Claims submissions, encounters, claim inquiries, claim status.Payer ID# 78857
| PHONE: | 800 348-5548 - Toll free |
| HOURS: | M-F, 9 a.m. to 5 p.m. ET |
| FAX: | 866-725-9337 |
| MAIL: | Medica |
| P.O. BOX 30448 | |
| Salt Lake City, UT 84130-0448 | |
| ONLINE: | UHCprovider.com/claims |
| 1-800-407-9069 |
| Toll Free 711 - TTY |
| 8am-8 pm local time -7 days a week |
Provider Contacts
Submit notifcations, prior authorizations, referrals, admissions and discharge planning.
| PHONE: | 866-273-9444 - Toll free |
| FAX: | 855-307-8531 |
| ONLINE: | UHCprovider.com/priorauth |
| AFTER HOURS: | 305-421-1220 |
| HOURS: | M-F 5 p.m. to 11 p.m. |
| S-S, Holidays 8 a.m.-5 p.m. |
| PHONE: | 800-845-6592 - Toll free |
Ask questions related to overpayments.
| PHONE: | 877-842-3210 |
| PHONE: | 800-963-6495 - Toll free |
| HOURS: | M-F, 9 a.m. to 5 p.m. (ET) |
| FAX: | 866-567-0144 |
Get information and register for electronic payment services.
| PHONE: | 800-845-6592 - Toll free |
| ONLINE: | ChangeHealthcare.com |
Medicare beneficiaries interested in plan information and/or enrolling in the health plan.
| PHONE: | (800) 507-0544 - Toll free |
| TTY: | 711 at Florida Relay |
| FAX: | (855) 479-5645 |
| E-MAIL: | benefitandadvisor@medicaplans.com |
Verify benefits and eligibility, general claims information.
| PHONE: | 800-348-5548 |
| FAX: | 305-421-1220 |
| ONLINE: | UHCprovider.com/eligibility |
Report suspected fraud, waste or abuse
| PHONE: | 800-455-4521 |
| HOURS: | M-F, 9 a.m. to 5 p.m. (ET) |
| FAX: | 888-659-0617 - Toll Free |
| E-MAIL: | ReportFraud@uhcsouthflorida.com |
| MAIL: | Medica Healthcare |
| Special Investigations Unit | |
| P.O. BOX 56-6596 | |
| Miami, FL 33256-6596 |
For questions about filing a grievance or appeal on behalf of a member, status inquiries, or request for forms.
| PHONE: | (800) 407-9069 - Toll free |
| FAX: | (888) 517-7113 |
| MAIL: | Medica Healthcare |
| Grievance and Appeals Department | |
| P.O. BOX 30997 | |
| Salt Lake City, UT 84130 |
General benefit information, select or change primary care physician, assistance with prescriptions and transportation.
| PHONE: |
800-407-9069 - Toll Free |
| HOURS: | M-F, 9 a.m. to 5 p.m. (ET) |
| FAX: | 800-517-6924 |
| E-MAIL: | membersvc@medicaplans.com |
Contracting, orientation and follow-up, changes (demographic and contractual), forms, credentialing status/inquiries.
| PHONE: | (877) 670-8432 - Toll free |
| HOURS: | M-F, 9 a.m. to 5 p.m. (ET) |
| FAX: | (888) 659-0619 - Toll free |
| E-MAIL: | pcp-NetworkManagementServices@uhcsouthflorida.com |
Pharmacy benefits eligibility, claims adjudication inquiries, and prior authorization request inquiries.
| PHONE: | 800-711-4555 - Toll Free |
| FAX: | 800-527-0531 |
| E-MAIL: | dept-pharmacy@medicaplans.com |
Report incidents involving all privacy issues (potential breeches of PHI or PII) immediately to our risk manager.
| PHONE: | 952-406-4806 |
| PHONE: | 711 at Florida Relay |
