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UnitedHealthcare Community Plan Tennessee

UnitedHealthcare Community Plan Tennessee

This page contains information you can use to exchange healthcare transactions with UnitedHealthcare Community Plan Tennessee using Stedi.
Use any of the following payer IDs to send transactions to UnitedHealthcare Community Plan Tennessee using Stedi APIs or SFTP. Read the docs
Primary Payer ID
95378
Stedi Payer ID
YDWFY
Payer ID aliases
101133, 11025, 7734, 95378
Parent group
UnitedHealth Group
Coverage types
Dental, Medical, Vision

Supported transactions

Use Stedi to exchange the following transactions with UnitedHealthcare Community Plan Tennessee 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 Tennessee.
Not supported

Coordination of benefits checks

(COB)
Submit coordination of benefit checks to UnitedHealthcare Community Plan Tennessee 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 Tennessee in real-time by sending a claim status check (276/277).
Supported

Professional claims

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

Institutional claims

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

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from UnitedHealthcare Community Plan Tennessee to review full payment details.
Not supported

Dental claims

(837D)
Submit dental claims to UnitedHealthcare Community Plan Tennessee and receive 277 claim acknowledgments asynchronously.
Supported

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to UnitedHealthcare Community Plan Tennessee.
Get started
Use Stedi's APIs to get fast and reliable connectivity to UnitedHealthcare Community Plan Tennessee and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and UnitedHealthcare Community Plan Tennessee 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.
  • UnitedHealthCare Community Plan Tennessee (AmeriChoice Tennessee TennCare Secure Plus Complete)
  • UnitedHealthCare Community Plan of Tennessee
  • UnitedHealthCare Plan of the River Valley
  • UnitedHealthcare Community Plan TN
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