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UnitedHealthcare Community Plan

UnitedHealthcare Community Plan

This page contains information you can use to exchange healthcare transactions with UnitedHealthcare Community Plan using Stedi.
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Use any of the following payer IDs to send transactions to UnitedHealthcare Community Plan using Stedi APIs or SFTP. Read the docs
Primary Payer ID
Stedi Payer ID
Payer ID aliases
,
Parent group
UnitedHealth Group
Coverage types
Medical

Supported transactions

Use Stedi to exchange the following transactions with UnitedHealthcare Community Plan using APIs or SFTP. Send transactions as JSON or raw EDI files.
Eligibility & benefit verification
Supported

Eligibility checks

(270/271)
Verify member coverage and benefits by sending real-time and batch eligibility checks to UnitedHealthcare Community Plan.
Not supported

Coordination of benefits checks

(COB)
Submit coordination of benefit checks to UnitedHealthcare Community Plan to determine if a member has overlapping coverage with another plan and determine each payer's responsibility for paying claims.
Claims processing
Not supported

Real-time claim status

(276/277)
Check on the status of a claim previously submitted to UnitedHealthcare Community Plan in real-time by sending a claim status check (276/277).
Supported

Professional claims

(837P)
Submit professional claims to UnitedHealthcare Community Plan and receive 277 claim acknowledgments asynchronously.
Supported

Institutional claims

(837I)
Submit institutional claims to UnitedHealthcare Community Plan and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from UnitedHealthcare Community Plan to review full payment details.
Enrollment process type
One-click
Activation timeframe
Weeks
Not supported

Dental claims

(837D)
Submit dental claims to UnitedHealthcare Community Plan and receive 277 claim acknowledgments asynchronously.
Not supported

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to UnitedHealthcare Community Plan.
Get started
Start processing healthcare transactions with Stedi and UnitedHealthcare Community Plan today.
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Other names
Alternative known names, networks, or health plans for this payer that may appear on insurance cards, claims, or other correspondence.
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