Question 1

What is the Stedi payer ID for UnitedHealthcare?

Accepted Answer

The Stedi payer ID for UnitedHealthcare is KMQTZ.

Question 2

What is the primary payer ID for UnitedHealthcare?

Accepted Answer

The primary payer ID for UnitedHealthcare is 87726.

Question 3

What payer IDs does UnitedHealthcare use?

Accepted Answer

In addition to its primary payer ID 87726, UnitedHealthcare uses several other payer IDs, including 00198, 10002, 10122, 10187, 10192, 10318, 10636, 10655, 10806, 11076, 11077, 14339, 2721, 3429, 3550, 4523, 62183, 6442, 6847, 6889, 72126, 77082, 8455, 87726, 87726E, 87726MA, 87748, 95123, 96107, ADTWS, BHPTN, GUPZA, J87726MA, JDHS, KPIC1, LSNGD, MAMSI, MDC01, NGHPRT, NYU01, UHC, UHCMP, VALHL, WCHEA, and ZRGSA.

Question 4

What transactions does UnitedHealthcare support?

Accepted Answer

UnitedHealthcare supports the following transactions: 270/271 eligibility checks, 270/271 coordination of benefit (COB) checks, 837P professional claims, 837I institutional claims, 835 Electronic Remittance Advices (ERAs), 275 claim attachments, 276/277 real-time claim status, and electronicFundsTransfer.

Question 5

What transaction types require transaction enrollment with UnitedHealthcare?

Accepted Answer

UnitedHealthcare requires transaction enrollment for 835 Electronic Remittance Advices (ERAs) and electronicFundsTransfer. Other supported transactions don't require enrollment. Stedi handles transaction enrollment steps for you.

Question 6

What is transaction enrollment?

Accepted Answer

Transaction enrollment is a process required by some payers before you can send or receive certain transactions. Stedi handles this process for you.

Question 7

What is a coordination of benefits (COB) check?

Accepted Answer

A COB checks determines if a member has coverage from more than one payer. UnitedHealthcare supports COB checks through Stedi.

Question 8

What is UnitedHealthcare's parent group?

Accepted Answer

UnitedHealthcare is part of UnitedHealth Group.

Question 9

What other names does UnitedHealthcare go by?

Accepted Answer

UnitedHealthcare is also known as  Neighborhood Health Partnership, AARP MedicareComplete insured through UnitedHealthcare, AARP MedicareComplete insured through UnitedHealthcare / Oxford Medicare Network, AARP MedicareComplete insured through UnitedHealthcare / Oxford Mosaic Network, AmeriChoice by UnitedHealthcare New York, Arnett Health Plans, Care Improvement Plus, Care Improvement Plus South Central Insurance Co., Empire Plan (NYSHIP), Harvard Pilgrim Passport Connect, Medica Behavioral Health, Metropolitan Property and Casualty Insurance Company, Michael Reese, Neighborhood Health Partnership, Neighborhood Health Partnership (NHP), Optum UnitedHealth Behavioral Solutions, OptumHealth Behavioral Solutions, Oxford Level Funded (CT, NJ, NY), Pennsylvania Health Care Plan, People's Health Network, Peoples Health Choices (Preferred Provider Organization), Peoples Health Choices 65 (Health Maintenance Organization - Point of Service) Southland, Peoples Health Choices 65 (Health Maintenance Organization-Point of Service) Greater New Orleans and Baton Rouge Area, Peoples Health Choices 65 (Health Maintenance Organization-Point of Service) Northshore, Peoples Health Choices 65 (Health Maintenance Organization-Point of Service) Rural Southeast, Peoples Health Choices Gold (Health Maintenance Organization - Point of Service), Peoples Health Group Medicare (Health Maintenance Organization - Point of Service), Peoples Health Group Medicare (Health Maintenance Organization - Point of Service) Office of Group Benefits, Peoples Health Medicare Advantage LA-0004 (Health Maintenance Organization - Point of Service), Peoples Health Patriot (Preferred Provider Organization), Peoples Health Secure Complete (Health Maintenance Organization - Point of Service Dual Eligible Special Needs Plan), Peoples Health Secure Health (Health Maintenance Organization - Point of Service Dual Eligible Special Needs Plan), United Behavioral Health, United Healthcare, UnitedHealthcare / Definity Health Plan, UnitedHealthcare / Empire Plan, UnitedHealthcare / Peoples Health, UnitedHealthcare / UnitedHealthcare Plan of the River Valley, UnitedHealthcare / UnitedHealthcare of the Mid-Atlantic, MD IPA, Optimum Choice and MAMSI Life and Health, UnitedHealthcare Community Care Indiana, UnitedHealthcare Community Plan (AmeriChoice Pennsylvania Primary Care Provider), UnitedHealthcare Community Plan / UnitedHealthcare Dual Complete, UnitedHealthcare Community Plan / UnitedHealthcare Dual Complete - Oxford Medicare Network, UnitedHealthcare Community Plan / UnitedHealthcare Long Term Care, UnitedHealthcare Definity Health Plan, UnitedHealthcare Level Funded /UnitedHealthcare Level Funded / AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, ID, IN, MA, ME, MN, MT, ND, NH, NJ, NM, NV, NY, OR, PA, SD, TX, UT, VA, WA, WY, UnitedHealthcare MAHP Maryland Individual Practice Association Optimum Choice MAMSI, UnitedHealthcare Medicare / Care Improvement Plus (CIP), XLHealth, UnitedHealthcare Medicare / UnitedHealthcare Chronic Complete, UnitedHealthcare Medicare / UnitedHealthcare Group Medicare Advantage, UnitedHealthcare Medicare / UnitedHealthcare MedicareComplete, UnitedHealthcare Medicare / UnitedHealthcare MedicareDirect, UnitedHealthcare Medicare / UnitedHealthcare Nursing Home Plan, UnitedHealthcare Medicare Solutions UHC Chronic Complete (Evercare), UnitedHealthcare Medicare Solutions UHC MedicareComplete (SecureHorizons), UnitedHealthcare Plan of the River Valley, UnitedHealthcare West (PacifiCare Arizona, Colorado, Nevada), and UnitedHealthcare West / UnitedHealthcare of CA, OK, OR, TX, WA and PacifiCare of AZ, CO, NV.

Question 10

What is the official website for UnitedHealthcare?

Accepted Answer

The official website for UnitedHealthcare is https://www.uhc.com.

Question 11

What types of benefits does UnitedHealthcare return in eligibility checks?

Accepted Answer

Eligibility checks with UnitedHealthcare can return dental, medical, and vision benefits.

Question 12

What U.S. states does UnitedHealthcare operate in?

Accepted Answer

UnitedHealthcare operates nationally in all U.S. states.

UnitedHealthcare

Supported transactions

Eligibility checks

Coordination of benefits checks

Real-time claim status

Professional claims

Institutional claims

Claim payments

Dental claims

Unsolicited claim attachments