Claims & Billing

 

Check the Status of a Claim

Claim Lookup

Search for Remittance Advice

Payment Lookup

Minnesota based non-contracted providers who deliver services to a UCare member will need to follow the process below before submitting a claim to UCare:

  1. Submit the Add or update a facility or location form to get enrolled in UCare’s payment system. A confirmation number will be provided confirming your submission.
  2. Within 30 business days you will receive an email notification from us confirming you have been added to UCare’s payment system.
  3. Submit your claim(s) electronically to UCare.  

 

IMPORTANT NOTES:  

  • Guidance for electronic claim submission is provided in Chapter 11 of the UCare Provider Manual.
  • UCare requires Healthcare Provider Taxonomy Code Sets (HPTC), maintained by the National Uniform Claim Committee (NUCC), be included on all claims. For more information see Chapter 11 in the UCare Provider Manual.
  • This process does not add your organization to UCare's contracted provider network. Please see “Join Our Network if interested in becoming a contracted provider with UCare.   

Non-contracted providers who practice outside of Minnesota but deliver services to a UCare member will need to follow the mail or online process listed below before submitting a claim to UCare:

IMPORTANT NOTE:  

  • UCare requires Healthcare Provider Taxonomy Code Sets (HPTC), maintained by the National Uniform Claim Committee (NUCC), be included on all claims.
  • This process does not add your organization to UCare's contracted provider network. Please see the “Join Our Network” page if interested in becoming a UCare contracted provider.   

Mail:

  1. Send a copy of the paper claim(s), along with completed W-9 to:

UCare
Attention: Claims
P.O. Box 70
Minneapolis, MN 55440-0070

Click here to download a Printable W-9 .

  1. Guidance for paper claims submission is provided in Chapter 10 of UCare’s Provider Manual.

Online:

  1. Submit the Add or update facility or location form to get enrolled in UCare's payment system. A confirmation number will be provided confirming your submission.
  2. Within 30 business days you will receive an email notification from us confirming you have been added to UCare's payment system.
  3. Submit your claim(s) electronically to UCare. Guidance for electronic claims submission is provided in Chapter 11 of UCare's Provider Manual. 

 

If you have other questions, contact the Provider Assistance Center:

612-676-3300 or 1-888-531-1493 (toll free)
Hours:  8 am to 5 pm,  Monday through Friday

Newsletters & Alerts

 

UCare Implements New Transportation Management Software

UCare has rolled out a new transportation system to schedule rides for our members. The new service will continue to be called UCare HealthRide.

 

Read the June 22 Provider Bulletin.

 

 

 

 

 

As UCare implements the new claims system, you may have questions. Please see the most common questions below before contacting UCare for additional assistance. New questions will be added as they arise, so check back frequently.

Which Payor ID should be used for claims in 2019 vs. 2020?

The chart below indicates which Payor ID should be used for each UCare plan based on the claim date of service (DOS). The items in Red show which plans changed Payor IDs from 2019 to 2020:

Product

2019 DOS Payor ID

2020 DOS Payor ID
UCare Individual & Family Plans 55413 55413
UCare Individual & Family Plans with M Health Fairview 55413 55413
UCare Medicare Plans 52629 55413
EssentiaCare 52629 55413
UCare Medicare with M Health Fairview & North Memorial Health 52629 55413
UCare Connect + Medicare 52629 52629
UCare Connect 52629 52629
UCare - Minnesota Senior Health Options (MSHO) 52629 52629
UCare - Minnesota Senior Care Plus (MSC+) 52629 52629
UCare - MinnesotaCare (MnCare) 52629 52629
UCare - Prepaid Medical Assistance Program (PMAP) 52629 52629