UnitedHealthcare Community Plan
Also covers / subsidiaries: UHC Community Plan, UHCCP
Core Payer & Clearinghouse Profile
Electronic 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 Gateway
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.
National EDI Clearinghouse Capabilities
Direct ANSI X12 electronic transaction support verified for UnitedHealthcare Community Plan.
Associated Clearinghouse Payer IDs
National clearinghouse networks maintain dedicated routing IDs for specific transaction lines or subsidiaries under UnitedHealthcare Community Plan.
| 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 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.
Tired of Chasing UnitedHealthcare Community Plan Denials & Delayed Payments?
Aethera's billing specialists work UnitedHealthcare Community Plan every day — handling EDI clearinghouse rejects, prior authorizations, payment posting, and 30-day AR aging recovery.