Complete Story
 

01/15/2024

United Healthcare

United Healthcare Managed Care Committee Member

Shelby Jensen

Shelby Jensen, CHONC - Newland Medical Associates

General

You can access the Medical Benefit Specialty Drug Update Bulletin for the latest updates on drugs added to review at launch, program requirements, and policies. Click through for complete details.

Locate Your Claim Payment Data with More Ease
We’re pleased to announce a couple changes to the claim payment reconciliation process that will help improve your claims payment experience. 

1. Locate payment-related data more quickly
Organizations that receive claim payments electronically through Automated Clearing House (ACH)/direct deposit will notice that all ACH claim payment documents now have the same payment number. This change helps ensure that the payment number listed on the provider remittance advice (PRAs) is consistent with the payment number on the following: 

  • 835 files
  • Electronic provider remittance advice (EPRAs) 
  • ACH addenda records 

This means you’ll now be able to easily find the payment-related data you need in both the UnitedHealthcare Provider Portal Document Library and Optum Pay™ Portalopen_in_new.  

2. Streamline the reconciliation process
We’ll create separate 835 files and PRAs for payments and non-payments (e.g., denials and zero-dollar payments) for most UnitedHealthcare commercial plans. 

This update helps you identify a payment file vs. non-payment file. These dedicated file types make it easier to: 

  • Match transactions efficiently: You can focus on matching payments to claims in one file and identifying discrepancies or non-payments in another 
  • Track the payment history: You can easily view data to see which files are payments vs. non-payments 
  • Automate processing: Distinct data allows you to add rules and tailor specification requirements for handling non-payments 
  • Reduce errors: Separate files minimize the risk of errors when completing reconciliation tasks for denials and claims that have an overpayment recovery applied  

New UnitedHealthcare Mailing Address for Contract Notices and Network Information
Starting Jan. 11, 2024, you’ll mail all written notices required by your Participation Agreement to a new UnitedHealthcare mailing address. However, all informal contract inquiries can be answered using our UnitedHealthcare Provider Portal chat feature, or by mailing requests to a different address.

Where to send information
When sending contractually required written notices by certified or overnight mail, please send information to the following address:

Mailing address for contract required notices
UnitedHealthcare
Market VP MN101-D003
9700 Health Care Lane
Minnetonka, MN 55343

Note: This address is only for submitting formal contract notices.

For general, informal inquiries, you can chat with a live advocate 7 a.m.–7 p.m. CT on the UnitedHealthcare Provider Portalopen_in_new. If you’re a new user, go to UHCprovider.com/access to get started. The chat feature is available for topics such as:

  • Reimbursement policies
  • Fee schedule information
  • Credentialing or other information related to your contract

Note: If you’re unable to obtain the information you need using the chat feature, mail your requests to the following contract support address:

Mailing address for general inquiries
UnitedHealthcare Contract Support
P.O. Box 241029
St. Paul, MN 55124-7019

Please do not use this address for claims remittance. You’ll continue to use the address on the back of the member’s ID card for that.

UHC Commercial 

UHC Community Plan

UHC Medicare Advantage 

UHC Individual Exchange

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