Our Provider Network Management site is your resource for the latest UCare information, including our provider manual, authorization guidelines, and drug formulary. And we're proud to introduce Access UCareSM , our secure providers-only site. Use Access UCare to verify eligibility, search the provider network, and check the status of a claim or referral/authorization. Access UCare User Guide
Provider Assistance Center: 612-676-3300 or 1-888-531-1493 (toll free)
We can help answer your questions and we're just a phone call away. [Note: In order to identify you and locate your information quickly our PAC Representatives will ask you for your NPI Number(s) and/or Federal Tax ID Number(s).]
***Alert: If you are prompted to login when trying to open and/or download a file from our website, please click "Cancel" and the file will open. We are working to resolve this issue.*** |
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Health Care Claim Payment and Electronic Remittance Advice Electronic Transaction, including Electronic Fund Transfer
UCare understands the importance of reminding health care providers of upcoming changes that may impact your organization. A reminder letter was sent out to health care providers regarding the last phase of the health care electronic transactions, as required by the Minnesota State statute, section 62J.536, that will be in effect as of Dec. 15, 2009.
To clarify our letter dated Oct. 30, 2009, the implementation of electronic remittance advice (835) transaction is the only part of the Minnesota State statute. UCare has made a business requirement that when an 835 is submitted to a provider, an electronic fund transfer (EFT) will accompany it. The EFT is not part of the statute; however, it is part of UCare's business requirement.
If you have questions regarding any of these transactions, please call our Provider Assistance Center at the phone number(s) listed above.
A copy of the Oct. 30th letter is linked here for your reference. |
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Provider Alert: Applying Co-pays for Vision Services in Error
UCare has identified an error in applying specialist office visit co-pays for vision services for our UCare for Seniors members. This affected claims that were finalized with dates of services in 2009 from vision providers.
We have identified all the vision service claims that were assessed a co-pay in error and have reprocessed all of them as of today, 10/26/09. Vision providers will receive future explanation of payments (EOPs) showing the adjustment and payment of the co-pays.
If you are a vision provider and have collected co-pay(s) from a UCare for Seniors member, we apologize for the inconvenience and you should reimburse the patient(s) back their money.
Please call our Provider Assistance Center at the phone number(s) listed above.
(Posted 10/26/09) |
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Electronic Attachments, Appeals Take Effect July 15
Claims are not the only documents that must be electronically submitted beginning July 15. Paper attachments or adjustments/appeals to a claim will have to be submitted electronically, too.
UCare has set up a designated fax number that will ease providers' submission of any attachments and/or adjustments/appeals information associated with electronic claims. The designated fax number is
612-884-2261.
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Quick Reference Sheet: Claim Submission
(Posted 6/19/09)
This quick reference sheet provides an outline of the Minnesota State statute, section 62J.536, for electronic claim submissions. Also, provided in this document are a list of the clearinghouses that UCare currently contracts with, and information of how to and where to submit electronic claim attachments to UCare. Click here to download the document.
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