Claims & Billing

 

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Claim Lookup

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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
Hours:  8 a.m. to 5 p.m.,  Monday through Friday

Newsletters & Alerts

 

See Full Provider News Library

Temporary Suspension of Medicare Claim Processing Edits

Effective for Medicare claims with 2020 dates of service, processed after July 21, 2020, UCare is temporarily suspending certain claims processing edits for claims submitted on behalf of members in the following products: UCare Medicare Plans, UCare Medicare with M Health Fairview & North Memorial, and EssentiaCare. 

See the July 21 bulletin for details.

 

 

August 2020 Health Lines

Read about the UCare Provider Manual Update, Holiday Closure Hours, New Member ID Card Design Reminder, Documentation Improvement for Rheumatoid Arthritis, LivingWell Kid Kits, Member Rights and Responsibilities and the Provider Relief Fund Application Deadline Update.
 

 

 

 

Pharmacy Access – Disruption Due to Protests

Access to certain pharmacies may be limited because of temporary closures or building disruptions. UCare has prepared information to answer questions you may have for your patients.

Read the Pharmacy Access Bulletin. 

 

 

 

UCare Provides Individual & Family and Medicare Members COVID-19 Financial Relief

As COVID-19 continues to impact Minnesota’s safety, health and financial security, UCare is taking several actions to help make health care more accessible and affordable. 

 

See the May 28 Provider Bulletin for more information.  

 

 

Additional Billing Guidance for Medicare Certified Home Health Care Providers

In November 2019, UCare issued a Provider Bulletin requiring Medicare Certified Home Health Care providers to submit claims in accordance with CMS billing guidelines. A new bulletin has been issued to provide additional clarification.

Read the May 1 bulletin here .

 

 

Temporary Changes to Post-Acute Care Authorization & Notification Requirements

UCare is temporarily changing prior authorization and notification requirements for certain post-acute care services effective for dates of services April 20, 2020, to June 30, 2020, in response to COVID-19. 

Read the April 20 Bulletin.

 

 

UCare to Roll Out New Member ID Card Design

Beginning Aug. 1, 2020, UCare will introduce a new member ID card design for all products that will be issued for members who join UCare or seek a replacement ID card during the remainder of this year.

 

Read the June 15 Provider Bulletin.

 

 

 

Q3 2020 Update to UCare's Provider Manual

UCare’s 2020 Provider Manual contains critical information that providers need to know to effectively work with UCare and our members. It is important that providers reference the online manual regularly for up-to-date content. The Provider Manual has been updated to reflect current business practices. 

Go to the  2020 Provider Manual    

  

 

Previous Next

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.

 

 

 

Q4 2020 Update to UCare's Provider Manual

UCare’s 2020 Provider Manual contains critical information that providers need to know to effectively work with UCare and our members. It is important that providers reference the online manual regularly for up-to-date content. The Provider Manual has been updated to reflect current business practices. UCare has prepared a Provider Bulletin outlining the key updates.

Go to the  2020 Provider Manual