Link and UHCprovider.com
- Policies: UHCprovider.com/policies > Commercial Policies
- Provider news and updates, such as the Network Bulletin
Note: You must register to access some of the features available to you. Go to UHCprovider.com/newuser.
Advance Notifications, Prior Authorizations, Admission Notifications
- Phone: 877-842-3210
- 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/priorauth
- Phone: United Voice Portal, 877-842-3210
- Fax: Only Admission Notifications to 844-831-5077.
Submit Advance Notifications and Prior Authorizations online or by calling 877-842-3210. See member’s health care ID card for specific service contact information.
Urgent Appeals
Fax:
Medical: 801-994-1083
Pharmacy: 801-994-1058
Standard Pre-Service Appeals
Address:
UnitedHealthcare
PO Box 30559
Salt Lake City, UT 84130
Fax:
Medical: 801-938-2100
Pharmacy: 801-994-1345
Prior authorization of cardiology services as described in the Outpatient Cardiology Notification/Prior Authorization Protocol section of this guide.
Online: UHCprovider.com/cardiology; select the Go to Prior Authorization and Notification App.
Phone: 866-397-8129
Quality Managed Healthcare, Inc.
Phone: 954-236-3143
Fax: 954-236-3254
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, please contact your vendor to enroll under Payer ID 87726. The health care ID card for members who have transitioned indicates payer ID 87726.
Link: UHCprovider.com/claimslink
Online: UHCprovider.com/claims (policies, instructions and tips)
Phone: 877-842-3210 (follow the prompts for status information)
Address:
UnitedHealthcare
P.O. Box 740800
Atlanta, GA 30374-0800
Online: UHCprovider.com/edi
Phone: 866-509-1593
- 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)
Online: UHCprovider.com/eligibility
EDI: Transactions 270 (Inquiry) and 271 (Response) through your vendor or clearinghouse
Phone: 877-842-3210
Orsini Health: 800-240-9572
ExpressScripts (Accredo): 855-315-3590
OptionCare (Walgreens) Infusion: 800-683-5252
Link: Use the Prior Authorization and Advance Notification tool at UHCprovider.com/paan.
Online: UHCprovider.com/Oncology > Commercial Intensity Modulated Radiation Therapy Program (program information)
Phone: 877-842-3210
(Disposable supplies, ostomy, urological, incontinence supplies)
Byram Medical: 877-902-9726
Edgepark Medical: 888-394-5375
Liberty Medical: 800-615-0714
Medline: 800-633-5463
McKesson: 855-404-6727
Optum Behavioral Health
Phone: 800-817-4705
Online: UHCprovider.com/oncology
Phone: 866-397-8129
Online: professionals.optumrx.com > Prior Authorizations
Prior Authorization: 800-711-4555
Special Pharmacy Customer Service: 888-739-5820
Phone: 800-873-4575
Fax: 248-733-6070
Foot and Ankle Network (FAN)
Phone: 305-558-1227
Fax: 305-557-3810
Prior Authorization and Advance Notification
EDI: Transactions (278A) and (278N).
Online: UHCprovider.com/paan
Phone: 877-842-3210 (if you do not have access to electronic services)
Prior authorization of radiology services as described in the Outpatient Radiology Notification/Prior Authorization Protocol section of this guide.
Online: UHCprovider.com/radiology
Phone: 866-889-8054
United Behavioral Health (UBH), operating under the brand Optum.
Phone: 800-817-4705
- Congenital Heart Disease: 877-842-3210
- Kidney Resource Services: 877-842-3210
- Ventricular Assist Devices: 877-842-3210 or fax 855-282-8929
- Transplant Resource Services: 877-842-3210 or fax 855-250-8157