Non-contracted providers who practice outside of Minnesota but deliver services to a UCare member will need to complete the “Add a facility or location” form and populate the W-9 form that is linked before submitting a claim for service. That form and its instructions are located on the Manage Your Provider Profile page under the heading “Add or Update a Facility or Location.”
612-676-3300 or 1-888-531-1493
Hours: 8 a.m. to 5 p.m., Monday through Friday
UCare has developed a bulletin regarding issues that may cause claim rejection edits.
See the full bulletin.
UCare has been alerted that there is an issue with Availity – atypical transportation providers are receiving “...MISSING BILLING PROVIDER NPI” rejection in error for billing without an NPI. Availity has informed us that they have classified this issue as a high priority. We will update this notice as we learn more. Please direct any questions about this issue to Availity. We apologize for the inconvenience.
Medicare-eligible individuals have multiple opportunities to enroll in the most appropriate plan to meet their needs.
We’ve prepared a Provider Bulletin to help explain the following enrollment periods:
In this edition, read about changes for PCA and HCN services billed to members under age 65, new product names, 2019 Opioid Edits, enhanced prior authorization DME/Supply form, and documentation improvement for MI.
On Jan. 1, 2019, UCare will make changes that affect claims edits for only UCare Choices and Fairview UCare Choices plans (to be renamed UCare Individual & Family Plans and UCare Individual & Family Plans with Fairview in 2019).
UCare's 2019 authorization and notification requirements are now available on our website at ucare.org/providers, under the Eligibility & Authorization section: State and Public programs, UCare Medicare Pans, EssentiaCare, Behavioral Health and Pharmacy.
During 2019, UCare will temporarily suspend the requirement for prior authorizations for services delivered to members with UCare Choices and Fairview UCare Choices (renamed as UCare Individual & Family Plans and UCare Individual & Family Plans with Fairview in 2019).
Effective January 1, 2019, UCare will make changes that affect claims submission for only UCare Choices and Fairview UCare Choices plans (to be renamed UCare Individual & Family Plans and UCare Individual & Family Plans with Fairview on January 1, 2019).
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