How to Contact River Valley - 2020 UnitedHealthcare Administrative Guide
How to Contact River Valley
Care providers who practice in Illinois, Iowa and Wisconsin may refer to the “Midwest” references in the following grid. Care providers who practice in Arkansas, Georgia, Tennessee and Virginia may refer to the “Southeast” references in the following grid.
How to Contact Us
- Diagnostic Catheterization
- Electrophysiology Implants
- Echocardiogram and Stress Echocardiogram
Online: Cardiology Prior Authorization and Notification
Phone: 866-889-8054
Initiate case management and utilization management.
- Congenital Heart Disease: The number on the back of the member’s healthcare ID card.
- Kidney Resource Services: The number on the back of the member’s healthcare ID card.
- Transplant Resource Services
- Fax: 855-250-8157
- Ventricular Assist Devices:
- Fax: 888-936-7246, prompt 2
EDI: Medical claims payer ID: 87726, Dental claims payer ID: 95378
Link: Claims (on Link)
Online: Claims, Payments & Billing (policies, instructions and tips)
Phone: 866-509-1593
Mail Paper Claims to:
UnitedHealthcare
P.O. Box 740800
Atlanta GA 30374-0800
Online: Claims, Billing & Payments > Submit a Corrected Claim, Claim Reconsideration / Begin Appeal Process
Refer to the Claim Reconsideration, Appeals Process and Resolving Disputes section in Chapter 9: Our Claims Process for more information, or:
Mail to:
UnitedHealthcare Appeals
P.O. Box 30432
Salt Lake City, UT 84130-0432
Fax: 801-938-2100
Phone: 800-369-2704, Option # 4 (Monday through Friday from 8 a.m - 4:30 p.m. CT)
Fax: 866-950-7759, Attn: CMT Coordinator
Email: MailWebCDM@uhc.com
- Online: EDI
- Help: EDI Technical Assistance
- Phone: 800-842-1109 (Monday through Friday from 7 a.m. – 9 p.m. CT)
Online:
- Electronic Payments & Statements
- Optumbank.com > Partners > Providers > Electronic Payments and Statements
- EPS tool on Link
Help Desk: 877-620-6194
EDI: Transactions 270 (Inquiry) and 271 (Response) through your vendor or clearinghouse
Online: UHCprovider.com/paan
Phone: 877-842-3210
Mail:
UnitedHealthcare
Attn: Clinical Coverage Review
1300 River Drive
Moline, IL 61265
Phone: 877-842-3210
Online: UHCprovider.com/pharmacy or professionals.optumrx.com
Phone OptumRx: 800-711-4555
Urgent Pharmacy Appeal Fax: 801-994-1058
Including preauthorization for certain DME. See Cardiology, Radiology, Inpatient Admissions, and End-of-Life Care, for specific contact information.
EDI: See EDI transactions and code sets. We accept EDI 278 submissions directly to UnitedHealthcare or through a clearinghouse.
Link: Use the Prior Authorization and Advance Notification tool at: Prior Authorization and Advance Notification tool
Online: Prior Authorization & Notifications section (policies, instructions and tips)
Phone: (Inpatient requests only) 877-842-3210, option 3, or the number on the back of the member’s ID card.
Fax: 801-994-1058 (Urgent Appeals Only)
- Online: Prior Authorizations & Notifications section, (policies, instructions and tips)
- Phone: (Inpatient requests only) 877-842-3210, option 3, or call the number on the back of the member’s ID card.
- Fax: 801-994-1058 (Urgent Appeals Only)
Certain CT scans, MRIs, MRAs, PET scans and nuclear medicine studies, including nuclear cardiology
Online: Radiology Prior Authorization and Notification
Phone: 866-889-8054
- Online: UHCprovider.com/paan
- Phone: 877-842-3210
Phone: 866-509-1593
Email: RVITEDISolutions@uhc.com
Phone: 877-842-3210
Use UHCprovider.com and Link to perform secure transactions, including checking member eligibility and benefits as well as managing claims and prior authorization requests.