Claims and Payments | UnitedHealthcare Community Plan of Indiana

As a care provider, if you are not satisfied with the outcome of a claim reconsideration request, you may submit a formal claim appeal. This process is outlined in your Care Provider Manual.

A Care Provider Claim Formal Appeal can be submitted to:

Mail:

UnitedHealthcare Community Plan of Indiana
P.O. Box 31364
Salt Lake City, UT 84131-0364

• The formal clam appeal filing timeframe is 60 calendar days from the reconsideration decision date.
• A formal claim appeal is a comprehensive review of the disputed claim(s), and may involve a review of additional administrative or medical records by a clinician or other personnel.
• UnitedHealthcare Community Plan generally completes the review within 30 calendar days. However, depending on the nature of the review, a decision may take up to 60 days from the receipt of the claim dispute documentation. We’ll contact you if we believe it will take longer than 30 days to render a decision.
• Additional state requirements may apply. Please consult your state’s Care Provider Manual for more details.

Please allow 10 business days from the submission date before requesting a status update to enable us to begin processing the review.

To view current claim reconsideration information, go to UHCprovider.com/claims.

As a care provider, if you are not satisfied with the outcome of a claim, you may submit a claims reconsideration. This process is outlined in your Care Provider Manual.

A Care Provider Claim Reconsideration can be submitted to:

UnitedHealthcare Community Plan

P.O. Box 5240

Kingston, NY 12402-5240

To submit a claims re-consideration electronically go to UHCprovider.com/claims sign in to the Provider Portal, then select the UnitedHealthcare Online app.

For questions call Provider Services 877-610-9785.

Submit claims using the 1500 Claim Form (v 02/12) or UB-04 form, whichever is appropriate. For Dental claims use the ADA (American Dental Association) claim from. Use applicable coding, including ICD diagnosis code(s), CPT, Revenue and HCPCS coding. Include all necessary data to process a complete claim.

Provider Reference Training Manuals

• Claim Submission and Processing
• Long-Term Care

Claims Mailing Address

Medical and Behavioral Health Services

UnitedHealthcare Community Plan 
P.O. BOX 5240
Kingston, NY 12402
Electronic Payer ID:  87726

Vision

March Vison Care
6601 Center Drive West, Suite 200
Los Angeles, CA 90045
Electronic Payer ID:  52461

Dental

UnitedHealthcare Dental Claims
P.O. BOX 781
Milwaukee, WI 53201 
Electronic Payer ID:  GP133

For FedEx (use for large packages/more than 500 pages):

UnitedHealthcare Community Plan
1355 S 4700 West, Suite 100
Salt Lake City, UT 84104

Direct deposit and VCP information is available to EPS-enrolled care providers in the Electronic Payments & Statements (EPS) tool.

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 get started with electronic transactions.

A PRA is generated for every processed claim and includes relevant details about how the claim was processed.