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How to Contact Oxford Commercial - 2020 UnitedHealthcare Administrative Guide

How to Contact Oxford Commercial

OxfordHealth.com > Providers > Tools and Resources offers instructions, quick reference guides, access to forms and policies, and other resources, without a requirement to be registered.

For step-by-step instructions to using our website transactions, go to OxfordHealth.com > Providers (or Facilities) > Tools & Resources > Administrative Tools & Information. UHCprovider.com is a care provider gateway to many other tools, training and resources. For members with nine-digit ID numbers, please go to

OxfordHealth.com. For members with 11-digit ID numbers, please go to UHCprovider.com.

Download this Quick Reference Guide for more information and images of sample ID cards for each membership type.

Voice Portal: 800-666-1353

In most cases, to use the Voice Portal, you are required to enter your care provider’s or facility’s TIN or NPI number. A Voice Portal quick reference guide is located on OxfordHealth.com > Providers or Facilities > Tools & Resources > Administrative Tools & Information > Voice Portal Quick Reference.

Other Contact Information and Resources for Commercial Products

Mail:    UnitedHealthcare Grievance Review Board
            P.O. Box 29134
            Hot Springs, AR 71903

Clinical & Medical Necessity Appeals

Fax: 877-220-7537

Mail: 

Oxford Clinical Appeals Department
P.O. Box 29139
Hot Springs, AR 71903

Behavioral Health Appeals

Phone: 800-999-9585
Fax:
855-312-1470

Mail:

Behavioral Health Appeals
P.O. Box 30512
Salt Lake City UT 84130-0512

OxfordHealth.com > Providers or Facilities > Tools & Resources > Network Information > Forms

  • Claim(s) Review Request Form
  • Member Authorization for a Designated Representative

Mail:  

UnitedHealthcare Grievance Review Board
P.O. Box 29134
Hot Springs, AR 71903

Forms: OxfordHealth.com > Providers or Facilities > Tools & Resources > Network Information > Forms.

  • Claim(s) Review Request (1-19 claims)
  • Claims Research Project (20 or more claims)
  • New Jersey Provider Claim Appeal Form

Fax: 801-994-1058

Phone: 800-201-6991

  • Utilization Review/Medical Necessity Review
  • Cardiac Catheterization Prior Authorization
  • Echocardiogram and Stress Echocardiogram

Online: UHCprovider.com/priorauth > Cardiology 24 hours a day

Online Policies: Refer to the back of the member’s health care ID card for the applicable website. Review 

OR

Phone: 877-PREAUTH | 877-773-2884 (Available Monday through Friday from 7 a.m. to 7 p.m. Eastern Time)

Provider Services and Claims

Online: myoptumhealthphysicalhealth.com

Phone: 800-985-3293

EDI: Commercial Claims Payer ID: 06111

  • More information about EDI: OxfordHealth.com > Providers or Facilities > Transactions > Electronic Payments & Statements.
  • Learn more on OxfordHealth.com > Providers or Facilities > Tools & Resources > Administrative Tools & Information > Electronic Data Interchange (EDI).
  • You may also visit PNTdata.com > Customers > Providers to learn about a free submission tool that doesn’t require practice management software.

Online: Claims, Payments and Billing

Mail: (paper claims)

UnitedHealthcare
Attn: Claims Department
P.O. Box 29130
Hot Springs, AR 71903

EDI: Submit facility claim corrections electronically.

Online: claimsLink

UHCprovider.com > Service Links > Link Self-Service Tools

Paper: OxfordHealth.com > Providers or Facilities > Tools & Resources > Network Information > Forms

  • Claim Review Request (1-19 claims)
  • Claim Research Project (20 or more claims)
  • New Jersey Provider Claim Appeal Form

EDI: 276/277 Claim Status Inquiry and Response transactions are available through your vendor or clearinghouse.

Online: OxfordHealth.com > Providers or Facilities > Transactions > Check > Claims.

Phone: 800-666-1353 and say “Claims” when prompted. You may speak with a representative (Monday through Friday, 8 a.m. - 6 p.m. ET)

Online:

OR

Phone: 800-666-1353 (Monday to Friday from 8 a.m. – 6 p.m. Eastern Time)

Member of the Council for Affordable Quality Healthcare (CAQH)

Online: UHCprovider.com/protocols > UnitedHealthcare’s Credentialing & Recredentialing Plan.

Phone: United Voice Portal at 877-842-3210

New Jersey Only

Online: State of New Jersey Department of Health or CAQH

Phone: Provider Services at 800-666-1353 or CAQH Support at 888-599-1771

Information and Enrollment

Online:

Help Desk: 877-620-6194

  • Check status of referrals, precertifications, and claims;
  • Member eligibility and benefits
  • Payer ID: 06111

EDI Support

Online:

Phone: 800-842-1109 (Monday through Friday from 8:30 a.m. – 5 p.m. Eastern Time)

EDI: 270/271 Eligibility and Benefits Inquiry and Response transactions are available through your vendor or clearinghouse.

Online: OxfordHealth.com > Providers or Facilities > Transactions > Check > Eligibility and Benefits

Voice Portal and Provider Services: 800-666-1353 (Say “Benefits and Eligibility” when prompted.) You may speak with a representative (Monday through Friday, 8 a.m.-6 p.m. ET).

Online: OxfordHealth.com > Provider or Facilities > Tools & Resources > Network Information > Forms

Phone: 866-242-7727

Online: UHC.com/privacy

For additional information on granting remote access to your EMR system: emrcdsa@uhc.com.

Phone: 877-512-9340

Fax: 855-536-0491

EDI: Use your clearinghouse

Online: OxfordHealth.com > Providers or Facilities > Transactions > Submit > Precert Requests.

Phone: 800-666-1353

Fax: 800-303-9902

Online: evicore.com (24 hours per day)

OxfordHealth.com > Providers or facilities > Tools & Resources > Medical Information > Radiology and Radiation Therapy Information.

Fax: 888-242-9058

Mail:

UnitedHealthcare

Attn: Clinical Coverage Review

1300 River Drive, Suite 200

Moline, IL 61265

Phone: 877-PREAUTH (877-773-2884) (Monday through Friday, 7 a.m.-7 p.m. ET)

Locate participating laboratories:

Online: OxfordHealth.com > Providers or Facilities > Search > Laboratories

Phone: Patient service center locator number for customers 888-LABCORP (522-2677)

  • North New Jersey: 800-223-0631
  • South New Jersey: 800-633-5221
  • New York: 800-223-0631
  • Connecticut: 800-631-5250

Online: UHCprovider.com/priorauth > Oncology

Phone: 877-773-2884 (Monday to Friday from 7 a.m. to 7 p.m., ET)

Phone: 800-201-4911

  • Available 24 hours per day
  • Staffed by registered nurses
  • Assistance for urgent and non-urgent medical problems, recommend an appropriate site of care

Phone: 800-788-4863

TTY/TDD: 800-498-5428

  • Available 24 hours per day

Phone: 800-711-4555

  • Available 24 hours per day

Provider Services: 877-369-7564

Online: myoptumhealthphysicalhealth.com

  • For claims submitted electronically: Payer ID 06111

Phone: 800-666-1353

Mail: (paper claims)

UnitedHealthcare
Attn: Claims Department
P.O. Box 29130
Hot Springs, AR 71903

Mail:  

OptumRx
P.O. Box 2975
Mission, KS 66201

EDI: Use your vendor or clearinghouse

Online: OxfordHealth.com > Providers or Facilities > Transactions > Check > Precert Status.

Phone: Voice Portal: 800-666-1353 (Representatives are available Monday through Friday, 8 a.m.- 6 p.m. ET)

Say “Precertification” when prompted.

Online: UHCprovider.com/priorauth > Radiology 24 hours per day, seven days per week

Forms and policies: OxfordHealth.com > Providers or Facilities > Tools & Resources > Medical Information > Radiology & Radiation Therapy Information.

Phone: 877-PREAUTH (877-773-2884) (Monday through Friday, 7 a.m.-7 p.m. ET)

EDI: Use your clearinghouse or vendor

Online: OxfordHealth.com > Providers > Transactions > Submit > Referrals or Transactions > Check > Referrals

Phone: Voice Portal: 800-666-1353 (Monday through Friday, 8 a.m. - 6 p.m. ET) Say “referral” when prompted.

Online: OxfordHealth.com > Providers or Facilities > Search > (select the provider type).

Phone: 800-666-1353

Phone: 800-666-1353

Mail: Physicians and other health care professionals send by certified mail, return receipt requested to:

UnitedHealthcare
Network Contract Support
Mail Route: TX023-1000
1311 W President George Bush Highway, Suite 100
Richardson, TX 75080-9870

Behavioral Health Providers Only

Phone: 877-614-0484