Payer ID
MHC01
Changed TPA/clearinghouse Sept 1, 2024 (Change Healthcare/Optum CPIDs 2499 & 7565; UHIN TP HT000179-002).
Timely Filing Limit (TFL)
365 days from date of service (365 days from primary EOB if secondary)
Appeal Window
Second-level appeal within 30 calendar days of first-level determination
Clearinghouse
Change Healthcare/Optum; UHIN
Provider Services
800-299-6080
Claims Fax
800-781-6260
Claims Address
Mountain Health CO-OP Claims Administrator, P.O. Box 30311, Salt Lake City, UT 84130
Provider Portal
https://mountainhealth.coop/providers/
Member-governed ACA-marketplace CO-OP serving MT, ID, and WY.
Values vary by plan, region, and contract and can change. Confirm in the payer portal or with your clearinghouse before filing.
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