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:
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:
P.O. Box 70
Minneapolis, MN 55440-0070
612-676-3300 or 1-888-531-1493
Hours: 8 a.m. to 5 p.m., Monday through Friday
Effective Jan. 1, 2020, UCare will make changes that affect claims submission and edits for all UCare Medicare and State Public Program plans. UCare will be adding a higher SNIP level to inbound claims submission for these plans in 2020.
UCare has updated the following chapters of the Provider Manual: Working with UCare, Sales & Marketing by Providers, Provider Credentialing, Behavioral Health and Nursing Facility Services. Specific updates are called out in the Appendix.
UCare is continuing to implement our new claims syste. Effecitve Jan. 1, 2020, UCare will make changes that affect claims submissions for UCare Medicare Plans that include a new Payor ID for 2020 claims and new Member ID and format.
Coming in October 2019, UCare will reject the entire claim at the clearinghouse when a State Public Program or Individual & Family Plans claim line with procedure code H0035 is submitted with more than one unit of service.
Effective Jan. 1, 2020, for all UCare State Plans, UCare will implement Minnesota Department of Human Services (DHS) billing requirements and reimbursement guidelines for off-campus provider-based hospital department services. The Modifier -PO or -PN is now a requirement for all UCare Plans.
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