UnitedHealthcare Community Plan of Texas
Also covers / subsidiaries: UHC Community Plan Texas, UnitedHealthcare STAR / STAR+PLUS
Core Payer & Clearinghouse Profile
Electronic Payer ID
87726
87726 is the primary UHC payer ID for UHC Community Plan (Medicaid) in most states including Texas. (Texas)
Timely Filing Limit (TFL)
95 days from DOS (Texas Medicaid) — confirm in your participation agreement
Appeal Window
Varies — confirm via portal / clearinghouse
Clearinghouse Gateway
Optum / Change Healthcare (payer ID 87726)
Provider Services
888-887-9003
Claims Fax
Varies — confirm via portal / clearinghouse
Claims Address
UnitedHealthcare Community Plan, P.O. Box 5270, Kingston, NY 12402-5270
Provider Portal
https://www.uhcprovider.com/en/health-plans-by-state/texas-health-plans/tx-comm-plan-home.html
Texas Medicaid managed-care plan (STAR, STAR+PLUS). UHC uses multiple PO boxes by line of business — verify.
National EDI Clearinghouse Capabilities
Direct ANSI X12 electronic transaction support verified for UnitedHealthcare Community Plan of Texas.
Associated Clearinghouse Payer IDs
National clearinghouse networks maintain dedicated routing IDs for specific transaction lines or subsidiaries under UnitedHealthcare Community Plan of Texas.
| Clearinghouse Name | Electronic Payer ID | Status | Enrollment | Supported Services |
|---|---|---|---|---|
| Coventrycares Of Virginia | 87726 | Non-Par | None | 837P837I270/271Dental |
| Metropolitan Property And Casualty Insurance Company | 87726 | Non-Par | None | |
| Pacificare Of Ca | 87726 | Non-Par | None | 837P837I270/271Dental |
| Pacificare Of Or | 87726 | Non-Par | None | 837P837I270/271Dental |
| Pacificare Of Tx | 87726 | Non-Par | None | 837P837I270/271Dental |
| Pacificare Of Wa | 87726 | Non-Par | None | 837P837I270/271Dental |
Resolution Tools for UnitedHealthcare Community Plan of Texas Claims
Values vary by plan, line of business, and provider agreement. Confirm in the payer portal or with your clearinghouse gateway before submitting electronic claims.
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