Hawaii Health Plan Support

Phone Number: 877-842-3210

• Advance Notification, Prior Authorization and Admission Notification
• Fraud, Waste and Abuse (Report Potential Non-Compliance or Suspected Issues)
• Outpatient Radiology Notification & Authorization - Submission and Status
• Provider Relations (For Free-Standing Skilled Nursing Facility)

What You Can Do When Calling this Number:

• Inquire about a Customer’s eligibility or benefits (including copayments, deductibles, past/current coverage, coinsurance, and out-of-pocket information) and obtain a faxed confirmation.
• Check claim status, reason code explanation and claim spending and mailing addresses.
• Update facility/practice demographic data (except TIN).
• Check credentialing status or request for participation inquiries.
• Check appeal or claim project submission process information.
• Check care notification process information.
• Check privacy practice information.
  

Phone Number: 866-889-8054

What You Can Do When Calling this Number:

• Cardiology Notification & Authorization Submission and Status
• Chemotherapy (Injectable) Prior Authorization Program
• Therapeutic Radiation Prior Authorization (IMRT, SRS, and SBRT) (For services to Medicare Advantage Customers only)
  

Phone Number: 800-873-4575

What You Can Do When Calling this Number:

• Chiropractic, Physical Therapy, Occupational Therapy, and Speech Therapy Providers contracted with OptumHealth Physical Health, a UnitedHealth Group company
  

Pharmacy Services (For services to Commercial Customers and Medicare Advantage Customers)

Phone Number: 800-711-4555

• OptumRx Fax (non-specialty medications): 800-527-0531
• OptumRx Fax (specialty medications): 800-853-3844

Urgent Appeal Submission (Commercial Customers Only)

Phone Number: 866-842-3278, Option 1 

United Behavioral Health - ProviderExpress.com

• For information to support member behavioral health services including depression, alcohol and substance abuse disorders, visit ProviderExpress.com
• 866.342.6892 - 24/7 mental health and substance use support line

UnitedHealthcare Dental - UHCdental.com

• Phone Number: 800.822.5353
• Website: UHCdental.com 

Medicare and Medicaid Plans Provider Call Center:             888-980-8728

• Prior Authorization
• Prior Authorization Fax: 800-267-8328
• Claims Address

UnitedHealthcare CommunityPlan
Quest Integration
P.O. Box 31365
Salt Lake City, UT 84131-0365
Payer ID#: 87726 (EDI Claims Submission)

• Behavioral Health
  • Prior Authorization Fax: 877-840-5581
  • Claims Address:

Optum
P.O. Box 30757
Salt Lake City, UT 84130-0757
Payer ID#: 87726 (EDI Claims Submission)

• Pharmacy
  • Prior Authorization Phone: 800-310-6826
  • Prior Authorization Fax: 866-940-7328
  • Help Desk Phone: 800-797-9791
  • Bioscrip-Specialty Drug Phone: 800-584-0265

UnitedHealth Premium Designation Program Provider Call Center:    866-270-5588