-800-201-6991

  • Cardiac Catheterization
  • Echocardiogram
  • Stress Echocardiogram

Online: UHCprovider.com/priorauth Cardiology (available 24 hours a day)
Policies: uhcprovider.com/policies > For Commercial Plans > UnitedHealthcare® Oxford Clinical, Administrative and Reimbursement Policies
Phone (eviCore): 1-877-PREAUTH / 1-877-773-2884 (Monday–Friday, 7 a.m. – 7 p.m. ET)

 

Provider Services/Claims
Online: myoptumhealthphysicalhealth.com
Phone: 1-800-985-3293

EDI: Commercial Claims Payer ID: 06111
More information about EDI: optumpay.com/optumpay
You may also visit PNTdata.com to learn about a free submission tool that doesn’t require practice management software.
Online: UnitedHealthcare Provider Portal at uhcprovider.com > Sign In.
Information: uhcprovider.com/claims
Mail (paper claims):
UnitedHealthcare
Attn: Claims Department
P.O. Box 31386
Salt Lake City, UT 84131

EDI: Submit facility claim corrections electronically.
Online: UnitedHealthcare Provider Portal at uhcprovider.com > Sign In.
Information: uhcprovider.com/claims

EDI: 276/277
Claim Status Inquiry and Response transactions are available through your vendor or clearinghouse.
Online: uhcprovider.com > Menu > Claims, Billing and Payments
Phone: 1-800-666-1353 and say “Claims” when prompted. You may speak with a representative Monday–Friday, 8 a.m. - 6 p.m. ET.

Phone: 1-800-666-1353 (Monday–Friday, 8 a.m. – 6 p.m. ET)

Member of the Council for Affordable Quality Healthcare (CAQH)

Online: uhcprovider.com
Phone: 1-877-842-3210
New Jersey only:
Online:
State of New Jersey Department of Health: nj.gov/health or CAQH.org
Phone: Provider Services at 1-800-666-1353 or CAQH Support at 1-888-599-1771

Check status of referrals, pre-certifications and claims; member eligibility and benefits
Payer ID: 06111
Online:

Phone: 1-800-842-1109, Monday–Friday, 8:30 a.m. – 5 p.m. ET

EDI: 270/271 Eligibility and Benefits Inquiry and Response transactions are available through your vendor or clearinghouse.
Online: uhcprovider.com > Menu > Eligibility and Benefits
Voice Portal and Provider Services:
1-800-666-1353 (Say “Benefits and Eligibility” when prompted).
You may speak with a representative Monday–Friday, 8 a.m. - 6 p.m. ET.

Online: uhcprovider.com > Menu > Health Plans by State

Phone: 1-866-242-7727

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

Online: uhc.com/privacy
For additional information on granting remote access to your EMR system: emrcdsa@uhc.com.

Phone: 1-877-512-9340
Fax: 1-855-536-0491

EDI: Use your clearinghouse.
Online: uhcprovider.com > Menu > Prior Authorization and Notification
Phone:
1-800-666-1353
Fax: 1-800-303-9902

Phone: 1-800-666-1353

Locate participating laboratories:
Online: uhcprovider.com > Find Dr. > Preferred Lab Network

Information and Enrollment
Online:

Helpdesk: 1-877-620-6194

Online: uhcprovider.com/priorauth > Oncology

Phone: 1-800-201-4911

  • Available 24 hours per day
  • Staffed by registered nurses
  • Assistance for urgent and non-urgent medical problems, recommend an appropriate site of care

Phone: 1-800-788-4863
TTY/TDD: 1-800-498-5428
Available 24 hours per day

Phone: 1-800-711-4555
Available 24 hours per day

Provider Services: 1-877-369-7564
Online: myoptumhealthphysicalhealth.com
For claims submitted electronically: Payer ID 06111
Phone: 1-800-873-4575
Mail (paper claims):
UnitedHealthcare
Attn: Claims Department
P.O. Box 31386
Salt Lake City, UT 84131

OptumRx
P.O. Box 2975
Mission, KS 66201

EDI: Use your vendor or clearinghouse.
Online: uhcprovider.com/paan
Information: uhcprovider.com/priorauth
Phone: Provider Services 1-800-666-1353 (Monday–Friday, 8 a.m.- 6 p.m. ET)

EDI: Use your vendor or clearinghouse.
Online: uhcprovider.com/paan
Information: uhcprovider.com/priorauth
Phone: Provider Services 1-800-666-1353 (Monday–Friday, 8 a.m. – 6 p.m. ET).
Say “Precertification” when prompted.

Online: UnitedHealthcare Provider Portal at uhcprovider.com > Sign In

  • Go to the Prior Authorizations tool and select the Radiology, Cardiology, Oncology and Radiation Oncology box.
  • Select service type: Radiation Oncology and enter the member’s state and product details.
  • You will be directed to the Optum site to complete your request.

Fax: 1-888-242-8068
Mail:
UnitedHealthcare
Attn: Clinical Coverage Review
1300 River Drive, Suite 200
Moline, IL 61265
Phone: 1-888-397-8129 (Monday – Friday, 7 a.m. – 9 p.m. CT)

Online: uhcprovider.com/priorauth > Radiology (available 24 hours per day, 7 days per week)
Policies: uhcprovider.com/policies > For Commercial Plans > UnitedHealthcare® Oxford Clinical, Administrative and Reimbursement Policies
Phone (eviCore): 1-877-PREAUTH (1-877-773-2884) Monday–Friday, 7 a.m. – 7 p.m. ET

EDI: Use your clearinghouse or vendor.
Online: UnitedHealthcare Provider Portal at uhcprovider.com > Sign In
Information: uhcprovider.com > Menu > Referrals
Phone: Provider Services 1-800-666-1353 (Monday–Friday, 8 a.m. – 6 p.m. ET) 

Say “Referral” when prompted.

Phone: 1-800-666-1353
Mail: Physicians and other health care professionals send by certified mail, return receipt requested to:
UnitedHealthcare
Network Contract Support
Mail Route: TX023-1000
1311 W President George Bush Highway, Suite 100
Richardson, TX 75080-9870
Termination requests can be submitted in writing and emailed to ox_hpdemo@uhc.com.
Behavioral health providers only:
Phone:
1-877-614-0484