Claims Payer List - UnitedHealthcare
Claims Payer List for UnitedHealthcare, Affiliates and Strategic Alliances
Line of Business (LOB)
Brand Name / Plan Name or Region
Commercial
Arnett Health Plan
Commercial
Harvard Pilgrim
Commercial
Harvard Pilgrim Passport Connect
Commercial
Neighborhood Health Partnership (NHP)
Commercial
Oxford Level Funded / CT, NJ, NY
Commercial
Surest (formerly Bind)
Commercial
The Alliance
Commercial
UnitedHealthcare Level Funded /UnitedHealthcare Level Funded / AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, ID, IN, MA, ME, MN, MT, ND, NH, NJ, NM, NV, NY, OR, PA, SD, TX, UT, VA, WA, WY
Commercial
UMR
Commercial
UnitedHealthcare
Commercial
UnitedHealthcare / All Savers Alternate Funding
Commercial
UnitedHealthcare / All Savers Insurance
Commercial
UnitedHealthcare / Definity Health Plan
Commercial
UnitedHealthcare / Empire Plan
Commercial Commercial Commercial Commercial
UnitedHealthcare / Oxford UnitedHealthcare / UnitedHealthcare of the Mid-Atlantic, MD IPA, Optimum Choice and MAMSI Life and Health (formerly MAMSI) UnitedHealthcare / UnitedHealthcare Plan of the River Valley (formerly John Deere Healthcare)
UnitedHealthcare / UnitedHealthcare Shared Services - UHSS (formerly UHIS)
Commercial
UnitedHealthcare / UnitedHealthcare StudentResources
Commercial
UnitedHealthcare / U.S. Networks and Administrative Services
Medical Dental Payer ID Payer ID
87726 04271 87726 87726 87726 25463 88461
87726
39026 87726 81400 81400 87726 87726 06111
39026
87726
87726 39026 74227 USN01
95378 39026
Commercial
UnitedHealthcare West / UnitedHealthcare of CA, OK, OR, TX, WA and PacifiCare of AZ, CO, NV
87726
Commercial Commercial Commercial Commercial
Dental
Medicaid, Dual SNP
* Medicaid, Dual SNP
Dual SNP Medicaid Medicaid, Dual SNP, MIChild Medicaid, Dual SNP
Medicaid, Dual SNP
UnitedHealthcare West / Encounters (formerly PacifiCare) UnitedHealthOne / Golden Rule UnitedHealthOne / UnitedHealthcare Life Insurance Company (formerly American Medical Security) UnitedHealthOne / UnitedHealthcare Life Insurance Company - Golden Rule UnitedHealthcare Dental (formerly OptumHealth Dental, Dental Benefit Providers/DBP and DBP of California) UnitedHealthcare Community Plan / AZ, Long Term Care, Children's Rehabilitative Services (CRS) UnitedHealthcare Community Plan / CA, CO, DC, DE, FL, GA, HI, IA, KY, 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 UnitedHealthcare Community Plan / KS - KanCare
UnitedHealthcare Community Plan / MI (formerly Great Lakes Health Plan)
UnitedHealthcare Community Plan / MO UnitedHealthcare Community Plan / NJ (formerly AmeriChoice NJ Medicaid, NJ Family Care, NJ Personal Care Plus)
95958 37602 81400 37602
03432 87726 87726 96385 95467 86050 86047
CX001 52133
Medicaid, Dual SNP
UnitedHealthcare Community Plan / TN (formerly AmeriChoice TN: TennCare, Secure Plus Complete)
95378
Medicaid, Dual SNP Medicaid, Dual SNP Medicaid, Dual SNP Medicare, Retirement Medicare, Retirement Medicare, Retirement
Medicare, Retirement
Medicare, Retirement Medicare, Retirement Medicare, Retirement Medicare, Retirement Medicare, Retirement Medicare, Retirement Medicare, Retirement Medicare, Retirement Medicare, Retirement Medicare, Retirement Medicare, Retirement Medicare, Retirement Medicare, Retirement Medicare, Retirement Multiple Multiple Multiple * Multiple * Multiple Multiple Multiple
Other
Other
Other
Other
UnitedHealthcare Community Plan / UT UnitedHealthcare Community Plan / UnitedHealthcare Dual Complete (formerly Evercare) UnitedHealthcare Community Plan / UnitedHealthcare Long Term Care (formerly Evercare) 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 Preferred Care Network OptumCare / AZ, NV, UT (formerly Optum Medical Network & Lifeprint Network) OptumCare Network of Connecticut Preferred Care Partners / FL 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) UnitedHealthcare Medicare / UnitedHealthcare Nursing Home Plan (formerly Evercare) WellMed Health Plan of Nevada Health Plan of Nevada - Encounters Medica Rocky Mountain Health Plans (RMHP) / CO - Professional claims Rocky Mountain Health Plans (RMHP) / CO - Institutional claims Sierra Health and Life Sierra Health and Life - Encounters OptumHealth Behavioral Solutions (formerly United Behavioral Health and PacifiCare Behavioral Health) OptumHealth Behavioral Solutions of NM OptumHealth Complex Medical Conditions (CMC) (formerly OptumHealth Care Solutions and United Resource Networks) OptumHealth Physical Health - includes Oxford
95467 87726 87726 36273 36273 WELM2
87726
87726 87726 78857 LIFE1 E3287 65088 87726 87726 87726 87726 87726 87726 87726 WELM2 76342 76343 94265 87726 87726 76342 76343
87726
87726
41194
41161
COY B
Y Y N N Y Y Y
Y
Y Y Y Y Y Y Y
Y
Y Y Y N
Y
Y Y Y Y
N
Y
Y
Y Y
Y
Y
Y
Y Y Y Y N Y Y
Y
Y Y Y N N Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y
Y
Y
Y
Y
Smart EdYits
Y N N Y Y N N
Comments
former payer id 95440
no change in payer id
Y
N
Y
Y
Y
Y
former payer id 64159
Y
Y
Y
former payer id 52148
Y
former medical payer id 95378
N
N
N
effective 3/1/2020
Y
former payer id 95959, 95962, 95964, 95999
N
N
N
N
N
Y
Y
former payer id 04567, 25175, 86002, 86003, 86048, 86049, 95378
Y
Y
Y
Y
Y
former payer id 86001
Y
Y Y Y N N N
Y
Y
former payer id 06111
Y
former payer id 06111
Y
N
N
Y
Y
Y
former payer id 77082
Y
Y
Y
Y
Y
N
N
N
N
Y
former Payer ID SX141
Y
former Payer ID 84065
N
N
N
former payer id 33053
N
N
former payer id 52190
N
former payer id 41159, 41160
? 2023 UnitedHealthcare
Page 1 of 2
3/2/2023
Other
UnitedHealthcare / NDC Home Infusion Specialty Pharmacy Claims - NDC claims only
UHNDC
Other
Veterans Affairs / Community Care Network (CCN)
Vision Vision
March Vision UnitedHealthcare Vision
* change or addition to previously published list
Medical Payer ID applies to Professional (CMS-1500) and/or Institutional (UB-04) claims COB = Coordination of Benefits; indicates secondary/COB claims accepted electronically Smart Edits = Apply to electronic claims submissions; Not applicable to DSNP lines of business
VACCN
52461 00773
Applies only to 837P claims. Before
submitting an EDI file using Payer ID
UHNDC, you must successfully complete
N
N
specific EDI testing. Contact your clearinghouse to begin the testing process.
Refer to NDC Claim Submission or call
UnitedHealthcare EDI Support at 800-842-
1109 for more information.
Y
N
N
N
N
N
? 2023 UnitedHealthcare
Page 2 of 2
3/2/2023
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