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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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 612-676-3300 or 888-531-1493 (toll free) if you have any questions or concerns. Thank you.
(Posted 10/26/09) |
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Home Assessments
UCare is pleased to announce a new outreach initiative for our high-risk UCare for Seniors and Minnesota Senior Health Options (MSHO) members. These members may choose to receive a free Health Risk Assessment (HRA) in their home administered by a physician or nurse practitioner starting in September.
UCare has contracted with Matrix Medical Network to schedule the appointments with our members and provide the in-home assessment. The program is part of our ongoing efforts and is designed to support the care that is being provided by the member’s primary care physician (PCP). These home assessments are not intended to replace any existing appointments the member may have with their PCP and not meant to replace the care they receive through their PCP. However, a copy of the completed assessment will be provided to the member’s PCP for review.
If there are any questions, please call our Provider Assistance Center at 612-676-3300 or 1-888-531-1493 toll free.
(Posted 8/27/09) |
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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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