How to Contact NHP - 2020 UnitedHealthcare Administrative Guide

Link and UHCprovider.com

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 

Lincare: 855-236-8277

Byram Medical: 877-902-9726

Edgepark Medical: 888-394-5375

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/Link

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

(Oxygen, CPAP, hospital beds, standard wheelchairs)

Apria: 855-613-8303

Lincare 855-236-8277

Rotech: 877-623-5272

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

Lincare: 855-236-8277

Byram Medical: 877-902-9726

Edgepark Medical: 888-394-5375

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: 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