We continue to ensure that all documents are updated for ICD-10 Terminology. Providers should be aware that ICD-9 content applies to dates of service prior to 10/1/2015. ICD-10 terminology and claims sets apply to dates of service 10/1/2015 and after, regardless of the status of the document. 

Maidawat nga pilyen iti pagilyan nu sadinoka nga agsansanay.
UnitedHealthcare Community Plan New Mexico Providers

Welcome to the United Healthcare Community Plan Health Professionals area for New Mexico Providers.

 

United Healthcare Community Plan Mission is to help people live healthier lives and to help make health system work better for everyone. 

Here you will find the information forms, manuals, and LINKS you need to conduct business with United Healthcare Community Plan to help accomplish the mission. 

Please choose your topic of interest, by selecting one of the navigation buttons on the left-hand side of page or select on of the topics or products listed below including our contract information.

 

Contact Information:

Saludsod?

Contact your established Provider Advocate or the Provider Call Center at 888-702-2202

UnitedHealthcare Provider Advocate/Network Contracting Contact Guide (PDF 136.84 KB) (PDF 136.84 KB)

Medical, Behavioral Health and Long-Term Care Services Customer Call Center
Available 8:00 A.M. to 5:00 P.M.
Lunes agingga Biyernes
Customer Call Center: 877-236-0826
Customer Call Center TTY:711  

Credentialing
MEDIKAL: 888-702-2202
Behavioral Health: 877-614-0484

Parmasia wenno botika
Optum RX
Telepono: 800-310-6826
Fax: 866-940-7328

Pagluganan
Logisticare (non-emergent, medically necessary)
Reservations: 866-913-2492
Ride Assistance: 866-913-2493
Recurring Appointments: 866-400-8233
TTY: 866-288-3133 

Dental
United Dental Benefits
Phone 877-408-0159

Panagkita
March Vision
Telepono: 888-493-4070 (providers only) 

Report Health Care Fraud, Waste and Abuse: 844-359-7736 or uhc.com/fraud

Main Office Address

220 San Pedro NE, Suite 300
Albuquerque, NM 87113


Electronic Claim Submission

Payer ID Number 87726


Paper Claim Submission

Centinnial Care Plan
United Healthcare Community Plan
P.O. Box 31365
Salt Lake City, UT 84131-0350

UnitedHealthcare Dual Complete Plan
UnitedHealthcare Community Plan
P.O. Box 31345
Salt Lake City, UT 84131-0348

Behavioral Health for UnitedHealthcare Dual Complete Plan
Optum Behavioral Services
P.O. Box 30757
Salt Lake City, UT 84130-0757

 

 

 

UHC Online Tools/Links:

Upcoming Expos/Trainings:

www.UHCprovider.com Provider Information Expo Invitation-2017 New Mexico save the date (PDF 222.99 KB)

 

UnitedHealthcare Community Plan Medical & Drug Policies and Coverage Determination Guidelines

UnitedHealthcare has developed Medical Policies, Medical Benefit Drug Policies and Coverage Determination Guidelines to assist us in administering health benefits. Dagitoy a pagalagadan ken pagannurotan ket maipaay para ti panangipakaammo a ranta, ken saan a mangbukel ti medikal a balakad.
View the guidelines

UnitedHealthcare Medicare Advantage Coverage Summaries

For policy guidance for Medicare Advantage plan members, view the UnitedHealthcare Medicare Advantage Coverage Summaries Manual and corresponding policy update bulletins here

Panangilibak

If UHG policies conflict with provisions of a state contract or with state or federal law, the contractual / statutory / regulatory provisions shall prevail. Tapno makita ti pakaaamo a panagbalbaliw ti pagalagadan, pilien ti Pagwarnakan a seksiyon iti kanigid.