Resources for Electronic Transactions
The following resources are available to assist providers with online administrative functions. To simplify and streamline transactions, UCare supports a variety of electronic data interchanges (EDI). Electronic Claims Submission UCare accepts electronic claims submission through two trading partners:
Change Healthcare
Registration/Payer Enrollment
Phone: 1-800-527-8133 toll-free (option 1)
E-Fax: 1-916-267-2963
Email: EDIEnrollmentSupport@ChangeHealthcare.com
Eligibility
Phone: 1-800-527-8133 toll-free (option 4)
E-Fax: 1-916-267-2966
Email: ClearanceEDISupport@ChangeHealthcare.com
Claims, Remits and Claim Status
Phone: 1-800-527-8133 toll-free (option 2)
E-Fax: 1-916-267-2968
Email: AssuranceEDISupport@ChangeHealthcare.com
General Change Healthcare Questions
Phone: 1-800-527-8133 toll-free
E-Fax: 1-916-267-2963
MN E-Connect/Health EC
Resources & Information
Payer ID: 55413
UCare Medicare plans, UCare Medicare Plans with M Health Fairview & North Memorial, EssentiaCare, UCare Individual & Family Plans, UCare Individual & Family Plans with M Health Fairview and UCare Minnesota Health Care Program Plans and Dual Eligible Plans*
*For UCare Minnesota Health Care Program Plans and Dual Eligible Plans claims with dates of service before 1-1-22, please use Payer ID: 52629.
If you have questions about EDI transactions, please email EDISupport@ucare.org.
Providers can access the 270/271 transaction via Change Healthcare PCS Support. If your clearinghouse has not already done so, they can enroll with PCS to begin transmitting these transactions to your organization. Have your clearinghouse contact CHC_pcssupport@changehealthcare.com or call 1-877-411-7271 to begin the enrollment and provisioning process.
UCare’s Health Care Eligibility Benefit Inquiry and Response 270/271 Companion Guide
This Companion Guide is intended to describe to UCare trading partners the content and format of the Eligibility and Benefit 270/271 transaction set in the EDI environment.
Providers can access the 276/277 transaction via Change Healthcare PCS Support. If your clearinghouse has not already done so, they can enroll with PCS to begin transmitting these transactions to your organization. Have your clearinghouse contact CHC_pcssupport@changehealthcare.com or call 1-877-411-7271 to begin the enrollment and provisioning process.
Health Care Claim Status Inquiry and Response 276/277 Companion Guide
This Companion Guide is intended to describe to UCare trading partners the content and format of the Health Care Claim Status Inquiry and Response 276/277 transaction set in the EDI environment.
Providers can access the 835 Remittance via Change Healthcare PCS Support. If your clearinghouse has not already done so, they can enroll with PCS to begin transmitting these transactions to your organization. Have your clearinghouse contact CHC_pcssupport@changehealthcare.com or call 1-877-411-7271 to begin the enrollment and provisioning process.
Electronic Remittance Advice 835 Companion Guide (PDF)
This Companion Guide is intended to describe to UCare trading partners the content and format of the Electronic Remittance Advice 835 transaction set in the EDI environment.
As of March 1, 2017, UCare requires the corresponding taxonomy to be submitted whenever a National Provider Identification (NPI) is reported on a claim. When taxonomy is not reported on a claim that includes a NPI number(s), the claim will be rejected. Provider types that are not required to submit claims with NPI are not required to submit taxonomy on claims to UCare.
Taxonomy FAQ
EDI Definition and Acronyms
Minnesota Uniform Companion Guide
Entities subject to Minnesota Statutes, section 62J.536 and related rules must follow the data content and other transaction-specific information of the Minnesota Uniform Companion Guide. A copy of the Minnesota Uniform Companion Guides are available at no charge from the Minnesota Department of Health at the above link.
Health Care Administrative Simplification Act (ASA)
Minnesota Administrative Uniformity Committee (AUC)