Peoples Health Changes to
New Claims System and Provider Portal,
Starting Jan. 1
Posted by PHN Communications | Nov 8, 2023 | Featured News
We are transitioning to enhanced claims processing and provider portal platforms through UnitedHealthcare on Jan. 1, 2024.
WHAT THIS MEANS
The following changes are being implemented.
Claims with dates of service on or after Jan. 1 will process through the UnitedHealthcare claims processing system.
The UnitedHealthcare Provider Portal must be used for the following functions, among others, for dates of service on or after Jan. 1.
Accessing and reviewing claims and claims payments
Submitting and managing authorization requests; note that there are changes to some prior authorization requirements for 2024
Verifying eligibility and benefits
Use payer ID 87726 for submitting claims with a 2024 date of service.
If a paper claim must be submitted for a 2024 date of service, use the proper mailing address.
Peoples Health Group Medicare Office of Group Benefits only:
Peoples Health, A UnitedHealthcare Company
P.O. Box 31317
Salt Lake City, UT 84131-0317
All other plans:
Peoples Health, A UnitedHealthcare Company
P.O. Box 31318
Salt Lake City, UT 84131-0318
All Peoples Health plan members are issued a new member ID number and card for 2024. Be sure to use the new ID number when submitting claims for 2024 dates of service.
ACCESS THE UNITEDHEALTHCARE PROVIDER PORTAL AT UHCPROVIDER.COM
If you’re not familiar with the UnitedHealthcare Provider Portal, register for access online and take the self-paced training. Start by creating a One Healthcare ID.
EFT ENROLLMENT WITH UNITEDHEALTHCARE CLAIMS SYSTEMS
Any current enrollment in EFT with Peoples Health will not transfer to the UnitedHealthcare claims system.
For claims for Peoples Health patients with 2024 dates of service:
- Providers with an EFT payment method set up with UnitedHealthcare for non-Peoples Health patients will receive EFT payments through that method.
- Providers who do not already have an EFT payment method set up with UnitedHealthcare must enroll in EFT with UnitedHealthcare. Visit uhcprovider.com for more information.
Providers have two options to receive payments from UnitedHealthcare for 2024 dates of service:
- Automated Clearing House (ACH)/Direct deposit: This option is preferred by most practices for its speed and efficiency in depositing claim payments directly into the provider bank accounts. Each payment is issued for the full amount of the claim payment, and there is no charge for the deposit.
- Virtual card payment (VCP): This option processes as a credit transaction through the same terminal used for patient copays. Each payment is issued for the full amount of the claim payment. However, virtual card transactions are subject to additional terms and conditions, including fees, between the provider and their card service processor.
Note that payments for 2023 dates of service will continue to be paid through Peoples Health systems, using the payment method set up with Peoples Health.
PROVIDER RESOURCES
We’re here to help with the transition. Please review our FAQs for more information. This resource will be updated regularly as needed. If you have questions or need help establishing a UnitedHealthcare Provider Portal account, contact us at our new Provider Services number: 1-877-842-3210.
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