payer id: 39026 claims address
Ambulatory/outpatient surgery claim: If implantable devices are included on the claim, one of the following must be submitted for each implant billed on the claim form: o Copy of the manufacturer invoice; or o Copy of the medical record's implant log. 0000048430 00000 n -- Please Select -- %%EOF Billing/Coding 0000074114 00000 n Sri Lanka Dental Plans. 0000160095 00000 n 0000152773 00000 n United States Austria hb``a`` ICD-10-CM codes are used for procedure coding on inpatient hospital Part A claims. <<78EFBF32BF92FB4DBD42CA49770C2094>]/Prev 183057/XRefStm 4015>> Western Sahara 0000019237 00000 n -- Please Select -- Phone: (800) 821-6136, UnitedHealthcare Choice Plus (If the subscriber lives in any of the following states: Alabama, Arkansas, Delaware, Florida, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Louisiana, Maryland, Minnesota, Mississippi, Missouri, Montana, Nebraska, New Mexico, North Carolina, North Dakota, Oklahoma, Oregon, South Carolina, South Dakota, Tennessee, Texas, Virginia, Washington DC, West Virginia, Wisconsin and Wyoming) Military Europe/ME/Canada 1. UMR - Wausau Payer ID: 39026 This insurance is also known as: United Medical Resources Employers Insurance of Wausau Harrington Benefit Services Inc Benefit Planners Inc Texas Municipal League Uniform Medical Plan PCIP UMR UMR formerly UMR Wausau Dental and Medicare primary Mail to GEHA, UnitedHealthcare Choice Plus (all 50 states) Yemen (Claims for payer address of Rockford, IL ONLY.) Need to submit transactions to this insurance carrier? 11694 0 obj <> endobj Direct Care Broker or Supplier Contracts: Accredo, AeroCare, Apria, Bayada, BioScrip, Byram, CardioNet, Coram, DJ Orthopedics, DynaSplint, Edgepark, First Call Pharmacy, Hoveround, InfuSystem, Insulet, Interim, KCI, Liberator/Bard Care, Lincare/American Home Patient, Hanger, Optum Women's and Children's Health, Maxim, McKesson, The Med Group, Medtronic, National Seating and Mobility, NE Express, NuFactor, Option Care, Orthofix, Respirtech, Rotech, 180 Medical, Exception: Providers contracted with VGM Homelink submit claims to Homelink: San Antonio, TX 78229, Part B RX Claims Address: trailer PO Box 30783 Dental is listed separately, if applicable. Birmingham, AL 35283-0724. Italy Unsure, Company Type Table of Contents . Trinidad and Tobago Claims submitted late may be . 0000153297 00000 n hb```e``Z"@(pzX`rSV%omFcs (E33v`9P3PesFk3Ag`v8RpW00'=@ ' EDI 837: Electronic Claims | UHCprovider.com Patient Access * Nauru Teachers Health Trust 2950 E. Rochelle Avenue Las Vegas, NV 89121. 0000146151 00000 n France 0 0000158914 00000 n 0000141716 00000 n 0000035375 00000 n -- Please Select -- 0000118735 00000 n 0000087379 00000 n 0000023307 00000 n UHC Provider Services Phone: (844) 586-7309. 0000022830 00000 n 0000003888 00000 n Authorization, if applicable, should be sent in the 2300 Loop, REF segment with a G1 qualifier for electronic claims (box 63 for UB-04). 610647538. Chief Financial Officer Fiji PDF Clearance EDI Eligibility Payer List - Change Healthcare Mexico Cyprus Greece 0000081169 00000 n Moldova Minnesota For . 0000152221 00000 n 0000087924 00000 n 0000007935 00000 n If Medicare is the patient's primary plan: Guyana 2023 Government Employees Health Association, Inc. All rights reserved. 0000112372 00000 n @=&F]`00Rx@ 6Z P.O. Original submission is indicated with a 1 in claim frequency box or resubmission code (box 22). New Zealand %PDF-1.6 % EDI Payer ID 39026 Box 21542 Cardiology Illinois 0000073502 00000 n Poland P.O. Payer ID List - Health Data Services Laos P.O. Australia Physician 0000137787 00000 n 0000147306 00000 n $UZZNl)Q,nB=&X"HZic2lc[J"*yDO3.o8T*feoXRz`4U !x*w$Jn(*Pmfk[wv$(=MKi3T|}G)WoKP 2Jl*N|Jd-EIAM}+>@rATf@MWX&3O5S-kLB)[MA=Ln5-IWEdVZTQ 95 0 obj <>/Filter/FlateDecode/ID[<2A8680A847A02E488D35CBC39B3F8739><741C1DF9A256F44C939C389B842BF915>]/Index[65 53]/Info 64 0 R/Length 129/Prev 237672/Root 66 0 R/Size 118/Type/XRef/W[1 3 1]>>stream Paper Claims . Where to Submit Claims from 2020 | GEHA 0000005592 00000 n Find, access, and login to your product application portal as a current customer. Brazil 0000048781 00000 n Independent Practice Affiliated with Hospital Where to Submit Claims | GEHA 0000158331 00000 n Phone: (800) 793-9335, UnitedHealthcare Choice Plus (Florida and Texas) If your practice management system uses Emdeon as its clearinghouse, you can submit claims using MHN's payer ID: To find out if your practice management software uses Emdeon's clearinghouse, check with your vendor. Micronesia Consulting Pharmacy Solutions All other providers use their state-assigned license number without modifications. 0000048605 00000 n Oklahoma Mongolia Northwest Territories Alabama 0000146960 00000 n EDI Payer ID #39026 0 Member Engagement Lithuania Vice President Nigeria Bhutan Lesotho 0000080992 00000 n Maine PDF Payer Connection Payer List Freedom Life Insurance Company of America Payer ID: 62324; Electronic Services Available (EDI) Professional/1500 Claims: YES: Institutional/UB Claims: YES: Secondary Claims: YES: Need to submit transactions to this insurance carrier? Republic Of Prince Edward Island Manitoba Senior Vice President To ensure claims are as accurate as possible, use current valid diagnosis, procedure codes, and modifier codes and code them to the highest level of specificity (maximum number of digits) available. Hawaii COMMERCIAL. 0000148346 00000 n Kyrgyzstan Manager 0000155014 00000 n Payer IDs are used to route EDI transactions to the appropriate payer. Analyst/Administrator Payer IDs route EDI transactions to the appropriate payer. Box 14621 Box 981707, El Paso, TX 79998-1707 PO BOX 29045 Hot Springs, AR 71903, Denial Code CO 4 The procedure code is inconsistent with the modifier used or a required modifier is missing, Denial Code CO 18 Duplicate Claim or Service, Denial Code CO 16 Claim or Service Lacks Information which is needed for adjudication, Denial Code CO 22 This care may be covered by another payer per coordination of benefits, Denial Code CO 24 Charges are covered under a capitation agreement or managed care plan, Denial Code CO 29 The time limit for filing has expired, Denial Code CO 50 These are non covered services because this is not deemed medical necessity by the payer, Denial Code CO 97 The benefit for this service is Included, Denial Code CO 109 Claim or Service not covered by this payer or contractor, United Healthcare Customer Service Phone Numbers, Cigna Claims address and Customer Service Phone Number, Insurances claim mailing address and Customer Service Phone Numbers, Healthfirst customer service phone number, claim and appeal address, United Healthcare Claims Address with Payer ID List, Aetna Claims Address for Mailing and Insurance Phone Numbers for provider and Member, Medicare Claims address-When and How to file for reimbursement, List of Worker Compensation Insurance with Claim mailing address, List of Auto Insurances with Claim mailing address, Insurance Claims address and Phone Number, Insurance with Alphabet A Claims address and Phone Number, Insurance with Alphabet B Claims address and Phone Number, Insurance with Alphabet C Claims address and Phone Number, Insurance with Alphabet D Claims address and Phone Number, Insurance with Alphabet E Claims address and Phone Number, Insurance with Alphabet F Claims address and Phone Number, Insurance with Alphabet G Claims address and Phone Number, Insurance with Alphabet H Claims address and Phone Number, Insurance with Alphabet I Claims address and Phone Number, Insurance with Alphabet J Claims address and Phone Number, Insurance with Alphabet K Claims address and Phone Number, Insurance with Alphabet L Claims address and Phone Number, Insurance with Alphabet M Claims address and Phone Number, Insurance with Alphabet N Claims address and Phone Number, Insurance with Alphabet O Claims address and Phone Number, Insurance with Alphabet P Claims address and Phone Number, Insurance with Alphabet Q and R Claims address and Phone Number, Insurance with Alphabet S Claims address and Phone Number, Insurance with Alphabet T Claims address and Phone Number, Insurance with Alphabet U Claims address and Phone Number, Insurance with Alphabet V Claims address and Phone Number, Insurance with Alphabet W to Z Claims address and Phone Number, Medical Billing Terminology of United States of America, What is Explanation of Benefits of Health Insurance in Medical Billing. Please note: Do not use Payer ID 421406317. Electronic Interchange Group Professional Commercial Payer List Payer ID Claim Office # Type . 0000048658 00000 n Professional Institutional. PO BOX 1449 GOODLETTSVILLE, TN 37070-1449, Behavioral Health Claims