ET, Univera Healthcare ET For a sample list of these procedures, see the Bind Provider Guide. j=d.createElement(s),dl=l!='dataLayer'? Electronic claim submission provides an easier and faster way to submit claims. (1) CMS-1500 (formerly HCFA 1500) This billing form is used for professional services. All other states: 888-915-5108, The EPIC Life Insurance Company Youre now leaving myMoreCare.com and will be directed to our partners website. Before providing services, verify that coverage for Bind members is active by calling UnitedHealthcare Shared Services Provider Service (UHSS Provider Services) at 844-368-6661. Let us know how we can help you. Register now if you dont have an account. Friday: 9 a.m. - 4:30 p.m. Correspondence: Health Tradition Health Plan. PO Box 21631 Eagan, MN 55121 For electronic claims submission please use electronic payer ID: 27034 PeakTPA is our third-party administrator for claims processing. Ambulance Services, Durable Medical Equipment, Donna Gawel The intent of this advertisement is solicitation of insurance, and contact may be made by the insurer or a licensed agent. For more information, follow the links below. Box 1437Slot S401Little Rock, AR 72203Phone: (501) 682-8292TDD: (501) 682-8820, 323 Center Street, Suite 1200Little Rock, AR 72201Phone: (501) 682-8349Fax: (501) 682-8350, Office for Human Research Protections1101 Wootton ParkwaySuite 200Rockville, MD 20852Phone:(240) 453-6900Toll Free US : (866) 447-4777, Care Coordination Jennifer Jenkinson Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services. P.O. Partners. BOX 211446 Eagan, MN 55121 . P.O. Refer your patients to a Designated Diagnostic Provider (DDP) for lab services, Refer your patients to a Designated Diagnostic Provider for lab services, Required special needs plan Model of Care training, Rhode Island: Refer to the Low Back Pain Management Program, Second release scheduled for new claims platform, See for yourself how UnitedHealthcare solutions can help your practice, Select Medicare claims eligible for inpatient payment, Skilled Nursing Facility payment for outpatient COVID-19 testing, Support for language services in Maryland, Take the guesswork out of reporting with UnitedHealthcare Insights, Temporary administrative, care measures for hurricane-impacted areas, Tennessee: Inappropriate Primary/Principle Diagnosis Policy, Facility Update, Tennessee: TennCare Regulatory Appendix update, Tennessee: TennCare Regulatory Appendix Update, Texas: Start authorized LTSS services within 7 days, The Provider Claim Review tool is moving to the portal, Times almost up: Links going away for good, Training available: Radiation oncology prior authorizations, Tufts Health Freedom Plan member transition updates, UHCprovider.com behavioral health resources, UnitedHealthcare Medicare Advantage plan - Northern Utah, Update: No prior authorization for some radiation therapy, Use required 340B modifiers for accurate payment, Virginia: New state online appeals portal for Medicaid, Washington Medicaid: What to expect from a 14-day readmission review, Webinar: UnitedHealthcare Connected for One Care, Sign in to the UnitedHealthcare Provider Portal, Health plans, policies, protocols and guides, The UnitedHealthcare Provider Portal resources, UnitedHealthcare Shared Services (UHSS) Provider Portal, register and log in to the UHSS Provider Portal. If you would like to become part of the Surest provider network, contact your UHC or Optum provider advocate, or call Surest Provider Services at 1-844 . . Donna.Gawel@univerahealthcare.com, COVERAGE AREA (Medical & Dental): Locations To obtain a prior authorization, request a referral for additional services or if you require assistance please contact MondayFriday, 8 a.m.4 p.m. (CT) Extended MLTC Provider Correspondences "Corrected Claim" or "Claims Appeal" P.O. H3329_2023HomePage Approved 01102023 Please see below for the correct website based on your inquiry. TTY/TDD Dial 711 Then click on the New Provider Request dropdown menu, choose How to Become a WPS Provider, and follow the prompts. To check claims status, visit UHCprovider.com or call Surest Provider Serices line at 1-844-368-6661. . All ZIP codes within County, HOSPITALS: P.O. Gd_{1dxK./1>{\.3LxN>UfV;?k}GgB@nF0]!E.4u)1K4W_/>s. 800-333-5003 For submitting medical claims. All medical claims should be submitted electronically using the network EDI numbers as listed below for each network. (2) UB-04 This billing form is used when billing for home health care, skilled nursing, and nursing home room and board. Call:1-800-920-8889 Submit an inquiry online, EDI Solutions can help with electronic transactions such as claim submissions, eligibility and claim status, Contact By: PO Box 21191. Please ensure that all claims for Surest members are sent to the payer ID or address on the member card. EFT offers a fast easy way to receive your payments.We encourage you to sign up for EFT today. The following address should be used for claims related to outer counties: Outer County Claims - Lehigh, Lancaster, Northampton, and Berks County. Suite 430 Correspondence. ET 'https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f); Mail correspondence to: Univera Healthcare Eagan, MN 55121. P.O. In some Bind plans, members must activate coverage for a small set of plannable, non-emergency procedures at least three days before the service is provided. Toll Free: (855) 299-6492 PO Box 21171. Box 21341 Last updated on March 17, 2020, CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Olean, Wellsville, SPECIALTY PROVIDERS: WEA Trust. If claims are submitted with another UnitedHealthcare payer ID (other than Surest), UnitedHealthcare will deny those claims. Corporate Address Madison, WI 53708-8190 716-954-1691 P.O. Corporate Address Mail correspondence to: Ambulatory Surgery Centers, Home Care, Hospitalist & Emergency Physician Groups, Skilled Nursing Facilities, SPECIALTY PROVIDERS: Box 21446 Eagan, MN 55121 . Wisconsin Physicians Service Insurance Corporation and WPS Health Plan, Inc. EEO/AA employer. SIU@EmpowerArkansas.com, Utilization Management 2023 UnitedHealthcare | All Rights Reserved, Prepare for patients with Bind health insurance, 2020 Quality Improvement Program overview, API: Improve efficiency and reduce cost with real-time data exchange, Arizona: Avoid claim denials for social determinants of health, Arizona: Avoid denials with timely filing of claims, Arizona: Free translation services for your patients, Arizona: Help for your patients with chronic pain, Arizona Medicaid: Update to fraud and abuse requirements, Arizona: New clinical assessment requirements coming soon, Arizona: Support for young adults with special needs, Arizona: Suspect Medicaid fraud? 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. Eagan, MN 55121, WI: 888-253-2694 If you are interested in more information about becoming a supplier for WPS Health Revision 2018. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services. Provider reconsiderations and additional claim information. Eagan, MN 55121. 716-383-2335 The Devoted Health folks who answer our phones are called Guides. Catholic Health System,Durable Medical Equipment, SPECIALTY PROVIDERS: Fax: 920-490-6955 or 608-221-5479. As per the National Uniform Billing Committee (NUBC), the use of Type of Bill (TOB) 33X for Home Health Services was discontinued for dates on or after October 1, 2013. Devoted Health Guides are here 8am to 8pm, Monday - Friday, and 8am to 5pm, Saturday. Box 211533 Eagan, MN 55121 Facility/Hospital Mail* UB-04 / CMS-1450 claim form to: Redirect Administrators P.O. (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start': Please be at your computer when you call. stream . Refer to the member ID card for . Box 21341 Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. For a complete list of claims submission addresses, refer to the professional and facility payer ID grids at www.ibx.com/edi. H3329_2018_WEB_LANDING PAGE_004r1_M Approved 01072019 Behavioral Health, Urgent Care, Team Email Address: UniveraPR@univerahealthcare.com FL: 800-221-5696 If you have any questions regarding claims status, payment or submission please dial 855-299-6492, All claims should be routed to Bind Benefits, Inc., following the instructions on the member ID card. Contact By: Box 21325 Eagan, MN 55121 Claims Appeals (844) 865-8033 Fax: (888) 345-9110 Claims Appeals Mailing Address MoreCare Attn: Appeals Department P.O. Language translator between English and Spanish. Little Rock, AR 72201, Correspondence: Benefit Plan Administrators' Customer Service Representatives can be reached at 1-800-277-8973. Emdeon supports both professional and institutional claims. 8am to 8pm Eastern time, Monday to Friday 8am to 4:30pm Eastern time, Saturday Need to send us something? Visit our Join Our Network page for more information. Customer Service: (855) 429-1023 Monday - Friday, 8am - 5pm Provider Relations: (855) 429-1023 email beaconprovidernetwork@northernlight.org Authorizations and Medical Management: (855) 429-1024 Monday - Friday 8 am - 5 pm Medical Management: Fax Number: (877) 403-7162 Monday- Friday, 8am - 5pm Address: Beacon Health PO Box 202316 Austin, TX 78720 BryLin Hospital, Quest Diagnostics, HOSPITALS: For all electronic claims, please register with one of the following clearinghouses: If you submit paper claims, please be sure to submit claims on a CMS 1500 or a UB 04 form and always include: Providers should submit all claims within ninety (90) days of the date of service for prompt adjudication and payment. We dont want this to happen to you, so please make sure to use payer ID 25463 and double-check the mailing address. PO Box 211757 Eagan, MN 55121 Claims & Forms. Box 21392. Empower Health Solutions . For any questions regarding claims status, please call Provider Services at 1-800-761-5602, Monday through Friday, from 9 AM to 5 PM. WPS Health Insurance '&l='+l:'';j.async=true;j.src= Corrected Claims: 180 days from the date of service.