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1-800-407-9069
Toll Free 711 - TTY
8am-8 pm local time -7 days a week
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Provider Contacts

Authorizations and Notifications

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.

Claims

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

Technical Support for Change Healthcare Claims Submission Network

PHONE: 800-845-6592 - Toll free

Audit and Recovery

Ask questions related to overpayments.

PHONE: 877-842-3210

Credentialing

PHONE: 800-963-6495 - Toll free
HOURS: M-F, 9 a.m. to 5 p.m. (ET)
FAX: 866-567-0144

Electronic Remittance (Facilitated by Change Healthcare)

Get information and register for electronic payment services.

PHONE: 800-845-6592 - Toll free
ONLINE: ChangeHealthcare.com

Enrollment

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

Eligibility and Benefits Verification - Providers Only

Verify benefits and eligibility, general claims information.

PHONE: 800-348-5548
FAX: 305-421-1220
ONLINE: UHCprovider.com/eligibility

Fraud, Waste, and Abuse

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

Grievance and Appeals

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

Member Services

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

Network Management Services

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 (OptumRx)

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

Risk Management

Report incidents involving all privacy issues (potential breeches of PHI or PII) immediately to our risk manager.

PHONE: 952-406-4806

TTY (all departments)

PHONE: 711 at Florida Relay