Here you will find the tools and resources you need to help manage your practice’s submission of claims and receipt of payments. Your primary UnitedHealthcare claims resource, the Claims capability on UnitedHealthcare Provider Portal, the gateway to UnitedHealthcare’s self-service tools.
Direct deposit and virtual card payments (VCP) information is available on Optum Pay, if you are enrolled.
If you are not satisfied with the outcome of a Claim Reconsideration Request, you may submit a formal Claim Dispute/Appeal using the process outlined in your provider manual.
Additional state requirements may apply. Please consult the applicable state Provider Administrative Guide or Manual for more details or contact the provider services center.
To view up to date claim reconsideration information go to UHCprovider.com/claims.
Member dental plan and benefit information can be found at UHCCommunityPlan.com/LA and myuhc.com.
Managed Care of North America is a premier dental benefits administrator that provides exceptional service to State Agencies and managed care organizations for Medicaid.
For benefits, claims, provider enrollment, direct deposit issues, demographic changes, NPI Information, etc., contact Managed Care of North America Customer Service at 1-855-701-6262.
Members over 21 will be provided routine dental exams, x-rays, cleanings, fillings and extractions with in-network providers limited to $500 per year.
For benefit and claims information, contact Customer Service at 1-866-675-1607.
Using Electronic Data Interchange (EDI) for all eligible UnitedHealthcare transactions can help your organization improve efficiency, reduce costs and increase cash flow. We encourage you to use the following tools and resources to help you get started with electronic transactions.
Fee Schedules are available from the State of Louisiana Department of Health & Hospitals.
Member vision plan and benefit information can be found at UHCCommunityPlan.com/LA and myuhc.com.
March Vision Care is the vision vendor for UnitedHealthcare and provides routine vision services which include:
For all other vision services please contact UnitedHealthcare Community Plan customer service at 1-866-675-1607.
March Vision Care is the vision vendor for UnitedHealthcare and provides routine vision services. Additional vision and services will be provided to complement the limited Medicaid vision benefit. Services include:
Note: Vision services performed by an Optometrist are reimbursable for routine and non-routine services. Claims must be submitted to March Vision Care for processing. This is due to the expanded scope of the services the Louisiana Board of Optometry now allows Optometrists to perform in the office setting.
Phone: 1-844-52-MARCH or 1-844-526-2724
Claims Processing Center
6701 Center Drive West, Suite 790
Los Angeles, CA 90045
A PRA is generated for every processed claim and includes relevant details about how the claim was processed.