Peoples Health is moving to UnitedHealthcare systems
Starting Jan. 1, 2024, Peoples Health network providers will use UnitedHealthcare tools and processes for most tasks, including claim submissions, EFT payments, prior authorization requests and appeal requests for Peoples Health patients.
For claims with dates of service before Jan. 1, continue to submit claims to Peoples Health as you do today
For claims with dates of service on or after Jan. 1, submit claims to UnitedHealthcare electronically using payer ID 87726 through the UnitedHealthcare Provider Portal
If you have a question about a claim with a 2023 date of service, reach out to your Peoples Health representative. If the claim is for a patient who was enrolled in a UnitedHealthcare Medicare Advantage plan in the state of Louisiana, continue to use the UnitedHealthcare standard service model.
You have the following 2 options to receive payments from UnitedHealthcare for 2024 dates of service:
Automated Clearing House (ACH)/Direct deposit: This option is preferred by most practices for its speed and efficiency in depositing claim payments directly into your bank account(s). Each payment is issued for the full amount of the claim payment, and there is no charge for the deposit.
Virtual card payment (VCP): This option processes as a credit transaction through the same terminal used for patient copays. Each payment is issued for the full amount of the claim payment. However, virtual card transactions are subject to additional terms and conditions, including fees, between you and your card service processor.
If you already have an EFT payment method set up with UnitedHealthcare for non-Peoples Health patients, that EFT payment method will be used for paying your Peoples Health claims with 2024 dates of service.
For claim reconsideration requests, appeals or disputes for dates of service before Jan. 1, Peoples Health will process the appeals. Continue to use existing Peoples Health processes and contact information for submitting the reconsiderations and appeals, as you have in the past.
For claim reconsideration requests, appeals or disputes for dates of service on or after Jan. 1, UnitedHealthcare will process the appeals. You must use UnitedHealthcare processes and contact information for submitting the appeals. For more information, review this online training presentation.
On Jan. 1, you’ll begin submitting prior authorization requests through the UnitedHealthcare Provider Portal: