Also covers: UHC Community Plan, UHCCP
Payer ID
87726
Most common EDI ID, but Community Plan IDs vary heavily by state and program — verify the ID on the member card and the state provider manual.
Timely Filing Limit (TFL)
Varies — confirm via portal / clearinghouse
Appeal Window
Varies — confirm via portal / clearinghouse
Clearinghouse
Optum, Change Healthcare, Availity
Provider Services
Varies — confirm via portal / clearinghouse
Claims Fax
Varies — confirm via portal / clearinghouse
Claims Address
UnitedHealthcare Community Plan, P.O. Box 5270, Kingston, NY 12402-5270 (verify per state)
Provider Portal
https://www.uhcprovider.com
UnitedHealthcare's Medicaid managed-care arm operating in 25+ states. Nearly every field varies by state contract — check the state manual on uhcprovider.com.
Values vary by plan, region, and contract and can change. Confirm in the payer portal or with your clearinghouse before filing.
Aethera's AR team works UnitedHealthcare Community Plan every day — payer rules, appeals, and clean-claim submission, handled.
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