payer id 87726 claims mailing address

13162. Eligibility & Benefits Verification (in 2 business days), EAP / Medicare / Medicaid / TriCare Billing, Month-by-Month Contract: No risk trial period. We partner with MDX and Optum to help manage the credentialing process. Payer ID is only for claims with mailing address of: PO Box 2602 Fort Wayne IN 46801. by | Oct 29, 2021 | peter hughes escape to the country | pinocchio's london road sheffield menu | Oct 29, 2021 | peter hughes escape to the country | pinocchio's london road sheffield menu 134 0 obj UnitedHealthcare. 2023 UnitedHealthcare | All Rights Reserved, Welcome to the Home for Care Provider Resources, UnitedHealthcare Community Plan of Hawaii Homepage, Bulletins and Newsletters | UnitedHealthcare Community Plan of Hawaii, Claims and Payments | UnitedHealthcare Community Plan of Hawaii, Pharmacy Resources and Physician Administered Drugs | UnitedHealthcare Community Plan of Hawaii, Prior Authorization and Notification | UnitedHealthcare Community Plan of Hawaii, Provider Forms and References | UnitedHealthcare Community Plan of Hawaii, Provider Training | UnitedHealthcare Community Plan of Hawaii, UnitedHealthcare Dual Complete Special Needs Plans, Sign in to the UnitedHealthcare Provider Portal, Health plans, policies, protocols and guides, The UnitedHealthcare Provider Portal resources, Member Information: Current Medical Plans, ID Cards, Provider Directories, Dental & Vision Plans, Hawaii QUEST Integration Quick Reference Guide, Care Conductor in the UnitedHealthcare Provider Portal, Reporting Health Care Fraud, Waste and Abuse, Learn more about the Dual Special Needs Program, Medicare Advantage-Dual Special Needs Program (MA-DSNP): 1-866-622-8054. All behavioral health providers should submit claims to Optum.Optum provider Service: 844-451-3520Payer ID: 87726Paper Claims: PO Box 30757, Salt Lake City, UT 84130-0757Visit theOptum Provider Express Portal for more information and to check member eligibility. Optum Provider Provider Phone Number: (800) 888-2998, United Behavioral Health Provider Phone Number: (800) 888-2998. View our Payer List for ERA Payer List for ERA to determine the correct Payer ID to use for ERA/835 transactions. Box 31365 EDI is the preferred method of claim submission for participating physicians and health care providers. For more training and educational resources, please clickhere. After your report is made, we will work to detect, correct and prevent fraud, waste, and abuse in the health care system. 110 0 obj (freestanding), 2023 UnitedHealthcare | All Rights Reserved, Healthcare Provider Administrative Guides and Manuals, Empire Plan supplement - 2022 Administrative Guide, Prior authorization and notification requirements, Sign in to the UnitedHealthcare Provider Portal, Health plans, policies, protocols and guides, The UnitedHealthcare Provider Portal resources. Members must have Medicaid to enroll. hbbd``b`V H0qH^ t@vqHpG ^ !d Always call each insurance company and ask directly. Formulary Information: uhccommunityplan.com/hi.html, Reservations: 1-866-475-5744 United Healthcare Community Plan - Payer 87726. Every provider we work with is assigned an admin as a point of contact. In some cases, you might not bill the correct payer. 2 0 obj Hawaii: Registration requirement for Medicaid providers. PO Box 30997 This can lead to denial or even claim rejections. Claims Address For All UHC, UBH, and Optum P.O. Salt Lake City, UT 84130-0769. You want to know you can call your billing admin, a real person you've already spoken with, and get immediate answers about your claims. A payer ID is a unique ID thats assigned to each insurance company. TTY (Heaing Impaired): 1-866-288-3133. Below are some payer ID updates to make note of and update. For Grievances & Appeals Department United States, ensure your collection rate is always high, uncover your revenue cycle leaks and gain insights instantly, Electronic payment posting in nuemd billing, How can i compare physician fee schedule for 2016 vs 2015, Simple steps for Secondary Claims Process through eclinicalworks EMR, How to manage payment posting in eClinicalWorks. Rad Power Bikes Radrunner, 205. If you dont get one, you may follow-up on the status of a claim using one of the following methods: Mail paper CMS 1500 or UB-04s to the address listed on the members ID card. Payer ID 87726 Claims Mailing Address: UnitedHealthcare Community Plan P.O. 39190. A Payer ID is the assigned code that identifies and directs the electronic (EDI) submission of a claim to the correct payer and claim payment system. (7 days ago) WebUMR- Claim Appeals P.O. If a member has or develops ESRD while covered under an employers group benefit plan, the member must use the benefits of the plan for the first 30 months after becoming eligible for Medicare due to ESRD. Schedule a Demo. The following outlines Empire Plan specific contact information that may differ from the standard contacts and tools outlined earlier in this Guide. Submit all professional and institutional claims and/or encounters electronically for UnitedHealthcare West and Medicare Advantage HMO product lines. SUBSCRIBER BROWN Payer ID: 87726. Salt Lake City, UT 84131-0365 After credentialing is complete, UnitedHealthcare Community Plan will send you a Participation Agreement (contract) through a secure application called DocuSign. We're here to help. This payer id is valid for all claims addresses on UMR member ID cards with a listed payer id of 31107 . AGIA Inc (Claims are printed and mailed to the payer.) We will accept NPIs submitted through any of the following methods: Claims are processed according to the authorized level of care documented in the authorization record, reviewing all claims to determine if the billed level of care matches the authorized level of care. %%EOF Contact; Search; learn luxembourgish book pdf Menu Menu; payer id: 39026 claims address November 13, 2022 . When checking eligibility for Mass General Brigham Health Plan members, remember to search by. Claims information For billing purposes, Medicare should be listed as the member's primary coverage and Medicare Balance as their secondary coverage. Only covered services are included in the computation of the reinsurance threshold. Appendix A . If you would like to change your settings or withdraw consent at any time, the link to do so is in our privacy policy accessible from our home page.. Payer List; Contact Us; Forgot Username; Forgot Password; Schedule a Demo (855) 757-6060 We use industry claims adjudication and/or clinical practices; state and federal guidelines; and/or our policies, procedures and data to determine appropriate criteria for payment of claims. hb``d``fb`a`fa@ f(Y&00a` 830j_` v!7C WqB~0uI Hp8Xfr1p> n%sE,I\Tv@ 5 Information: uhcprovider.com/claims(policies, instructions and tips), Mail: UnitedHealthcare Learn what we do to ensure your collection rate is always high, Check how you can uncover your revenue cycle leaks and gain insights instantly, Sign up now and take control of your revenue cycle today, 400, Wittman Drive In some cases, the Payer ID listed on uhcprovider.com/edi may be different from the numbers issued by your clearinghouse. PCP Phone: (999) 999-9999. . A new contract will not be issued. Payer ID#: 87726 (EDI Claims Submission), Fax: 1-877-840-5581 113 Interim Continuing Claim: Pay contracted per diem for each authorized bed day billed on the claim (lesser of billed or authorized level of care, unless the contract states otherwise). But its important to do your due diligence to ask if you are in network for all of these plans. 11. I cannot capture in words the value to me of TheraThink. [/PDF /Text /ImageB /ImageC /ImageI] The following date stamps may be used to determine date of receipt: Note: Date stamps from other health benefit plans or insurance companies are not valid received dates for timely filing determination. Find out More <> You can do this by calling them at the above phone numbers. The first, complete practice management system thats priced to fit your size. Phone: (877) 801-3507. Please show the card when you see your provider. If you do not have the member ID card and need to confirm the correct payer ID, you can either log in to Medica's provider portal and check eligibility under Electronic Transactions or contact the Provider Service Center at 1-800-458-5512. For information on EDI claim submission methods and connections, go to EDI 837: Electronic Claims. The Payer ID for electronic claims submission is 84146 for medical claims; however, effective June 1, 2021, there is a new mailing address for paper claims: VHA Office of Community Care ATTN: CHAMPVA Claims O. Call us at1-844-359-7736or visituhc.com/fraud to report any issues or concerns. Payer ID: 41161; Electronic Services Available (EDI) Professional/1500 Claims: YES: Institutional/UB Claims: YES: Electronic Remittance (ERA) YES: Secondary Claims: YES: This insurance is also known as: American Chiropractic Network ACN . 399 Revolution Drive, Suite 810 Somerville, MA 02145 . Medicaid (applies only to MA): Follow the instructions in the Member Financial Responsibility section of Chapter 11: Compensation. The Optum payer ID is 87726. My daily insurance billing time now is less than five minutes for a full day of appointments. Find instructions and quick tips for EDI on uhcprovider.com/edi. Payer Information United Health Care Payer ID: 87726 This insurance is also known as: United Healthcare Community Plan of North Carolina American International Group Inc AIG Capital Community Health Plan Evercare UNITED HEALTHCARE UNITEDHEALTHCARE UHC RITECARE UHC RHODY HEALTH PARTNERS UHC UBH United Behavioral Health Box 30760, Salt Lake City, UT 84130-0760Visit theOptum Provider Express Portalfor more information and to check member eligibility. Box 30783, Salt Lake City, UT 84130-0783. NEW M ENGLISH Payer ID: 87726 PCP Name: DOUGLAS GETWELL PCP Phone: (717)851-6816 . In joining our network, youll become part of a group of physicians, health care professionals and facilities who share our commitment to helping people live healthier lives and making the health care system better for everyone. endstream The best way for primary care providers (PCPs) to view and export thefull member roster is using the CommunityCare tool, which allows you to: For help using CommunityCare, please see ourQuick Reference Guide. . Step 6: Click Save. MERITAIN HEALTH MINNEAPOLIS. 165 0 obj Review our Quick Start Guide for the most recent checklist. For claims, the Payer ID is 87726. When checking eligibility for Mass General Brigham Health Plan members, remember to search bynameanddate of birth. When Medicare is the primary payer, and will not cover your services, call the Plan at 703-729-4677 or 888-636-NALC (6252) to obtain benefits. Also, Medicare Balance pays the entire balance on member deductibles and coinsurance costs for services charged at the Medicare-allowed amount. Phone: Call the number listed on the back of the member ID card. If your claim is the financial responsibility of a UnitedHealthcare West delegated entity (e.g., PMG, MSO, Hospital), then bill that entity directly for reimbursement. Aetna Claims Address for Mailing and Insurance Phone Numbers for provider and Member . Medical Claim Address: P.O. P.O. https://www.uhcprovider.com/content/dam/provider/docs/public/resources/edi/Payer-List-UHC-Affiliates-Strategic-Alliances.pdf, https://access.emdeon.com/PayerLists/?_ga=2.222729886.401040687.1571891078-551720015.1570553144, https://www.experian.com/content/dam/marketing/na/healthcare/payer-lists/claims-and-remits-payer-list.pdf, BILLING MISTAKES PART II JULY BULLETIN , ICD-10 News on Implementation of ICD-10 | PGM Billing, January 2023 Bulletin: Billing Reminders Part 2: Secondary Payers, January 2023 Bulletin: Billing Reminders Part 1 Eligibility & Benefits, December 2022 Bulletin COVID-19 Vaccine Updates. Dont be so confused to know about claims submission to UHC. These are also theresources to call if you have a question or want tocheck the status of your application. OptumInsight Connectivity Solutions, UnitedHealthcares managed gateway, is also available to help you begin submitting and receiving electronic transactions. P.O. Resubmit claims in the UnitedHealthcare Provider Portal at uhcprovider.com > Sign In > Claims & Payments. You can check claims and eligibility 24/7 on our secure provider portal. If youre not familiar with our portal, go to UHCprovider.com/portal. 84130-0755. Mass General Brigham Health Plan billing information:Mass General Brigham Health Plan Provider Service: 855-444-4647Payer ID: 04293Paper Claims: PO Box #323 Glen Burnie, MD 21060. Save my name, email, and website in this browser for the next time I comment. Payer ID: 87726 endstream 0 Mass General Brigham Health Plan network providers in all states and non-contracted providers in Massachusetts should submit claims directly to Mass General Brigham Health Plan. The following process increases efficiencies for both us and the hospital/SNF business offices: You shall cooperate with our participating health care providers and our affiliates and agree to provide services to members enrolled in benefit plans and programs of UnitedHealthcare West affiliates and to assure reciprocity with providing health care services. Five most Workers Compensation Mistakes to Avoid in Maryland. Payer ID#: 87726 (EDI Claims Submission), Prior Authorization Phone:1-800-310-6826 Please note: YOU ARE NOT ON THE UHC WEBSITE. Step 4: Add the new Medica IFB Group (BEGINS 1/1/2021) payer to the client. Enrollment in UnitedHealthcare West EFT currently applies to payments from SignatureValue and MA plans only. United Behavioral Health Provider Phone Number: (800) 888-2998 If you want to never have to make these sorts of calls, consider our billing service for help. <>stream payer id 95440 87726 N N/A P O Box 6108 Lafayette IN 47903 ASRM CORP ASRM1 N N/A A Submit paper claims to the address on the back of the member ID card. 11 0 obj Others can be found online: Change Healthcare: https://access.emdeon.com/PayerLists/?_ga=2.222729886.401040687.1571891078-551720015.1570553144, Experian Health: https://www.experian.com/content/dam/marketing/na/healthcare/payer-lists/claims-and-remits-payer-list.pdf. 71412 E UNITED OF OMAHA ALL CLAIM OFFICE ADDRESSES 87726 E . He co-founded a mental health insurance billing service for therapists called TheraThink in 2014 to specifically solve their insurance billing problems. Claims Mailing Address: UnitedHealthcare Community Plan P.O. The Hawaii Department of Human Services (DHS)/Med-QUEST Division (MQD) requires all care providers who serve QUEST members to register with the new MQD provider enrollment system, HOKU. Free Account Setup - we input your data at signup. For UnitedHealthcare West encounters, the Payer ID is 95958. payer id: 87726 claims address. The consent submitted will only be used for data processing originating from this website. For billing purposes, Medicare should be listed as the member's primary coverage and Medicare Balance as their secondary coverage. To bill the claim you need the claims mailing address or the Payor -ID, For paper submission, you can use the physical mailing address for Electronic submission you can use the Payer ID. If the billed level of care is at a lower level than authorized, we pay you based on the lower level of care, which was determined by you to be the appropriate level of care for the member. Online: UnitedHealthcare Provider Portal at uhcprovider.com > Sign In. We and our partners use cookies to Store and/or access information on a device. These SNP plans provide benefits beyond Original Medicare, and may include transportation to medical appointments and vision exams. Optum EAP. PPO Plus Plans include access to the UnitedHealthcare Options PPO network. Follow the instructions in the Overpayments section of Chapter 10: Our claims process. Box 30755 Salt Lake City UT 841300755. TheraThink.com 2023. If UHG policies conflict with provisions of a state contract or with state or federal law, the contractual / statutory / regulatory provisions shall prevail. Honolulu, HI 96813 Refer to the Prompt Claims Processing section of Chapter 10: Our claims process, for more information about electronic claims submission and other EDI transactions. Medica Claim Submission and Product Guidelines Select the appropriate Payer ID below to view Medica claim submission and product guidelines for each plan. Applicable eligible member copayments, coinsurance, and/or deductible amounts are deducted from the reinsurance threshold computation. Paper Submission to United Healthcare In case of claims paper submission to United Healthcare, you will need UHC claims mailing address. One of the most popular insurance in medical billing is United Healthcare. 1070. PAYER ID 87726 . The calendar day we receive a claim is the receipt date, whether in the mail or electronically. Box 30783, Salt Lake City, UT 84130-0783, Providers in Massachusetts and New Hampshire:Mass General Brigham Health PlanProvider Service: 855-444-4647Payer ID: 04293Paper Claims: PO Box #323, Glen Burnie, MD 21060Providers outside of Massachusetts and New Hampshire:UnitedHealthcare Shared ServicesVisithttps://uhss.umr.comor 866-683-6441Payer ID: 39026, Group ID: 78800215Paper Claims: P.O. ForMembers: 1-866-675-1607 TTY 711 NurseLine: 1-877-440-9409 TTY 711 . Fax: 888-905-9492. December 2022 Bulletin Its Deductible Season! 2023 UnitedHealthcare | All Rights Reserved, Healthcare Provider Administrative Guides and Manuals, Claims process - 2022 Administrative Guide, UnitedHealthcare West supplement - 2022 Administrative Guide, UnitedHealthcare West information regarding our care provider website - 2022 Administrative Guide, How to contact - 2022 Administrative Guide, Health care provider responsibilities - 2022 Administrative Guide, Utilization and medical management - 2022 Administrative Guide, Hospital notifications - 2022 Administrative Guide, Pharmacy network - 2022 Administrative Guide, Health care provider claims appeals and disputes - 2022 Administrative Guide, California language assistance program (California commercial plans) - 2022 Administrative Guide, Member complaints and grievances - 2022 Administrative Guide, California Quality Improvement Committee - 2022 Administrative Guide, Level-of-care documentation and claims payment, Sign in to the UnitedHealthcare Provider Portal, Health plans, policies, protocols and guides, The UnitedHealthcare Provider Portal resources, Requirements for complete claims and encounter data submission, How to contact UnitedHealthcare West resources. To see updated policy changes, select the Bulletin section at left. 31147. Payer ID: 36273; Electronic Services Available (EDI) Professional/1500 Claims: YES: Institutional/UB Claims: YES: Eligibility: YES: Prime: Electronic Remittance (ERA) YES: ERA Enrollment Required: Secondary Claims: YES: This insurance is also known as: . All of these companies use the same Payer ID to file claims (87726), so they all end up in the same place at the end of the day. We and our partners use data for Personalised ads and content, ad and content measurement, audience insights and product development. Innovations from Mass General Brigham Health Plan, Medical: Mass General Brigham Health Plan network and non-contracted providers in Massachusetts, Medical: Non-contracted providers outside of Massachusetts. After the 30 months elapse, Medicare is the primary payer. The following outlines Empire Plan specific contact information that may differ from the standard contacts and tools outlined earlier in this Guide. What Is A Payer Id. It is always encouraged to send the claim to the correct department. When checking eligibility for Mass General Brigham Health Plan members, remember to search bynameanddate of birth. AllWays Health PartnersProvider Manual Appendix A Contact Information . 1102 0 obj If any member who is enrolled in a benefit plan or program of any UnitedHealthcare West affiliate, receives services or treatment from you and/or your sub-contracted health care providers (if applicable), you and/or your subcontracted health care providers (if applicable), agree to bill the UnitedHealthcare West affiliate at billed charges and to accept the compensation provided pursuant to your Agreement, less any applicable copayments and/or deductibles, as payment in full for such services or treatment. In addition, when submitting hospital claims that have reached the contracted reinsurance provisions and are being billed in accordance with the terms of the Agreement and/or this supplement, you shall: Indicate if a claim meets reinsurance criteria. Does blue cross blue shield cover shingles vaccine? United Healthcare Claims Address with Payer ID List. Box 31362, Salt Lake City, UT 84131-0362 For Pharmacists 1-999-999-9999 Pharmacy Claims OptumRx P.O. Need access to the UnitedHealthcare Provider Portal? Does united healthcare community plan cover chiropractic treatments? If youd like to skip the pain that is insurance billing, reach out! 114 Interim Last Claim: Review admits to discharge and apply appropriate contract rates, including per diems, case rates, stop loss/outlier and/or exclusions. So, you don't have to collect any out-of-pocket fees from your patients. Learn how to offload your mental health insurance billing to professionals, so you can do what you do best. %PDF-1.7 % If covered services fall under the reinsurance provisions set forth in your Agreement with us, follow the terms of the Agreement to make sure: If a submitted hospital claim does not identify the claim as having met the contracted reinsurance criteria, we process the claim at the appropriate rate in the Agreement. You free me to focus on the work I love!. Payer ID numbers and addresses for submitting medical and behavioral health claims. 108 0 obj Clearing houses like Availity, Trizetto, way star allows this ID. CLAIM.MD | Payer Information | WellMed Payer Information WellMed Payer ID: WELM2 This insurance is also known as: WMMI Wellcare WellMed Medical Management, Inc. WELLMED NETWORKS, INC. UHC Medicare Advantage Other ID's: TH023 Need to submit transactions to this insurance carrier? For institutional claims, include the billing provider National Uniform Claim Committee (NUCC) taxonomy. Source: https://www.uhcprovider.com/content/dam/provider/docs/public/resources/edi/Payer-List-UHC-Affiliates-Strategic-Alliances.pdf. e Mass General Brigham Health Plan network and the UnitedHealthcare Options PPO network outside of Massachusetts. startxref Steps to getting contracted plus plan information, Phone numbers and links for connecting with us, List of contracted, high-quality independent lab providers, Update, verify and attest to your practice's demographic data, Provider search for doctors, clinics and facilities, plus dental and behavioral health, Policies for most plan types, plus protocols, guidelines and credentialing information, Specifically for Commercial and Medicare Advantage (MA) products, Pharmacy resources, tools, and references, Updates and getting started with our range of tools and programs, Reports and programs for operational efficiency and member support, Resources and support to prepare for and deliver care by telehealth, Tools, references and guides for supporting your practice, Log in for our suite of tools to assist you in caring for your patients. You can call, text, or email us about any claim, anytime, and hear back that day. You shall comply with the procedures established by the UnitedHealthcare West affiliate and this Agreement for reimbursement of such services or treatment. Here is the answer! startxref MedStar Family Choice. hbbd```b``f If you do not submit clean claims within these time frames, we reserve the right to deny payment for the claim(s). What kind of cases do personal injury lawyers handle? Were here to help! All Rights Reserved. View our policy. Gone are days when you had to send medical claims through paper on insurance mailing address. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); United Healthcare Claims Address and Payor id List of 2022. Customer Service Questions. Credentialing is required for all licensed independent practitioners and facilities to participate in the UnitedHealthcare network. If you want to never have to make these sorts of calls, consider our billing service for help. Bioscrip-Specialty Drug Phone: 1-800-584-0265 Payer ID: 87726 Paper claims: Mail claims to the address on the back of the member's ID card. HIPAA standardized both medical and non-medical codes across the health care industry and under this federal regulation, local medical service codes must now be replaced with the appropriate Healthcare Common Procedure Coding System (HCPCS) and CPT-4 codes. Help Desk Phone:1-800-797-9791 Thanks. Box 2388, Stow, OH 44224 . Box 30783, Salt Lake City, UT 84130-0783. Health Plan (80840):911-87726-04 Member ID:9999999-99 Group Number: HCFAH4 Member: SUBSCRIBER BROWN PLAN CODE: R9Q PCP Name: PROVIDER BROWN Payer ID: LIFE1 PCP Phone: (999) 999-9999 MEDICAL NETWORK NAME H0609 PBP# 027 610097 SHCO 9999 RxBin: RxPCN: RxGrp: AARP MedicareComplete Plan 2 (HMO) Copay: PCP $0 ER $75 Spec $25 payer id: 87726 claims address. %PDF-1.7 Paper Claims: PO Box #323, Glen Burnie, MD 21060. <> <>/Filter/FlateDecode/ID[]/Index[108 58]/Info 107 0 R/Length 116/Prev 367629/Root 109 0 R/Size 166/Type/XRef/W[1 2 1]>>stream For a complete list of Payer IDs, refer to the Payer List for Claims. Intake / Evaluation (90791) Billing Guide, Evaluation with Medical Assessment (90792). PO Box 30757 Salt Lake City, UT 84130-0757 . Payer ID: 87726 Paper Claims: Please mail claims to: UnitedHealthcare Community Plan of North Carolina P.O. endobj PGMs current client base encompasses the full spectrum of medical specialties, including Internal Medicine, Dermatology, Plastic & Reconstructive Surgery, Pathology, EMS & Ambulatory Services, Cardiology, Nephrology, Urology, Pain Management, OB/GYN, Gastroenterology, Independent Laboratory, and many more. When does health insurance expire after leaving job? It's everything you need to run your business. Insurance Reimbursement Rates for Psychotherapy, Insurance Reimbursement Rates for Psychiatrists, Beginners Guide To Mental Health Billing, https://www.uhcprovider.com/content/dam/provider/docs/public/resources/edi/Payer-List-UHC-Affiliates-Strategic-Alliances.pdf, Inquire about our mental health insurance billing service, offload your mental health insurance billing, UnitedHealthcare / All Savers Alternate Funding, UnitedHealthcare of the Mid-Atlantic, MD IPA, Optimum Choice and MAMSI Life and Health (formerly MAMSI), UnitedHealthcare Plan of the River Valley (formerly John Deere Healthcare), UnitedHealthcare Shared Services (formerly UHIS), UnitedHealthcare West / UnitedHealthcare of CA, OK, OR, TX, WA and PacifiCare of AZ, CO, NV, UnitedHealthcare West / Encounters (formerly PacifiCare), UnitedHealthcare Life Insurance Company (formerly American Medical Security), UnitedHealthcare Life Insurance Company Golden Rule, OptumHealth Behavioral Solutions (formerly United Behavioral Health and PacifiCare Behavioral Health), OptumHealth Complex Medical Conditions (CMC) (formerly OptumHealth Care Solutions and United Resource Networks), OptumHealth Physical Health includes Oxford, UnitedHealthcare Community Plan / AZ, Long Term Care, Childrens Rehabilitative Services (CRS), UnitedHealthcare Community Plan / CA, DC, DE, FL, GA, HI, IA, LA, MA, MD, MS, NC, NE, NM, NY, OH, OK, PA, RI, TX, VA, WA, WI (some are formerly AmeriChoice or Unison plans), UnitedHealthcare Community Plan / KS KanCare, UnitedHealthcare Community Plan / MI (formerly Great Lakes Health Plan), UnitedHealthcare Community Plan / NJ (formerly AmeriChoice NJ Medicaid, NJ Family Care, NJ Personal Care Plus), UnitedHealthcare Community Plan / TN (formerly AmeriChoice TN: TennCare, Secure Plus Complete), UnitedHealthcare Community Plan / UnitedHealthcare Dual Complete (formerly Evercare), UnitedHealthcare Community Plan / UnitedHealthcare Long Term Care (formerly Evercare), Rocky Mountain Health Plans (RMHP) / CO Professional claims, Rocky Mountain Health Plans (RMHP) / CO Institutional claims, AARP Hospital Indemnity Plans insured by UnitedHealthcare Insurance Company, AARP Medicare Supplement Plans insured by UnitedHealthcare Insurance Company, AARP MedicareComplete insured through UnitedHealthcare / WellMed, AARP MedicareComplete insured through UnitedHealthcare (formerly AARP MedicareComplete from SecureHorizons), AARP MedicareComplete insured through UnitedHealthcare / Oxford Medicare Network, AARP MedicareComplete insured through UnitedHealthcare / Oxford Mosaic Network, OptumCare / AZ, UT (formerly Optum Medical Network & Lifeprint Network), UnitedHealthcare Community Plan / UnitedHealthcare Dual Complete Oxford Medicare Network, UnitedHealthcare Medicare / Care Improvement Plus (CIP), XLHealth, UnitedHealthcare Medicare / UnitedHealthcare Chronic Complete (formerly Evercare), UnitedHealthcare Medicare / UnitedHealthcare Group Medicare Advantage, UnitedHealthcare Medicare / UnitedHealthcare MedicareComplete (formerly SecureHorizons), UnitedHealthcare Medicare / UnitedHealthcare MedicareDirect (formerly SecureHorizons) 87, UnitedHealthcare Medicare / UnitedHealthcare Nursing Home Plan (formerly Evercare), We charge a percentage of the allowed amount per paid claim (only paid claims).

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