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angelbean > Intel > Things to Know About United Healthcare and HIP for the Medical Biller

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Things to Know About United Healthcare and HIP for the Medical Biller

By Angel Bean

Here are some guidelines to look out for when doing medical billing for United Healthcare and HIP medical insurances.

United Healthcare does not pay some pain management without pnc.

US Healthcare HMO accounts dial 800-624-0756 for PPO's. Please keep in mind that some PPO's have their own designated units. For HMO's dial 800-323-9930 or 800-690-6529. HMO accounts have identification numbers like this BBCDS03D with mostly letters as the I.d. Number.

United Healthcare Overpayment Recoveries Department

1-336-540-6705
Francine George in Overpayment Recoveries

What sometimes happens when someone has United Healthcare as their primary insurance and then that person’s spouse has Empire Metropolitan as secondary through themselves in that case there would be coordination of benefits issues to consider here. Coordination of benefits would mean what insurance company would pay first and then who would pay secondary and tertiary and so on until the bill is paid.

United Healthcare

877-842-3210 New Provider Number

Some special issues with HIP

If HIP denies for global stating that the service included was in the global fee call HIP and explain to the representative that because of policy with the hospital this procedure is part of the global service and that is why we were denied. Then tell the medical insurance carrier that we are separate from the hospital policy and should be paid.

The place to appeal to HIP is below.

HIP
Grievances and Appeals
7 West 34th Street
New York, NY 10001

HIP Montefiore Customer Service Center

Phone: 877-447-6668

HIP Health Plans – CMO
200 Corporate Drive
Yonkers, NY 10701

Healthcare Partners
1225 Franklin Ave, Suite 100
Garden City, NY 11530
Phone: 888-746-2200

Healthcare Partners likes paper claims for resubmitted claims but you can file electronically initially. Healthcare Partners has HIP identification cards but medical claims have to be filed with Healthcare Partners so you must call the insurance company to be sure if it is a going to Healthcare Partners or HIP.

This is an appeals letter for situations when we file to the wrong insurance carrier.

CMO Contract Management Organization
200 Corporate Drive
Yonkers, NY 10701

This claim was originally filed 3/6/10 electronically via N.E.I.C. To Continuum Health Partners HIP Administrators as the insurance demographic information suggested that HIP was the carrier. Upon checking the claim status we have found that CMO Contract Management Organization is the true carrier and would like to submit this claim for your review for payment to the anesthesiologist.

Thank you for your consideration in advance,

AngelBean.
Claims Correspondent


Contributor's Note

Written by Angelique author of 91 Smart Sounding Phrases To Put In Your College Academic Papers and Other College Survival Tips

https://www.createspace.com/3348044

DOWNLOAD College Academic Paper Writing Help and Other College Survival Tips

http://linkbee.com/CollegeBook

CEO of BusinessBuzzSEO Search Engine Optimization Services For Your Website

http://businessbuzzseo.tripod.com/index.html

AngelBean on Associated Content

http://www.associatedcontent.com/user/241469/angelbean.html

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AngelBean

Contributed by angelbean on May 19, 2010, at 10:58 PM UTC.

PLEASE VISIT THE CONTRIBUTOR'S WEBSITE
Funny Nursing Stories
The nursing thing is off the hook! Funny!
nursingstories.tripod.com/index.html

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