Payer id life1 - payer name payer id; u s concrete incorporated - wc: j3132: u.a. local 350 plumbers & pipefitters - era onl: ec350: u.s. networks and administrative services: usn01: ubh: 87726: ubh rios: 87726: ubh united healthcare 87726: 87726: uc care (university of ca) 68241: uc health plan administrators: 89789: uc irvine: uci01: ucare of minnesota: 55413 ...

 
 Payer ID: LIFE1 Dental Providers: uhcdental.com 1-877-816-3596 Med Claims: P.O. Box 30539, Salt Lake City, UT 84130-0539 Rx Claims: OptumRx P.O. Box 650287, Dallas, TX 75265-0287 For Pharmacists: 1-877-889-6510 Nurseline: 1-877-512-9339 front front back back . Jeep wrangler jk lug nut size

Washington. Login. Top. If you're an Optum Care provider, you can access the information you need securely. Select a login based on your location.EDI Payer ID: 81264 Nippon Life Insurance Company of America – Claims 6240 Sprint Parkway Ste. 400 Overland Park, KS 66211 Claims are processed per your specific employer benefits. All benefits, processes and limitations are outlined in your plan booklet including but not limited to the below services:Select the appropriate Payer ID below to view Medica claim submission and product guidelines for each plan. Payer ID: 94265 +. Address for Claims and Claim Appeals. Medica. PO Box 30990. Salt Lake City, UT 84130-0990. Attachment/Appeal Fax#. 1-801-994-1076. Claim Adjustment or Appeal Request Form (DOC)Electronic Payor ID: Electronic claims may be submitted through: Emdeon (Payer ID: 63092 or 52192) SSIGroup (Payer ID: 63092) Availity (Payer ID: 63092 or 52192) Proxymed (Payer ID: 63092) Medassets (Payer ID: 63092) Zirmed (Payer ID: 63092) OfficeAlly (Payer ID: 63092) GatewayEDI (Payer ID: 63092)EDI Payer ID #39026 UnitedHealthcare Shared Services P.O. Box 30783 Salt Lake City, UT 84130-0783 UHC Provider Services Phone: (877) 343-1887 If the patient has Medicare primary coverage, mail to GEHA: GEHA FEHB Medical P.O. Box 21542 Eagan, MN 55121. UnitedHealthcare Choice Plus (all 50 states) EDI Payer ID #39026 UnitedHealthcare …For electronic claim submissions, use Payer ID: LIFE1. Claim submissions should be in a HIPAA-compliant I or P format. EDI has a standardized format, which ensures that data can be sent quickly and is interpreted on both sides. EDI transactions adhere to HIPAA regulations and American National Standards Institution (ANSI) standards.following electronic Payer ID or mailing address: Payer ID: LIFE1 Mailing address: Optum Care Network Claims P.O. Box 30539 Salt Lake City, UT 84130-0539 Submit claim reconsiderations: Online: Optum Pro portal By phone: 855-822-4325 By mail: Optum Care Provider Dispute Resolution P.O. Box 30539 Salt Lake City, UT 84130-0539 Check the …111-AM Segment Identification Ø5 M Coordination of Benefits Segment 337-4C Coordination of Benefits/Other Payments Count Max of 9 M 338-5C Other Payer Coverage Type M 339-6C Other Payer ID Qualifier RW Required when Other Payer ID (34Ø-7C) is used 34Ø-7C Other Payer ID RW Required when identification of theLIFE1-Optum Medical Network (previously Lifeprint) OSCAR-Oscar Health 06111-Oxford Health Plans OXDLF-Oxford Life Insurance Company 87020-Pan American Life ...Including the correct 5-digit payer ID helps avoid having your claim rejected due to listing an incorrect payer. If you have any questions about payer ID numbers, please contact Harvard Pilgrim Health Care’s Electronic Data Interchange (EDI) team at [email protected] or 800-708-4414 ...Apr 21, 2017 ... Payer Name - 270/271 Transactions. Payer ID. AARP. 10431. Absolute Total Care. 10560. Acclaim, Inc. 13296. ACS Benefit Services. For electronic claim submissions, use Payer ID: LIFE1. Claim submissions should be in a HIPAA-compliant 837 I or P format. EDI has a standardized format, which ensures that data can be sent quickly and is interpreted on both sides. EDI transactions adhere to HIPAA regulations and American National Standards Institu-tion (ANSI) standards. Payer ID numbers are: CLFM1 for medical claims; 276 / 270 for medical claims status and eligibility status; CLFMP Contacts. CLFMP Customer Service: 866-372-1144. Fax: 512-460-5536. VHA Customer Service: 800-733-8387. SSI Claimsnet Customer Service: 800-356-0092. SSI Claimsnet Provider Registration.By phone: 877-370-2845. Member ID cards. Members in the affected plans will get new member ID cards that show the Payer ID LIFE1 and will have other applicable delegation-specific descriptors such as delegate name and delegate website listed as the care provider contact.Member ID 123456789-00 Sample Plan Name with Dental RxBIN 99999 RxPCN 9999 RxGRP XXX front Card #: 99999 9999 9999 9999Security Code: 9999 SAMPLE For Members: memberurl.com 1-999-999-9999, TTY 711 Providers: providerurl.com 1-999-999-9999 Payer ID: XXXXX Dental Providers: dentalurl.com 1-999-999-9999 Med Claims: P.O. Box 99999, CITY NAME, STATE ...What type of payer do you want to search for? Commercial Payers Workers Comp Payers. Continue EditObject moved to here.EDI Payer ID: 81264 Nippon Life Insurance Company of America – Claims 6240 Sprint Parkway Ste. 400 Overland Park, KS 66211 Claims are processed per your specific employer benefits. All benefits, processes and limitations are outlined in your plan booklet including but not limited to the below services: Get help with Change Healthcare products, find resources such as enrollment forms and payer lists, and quicklly resolve common issues. Enrollment Services Find forms for medical claims, patient eligibility, ERA, and EFT payment information. 86066 Y. HEALTH MGMT ASSOC FALSE N. HMC Healthworks aka Health Management Co ## 75318 N HMC HEALTHWORKS FALSE G HMO Louisiana Blue Advantage ## (Use payer ID 72107 for claims with a DOS on or after 01/01/21) 72107 N LA BLUE ADVAN FALSE G.For more information, call 1-800-341-6141. Submit your claims and encounters and primary and secondary claims as EDI transaction 837. For UnitedHealthcare West encounters, the Payer ID is 95958. For claims, the Payer ID is 87726. For a complete list of Payer IDs, refer to the Payer List for Claims. In some cases, the Payer ID listed on ...If you use or plan to use an Apple device, having an Apple ID will unlock a variety of services for you. Apple has a massive digital footprint and its range of properties you can a...ERA Payer List for UnitedHealthcare, Affiliates and Strategic Alliances. Contact your EDI clearinghouse or vendor to enroll in Electronic Remittance Advice (ERA/835) BRAND NAME / PLAN NAME or REGION. PAYER ID. STATE. COMMENTS. AARP Hospital I+B7:E40ndemnity Plans insured by UnitedHealthcare Insurance Company 36273. ALL. They may have a proprietary ID for you to use prior to submitting claims to PGBA, LLC (HNFS' partner for claims processing). TRICARE West Region Payer ID: 99726. Note: If your clearinghouse is Change Healthcare, the West Region payer ID is SCWI0 for professional claims and 12C01 for institutional claims. Please call your Change Healthcare ... Payer ID: LIFE1; Electronic Services Available (EDI) Professional/1500 Claims: YES: Institutional/UB Claims: YES: Eligibility: YES: Prime: Electronic Remittance (ERA) YES: ERA Enrollment Required: Secondary Claims: YES: This insurance is also known as: AARP Medicare Complete formerly Secure Horizons Lifeprint ArizonaProfessional Claims. 837P. View note. AMVI Medical Group. PROSP. Institutional Claims. 837I. View note. Quickly search for insurance payer IDs with Office Ally's easy-to-use payer ID lookup tool & access our updated payer ID list to simplify your billing process.Billing and Claims. TriWest Healthcare Alliance, on behalf of the U.S. Department of Veterans Affairs (VA), is the third party administrator (TPA) and payer for the following networks: Community Care Network (CCN) Region 4. Community Care Network (CCN) Region 5. TriWest partners with PGBA to process and pay out claims to CCN …Independent Contracting Contact: [email protected] Website: https://professionals.optumrx.com. Certification Testing Window: Certification not required. Pharmacy Help Desk Information: Medicaid: 888-306-3243 OptumRx: 800-788-7871 FlexScripts: 800-603-7796 ProAct: 877-635-9545 MedalistRx: 855-633-2579.Whether you are verifying insurance coverage or submitting claims, our Payer ID list can help you identify the Payer ID and EDI transactions you need quickly …As part of our transition to a next-generation platform, we created new payer ID grids that will become effective January 1, 2024. Changes include the addition of our new AmeriHealth Medicare PPO product with a new prefix . The professional and facility payer ID grids contain valuable information to assist you in claims submission, including ...Benefit from our 8000+ electronic payer connections to streamline your claims processing and increase accuracy.Creating an effective ID badge template is a great way to ensure that all of your employees have a consistent and professional look. ID badges are also a great way to make sure tha...68068 ALL. Y CENPATICO INDIANA Y. FALSE G. Cenpatico Massachusetts 68068 MA Y CENPATICO MASSACH Y FALSE G Cenpatico Ohio 68068 OH Y CENPATICO OHIO Y FALSE G Centene Advantage Plans (claims for former payer ID 95567 with DOS on or …Electronic Funds Transfer (EFT) is also available for TRICARE For Life. EFT replaces the paper checks you currently receive for TRICARE For Life claim payments. When you enroll in EFT, you will need to receive your Explanation of Benefits (EOB) data through either Electronic Remittance Advice (ERA) or our TRICARE4u website, as your paper EOBs ...The Integrated Drive Electronics interface is the most popular way to connect a hard drive to a PC. Find out where IDE came from and how it works today. Advertisement No matter wha...Your Apple ID is an important identifier for Apple products and services. If you forget your ID or want to change it, you have a few options. This guide will allow you to determine... Forms and resources for health care professionals. (131) Advance beneficiary notice of noncoverage (ABN) Please complete and return the form to the requesting department. Advance beneficiary notice of noncoverage (ABN) Please complete and return the form to the requesting department. Payer ID: LIFE1 Dental Providers: uhcdental.com 1-877-816-3596 Med Claims: P.O. Box 30788, Salt Lake City, UT 84130-0788 Rx Claims: OptumRx P.O. Box 650287, Dallas, TX 75265-0287 For Pharmacists: 1-877-889-6510 front front back back Sample member ID cards for illustration only; actual information varies depending on payer, plan and other ...Professional Claims. 837P. View note. AMVI Medical Group. PROSP. Institutional Claims. 837I. View note. Quickly search for insurance payer IDs with Office Ally's easy-to-use payer ID lookup tool & access our updated payer ID list to simplify your billing process.Payer ID: LIFE1. Benefits of EDI: Reduces costs: No more handling, sorting, distributing or searching paper documents and it Keeps healthcare affordable to the end …Receive convenient and secure electronic healthcare claim payments from hundreds of payers on the InstaMed Integrated ERA/EFT® Payer List. ... Payer Name: Payer ID: American Income Life Insurance Company: 60577: AmeriHealth Administrators: 54763: Bankers Conseco Life: 68560: Block Vision: 13374: BlueLink TPA: 55026:Note that this is a sample ID card image and your own member ID card may differ. Expatriate Insurance | How to Read Your ID Card Your medical ID card, one website, ... Member ID: Group Number: Member: Payer ID 87726 Rx Bin: 610279 Rx PCN: 9999 Rx Grp: UHEALTH DOI-0508 123456789 9999999 SUBSCRIBER SMITH Office: $25 35 … Availity is a provider portal that connects you with hundreds of payers and offers various features to simplify your workflow. You can access payer lists, authorization capabilities, directory verification, enhanced claim status, and more. Availity helps you reduce calls, paperwork, and errors, and improve your provider experience. The following Payer IDs are required for all clearinghouses: 837P Professional: 01260; 837I Institutional: 01260; Payerpath 9030 Stony Point Pkwy Suite 440 Richmond, VA 23235 1-877-623-5706 www.payerpath.com. Availity PO Box 550857 Jacksonville, FL 32255-0857 1-800-282-4548 www.availity.com.Payer mix is a type of financial payment received by a medical practice, including Medicare, Medicaid, indemnity insurance, managed care and individual payments.Claims. Submit claims using the following electronic Payer ID or mailing address: Payer ID: LIFE1. Mailing address: Optum Care Network – Idaho. P.O. Box 30539 Salt Lake City, …Referrals must be submitted by the member’s PCP or a PCP within the same group and tax ID number (TIN) Specialists must confirm a referral is on file before seeing the member. You can submit referrals electronically and check status using the Referrals tool on the portal. Some services don’t require a referral. PCA-1-22-02816-E&I-QRG_08182022.Availity is a provider portal that connects you with hundreds of payers and offers various features to simplify your workflow. You can access payer lists, authorization capabilities, directory verification, enhanced claim status, and more. Availity helps you reduce calls, paperwork, and errors, and improve your provider experience.Creating a new Google email ID is an easy and straightforward process. With just a few simple steps, you can have your own personalized email address that you can use to communicat...What is the payer ID for UnitedHealthcare Medicare Advantage? Payer ID: 87726 Paper claims: Mail claims to the address on the back of the member’s ID card. What is Payer ID LIFE1? PROVIDER BROWN Payer ID: LIFE1. PCP Phone: (999) 999-9999. Copay: PCP/ Spec/ ER.Phone: 1-888-556-7048. Fax: 1-855-268-2904. Submitting a claim. Follow these guidelines when submitting a claim through. APN-CT for UHC. • Electronic submissions, use payer ID LIFE1 • Paper submissions. Advantage Plus Network–Connecticut P.O. Box 30539 Salt Lake City, UT 84130. Submitting a claim – corrections.The Veteran’s Administration (VA) announced their roll-out of new veteran’s ID cards in November 2017, according to the VA website. Wondering how to get your veteran’s ID card? Use...A team of consultants on your side. The WPS Corporate Services–EDI department has a dedicated team whose primary function is to consult and serve providers regarding Electronic Data Interchange (EDI) use. Our team is experienced in dealing with a variety of provider specialties, billing services, and software vendors.Member ID 123456789-00 Sample Plan Name with Dental RxBIN 99999 RxPCN 9999 RxGRP XXX front Card #: 99999 9999 9999 9999Security Code: 9999 SAMPLE For Members: memberurl.com 1-999-999-9999, TTY 711 Providers: providerurl.com 1-999-999-9999 Payer ID: XXXXX Dental Providers: dentalurl.com 1-999-999-9999 Med Claims: P.O. Box 99999, CITY NAME, STATE ...Electronic Payor ID: Electronic claims may be submitted through: Emdeon (Payer ID: 63092 or 52192) SSIGroup (Payer ID: 63092) Availity (Payer ID: 63092 or 52192) Proxymed (Payer ID: 63092) Medassets (Payer ID: 63092) Zirmed (Payer ID: 63092) OfficeAlly (Payer ID: 63092) GatewayEDI (Payer ID: 63092)Benefits of Use Our Payer Lookup. Payer ID Lookup offers numerous benefits for healthcare providers, including: 1. Accuracy. By using Payer ID Lookup, providers can ensure that they are submitting claims to the correct payer, reducing the risk of claim denials and delays due to incorrect payer information. 2.Check our payer list to identify payers unaffected by the Change Healthcare issue. ... Payer ID: LIFE1; Electronic Services Available (EDI) Professional/1500 Claims: YES:TRICARE East Region Claims. Attn: New Claims. PO Box 7981 Madison, WI 53707-7981 Fax: (608) 327-8522. EDI Payer ID: TREST (preferred method)Payer ID. Payer Name. Enrollment. 10001. AARP. 13187. Access Medicare. 10916. ACS Benefit Services, Inc. 10923. Administrative Services, Inc. 10927. Advantage ...When using the services of a contracted clearinghouse, it is critical that the proper Payer ID is used so the electronic data interchange (EDI) claims are sent to Magellan. The following Payer IDs are required for all clearinghouses: 837P Professional: 01260; 837I Institutional: 01260; Payerpath 9030 Stony Point Pkwy Suite 440 Richmond, VA 23235Provider Portal. info. LHI is now Optum Serve. Different name, unwavering commitment to those we serve. Thank you for your patience as we transition our materials over the coming months. Click here for more information. For electronic submissions, use payer ID: LIFE1 Paper submissions are not recommended, but when necessary, please use: Attention: Optum Care Claims P.O. Box 30539 Salt Lake City, UT 84130 Electronic Funds Transfer (EFT) Optum Care works exclusively with InstaMed as our free payer payments solution for providers. View the supporting documents (medical records) cover page for Arizona, Colorado, Idaho, Kansas City, Nevada, and Utah. Learn more. Rhode Island Prior Authorization Form. …Donors seeking a tax deduction for the money that they contributed to a charity will need the organization’s taxpayer identification (ID) number. The taxpayer ID is on the organiza...Each business owner or manager must educate themselves on the proper use of federal tax IDs. This information is crucial for compliance with tax laws as well as for employment-rela...Payer ID. 3. Network name 4. Plan name 5. CMS contract/ PBP 6. Medical claims address 7. Provider services toll-free number ... using payer ID: LIFE1 For paper submissions, use: H0609-043 UnitedHealthcare. Attention: Optum Claims Chronic Complete P.O. Box 30539, Salt Lake City, UT 84130.Please remember to check back on this page for the latest list of Payer IDs and transactions. Real Time Transaction (Subject to Subscription Fee): 270/271, 276/277, 278: x215, x216, x217. To add a new payer to your existing account please contact PNT Data at [email protected]. $ = subscription fee applies.If you have any questions about payer ID numbers, please contact Harvard Pilgrim Health Care’s Electronic Data Interchange (EDI) team at [email protected] or 800-708-4414 (select option #1 and then option #3).4. Electronic claim submission allows you to submit claims quickly, track claims received, and save time on resubmissions. You can submit various claim types through your clearinghouse, practice management system, or EDI vendor, including: • Professional • Institutional • Dental (including encounters and predeterminations.Select the appropriate Payer ID below to view Medica claim submission and product guidelines for each plan. Payer ID: 94265 +. Address for Claims and Claim Appeals. Medica. PO Box 30990. Salt Lake City, UT 84130-0990. Attachment/Appeal Fax#. 1-801-994-1076. Claim Adjustment or Appeal Request Form (DOC)The Integrated Drive Electronics interface is the most popular way to connect a hard drive to a PC. Find out where IDE came from and how it works today. Advertisement No matter wha...To find the Payer ID Manually. 1. Hover over the "Billing" tab and choose "Payer Search" under the Enrollments section. 2. For billing accounts, the clearinghouse you are set up with will be listed on the left. However, if you submit to Carisk Partners (fka iHCFA) too, for example, you can choose that from the payer list from the dropdown if ...The following information will change on UnitedHealthcare Medicare Advantage member identification (ID) cards as of Jan. 1: What is changing? 1. New Payer ID: LIFE1; 2. New Claims Address: Optum Medical Network Claims PO Box 46770 Las Vegas, NV 89114-6770 New Sample Card for AARP MedicareComplete Essential (HMO)For electronic submissions, use payer ID: LIFE1 For paper submissions, use Attention: OptumCare Claims P.O. Box 30539 Salt Lake City, UT 84130 Electronic funds transfer (EFT). In July 2018, OptumCare will work exclusively with InstaMed as our free payer payments solution for providers. To continue receiving your OptumCare payments …For electronic submissions, use payer ID: LIFE1. Claim submissions should be in a HIPAA-compliant 837 I or P format. For paper submissions and correspondence, use: Mid-West Optum Care Claims. Indiana P.O. Box 30781 . Ohio Salt Lake City, UT 84130. Mountain West Optum Care Claims. Arizona P.O. Box 30539. Colorado Salt Lake City, UT 84130. Nevada.In today’s digital age, maintaining your privacy and security online has become more important than ever. One of the first steps to safeguarding your personal information is by cre... need to be sent under this payer ID) ## 22248 Y AMERIHEALTH MERCY FALSE G Amerihealth NJ/DE - HMO ** (Must complete enrollment form under payer ID 95044) 23037 Y AMERIHEALTH HMO TRUE G AmeriHealth NorthEast (Dates of Service on or before Dec. 31, 2020, may continue to use the following until Dec. 31, 2021. For dates of service Payer ID (also known as payor ID OR EDI) is a unique ID assigned to each insurance company e.g. Cigna, BCBS, United Healthcare to receive claims …Providers should strive to submit claims within 30 days of rendering services. Adhering to this recommendation will help increase provider offices’ cash flow. CCN claims have a timely filing requirement of 180 days from the date of service or date of discharge. Claim reconsiderations must be submitted within 90 days of the claim’s ...Payer ID LIFE1 Claims Mailing Address PO Box 30788, Salt Lake City, UT 84130-0788 Claims Issue Escalation [email protected] (Please first contact the Service Center) Health Care Coordination 8 a.m.‒5 p.m., Monday‒Friday Pre-authorization, hospital Phone 877-836-6806 pre-notification, emergent Fax 253-627-4708By Payer Id, every provider and insurance company r payer connect electronically with each other. We have update complete Health insurance payer id list 2024, ... LIFE1: COMMERCIAL: 1263: OptumHealth: 87726: COMMERCIAL: 1264: OptumHealth / OptumHealth Behavioral Solutions of NM: 87726: COMMERCIAL: 1265:

Payer ID numbers are 60054 for Aetna claims and 68246 for Aetna encounters. Learn more about electronic claim submission Read electronic claim submission FAQs. National Provider Identifier (NPI) Federal regulations require you to submit HIPAA standard electronic transactions with only your National Provider Identifier (NPI).. Showcase seekonk movie times

payer id life1

Payer ID 3. Network name 4. Plan name 5. Provider services toll-free number 6. Medical claims address 7. UHC Medicare assigned H contract number Health Plan (80840): For Members911-87726-04 Member ID: RxBIN: RxPCN: RxGrp: H0609-025-000 Group Number: HCFAC9 Payer ID: LIFE1 Member: SAMPLE A MEMBER PCP Name: SAMPLE, M.D., PROVIDER Copay: PCP $0 ...What is the payer ID for UnitedHealthcare Medicare Advantage? Payer ID: 87726 Paper claims: Mail claims to the address on the back of the member’s ID card. What is Payer ID LIFE1? PROVIDER BROWN Payer ID: LIFE1. PCP Phone: (999) 999-9999. Copay: PCP/ Spec/ ER.Electronic Data Interchange (EDI): Payer ID for medical claims is 12115. Payer ID for dental claims is 12116. If electronic capability is not available, providers can submit claims by mail. MEDICAL & DENTAL. Mailing Address: VHA Office of Finance P.O. Box 30780, Tampa FL 33630-3780. Local ContractGeneral EDI Information. Using Electronic Data Interchange (EDI) for all eligible UnitedHealthcare transactions can help your organization improve efficiency, reduce costs and increase cash flow. We encourage you to use the following tools and resources to help you get started with electronic transactions.What is changing? New Payer ID: LIFE1. New Claims Address: Optum Medical Network Claims. PO Box 46770. Las Vegas, NV 89114-6770. New Sample Card for AARP MedicareComplete Essential …Payer ID. Payer Name. 87726. AARP Medicare Complete. 87726. AARP Member Advantage ... LIFE1. Optum Medical Network (10/14); aka UHC Medicare Solutions / AARP.Creating an effective ID badge template is a great way to ensure that all of your employees have a consistent and professional look. ID badges are also a great way to make sure tha...We would like to show you a description here but the site won’t allow us.Electronic Payer ID # 52133 Submit Vision claims to: UnitedHealthcare Vision Attention: Claims Department PO Box 30978 Salt Lake City, UT 84130 Fax: 248-733-6060 By use of this card, I hereby consent to the release of any information needed by Oxford Benefit Management, Inc. or third-party vendors. Claim.MD can get you started fast. Check our payer list to identify payers unaffected by the Change Healthcare issue. Learn more about Claim.MD's excellent pricing. Attend a Webinar to learn more and ask questions from our sales team. See how Claim.MD makes Payer Enrollments faster and easier than ever. Access the Claim.MD Knowledge Base. Payer Information. Secure Horizons Lifeprint Arizona Payer ID: LIFE1; Electronic Services Available (EDI) Professional/1500 Claims: YES: Institutional/UB Claims: YES: Electronic Payer ID: CX083 LIBERTY Dental Plan Attn: Claims Department P.O. Box 26110 Santa Ana, CA 92799 Provider Portal: www.libertydentalplan.com Phone: 1-888-352-7294 Prescriptions/ Specialty Pharmacy Express Scripts Express Scripts ATTN: Commercial Claims P.O. Box. 14711 Lexington, KY 40512-4711 Legal StatementBox 5: Facility tax ID. Box 6: Statement covers period (DOS) Box 7: Administrative necessary days. Member validation Box 8a-b: Patient name. Box 9a-d: Patient address. Box 10: Patient DOB. Box 11: Patient gender. Admission information. Box 12: Admission date. Box 13: Admission hour. Box 14: Admit type (reason for admission) Box 15: Source of ...For electronic submissions, use payer ID: LIFE1 For paper submissions, use OptumCare Claims PO Box 46770 Las Vegas, NV 89114 Corrected claims can be submitted electronically by following the guidelines below: Professional Claims 1. On the CMS-1500 form, enter frequency code “7” in the.

Popular Topics