UnitedHealthcare Community Plan
You appear to be browsing this site using Internet Explorer 6. This browser is now out of date. For safer, more reliable browsing it is recommended that you upgrade your browser to Firefox, Safari or Internet Explorer 7 or 8.
Shortcut Navigation:

What can we do to make the UnitedHealthcare Provider Manuals better for you? Click here to provide feedback.

Please select the state where you practice.

UnitedHealthcare Community Plan Mississippi Providers

Welcome to the UnitedHealthcare Community Plan Health Professionals area for Mississippi providers.

Here you will find the information, forms, manuals and links you need to conduct business with UnitedHealthcare Community Plan.

Please choose your topic of interest, by selecting one of the navigation buttons on the left-hand side of the page, or select one of the topics or products below to reveal our Contact Information, Provider Administrative Manuals and Forms.

UnitedHealthcare Community Plan Added to Electronic Payments & Statements (PDF 59.89 KB)

Use Payer ID 87726 instead of 95378 for Claim Submissions

Claims submitted to payer ID 95378 will be subject to enhanced pre-adjudication review beginning on or after June 21, 2014.

Other health plans that currently use payer ID 95378 must transition to payer ID 87726 by June 21, 2014. You may be gin using payer ID 87726 immediately.  Members will receive an updated member ID card with the new payer ID.

Please refer to the following chart for details: 


Payer ID


UnitedHealthcare Community Plan – Mississippi CHIP




If you submit claims to payer ID 95378 after June 21, 2014, they will be subject to the enhanced review.

For more information about tracking your electronic claims, please visit: UnitedHealthcareOnline.com > Tools & Resources > EDI Education for Electronic Transactions

> Quick Tips for Electronic Claims > Tracking Your Electronic Claims.

If you have any questions about these changes, please ask your provider advocate or call the number listed for the plan in the chart above.  

Medical Injectables

To review the clinical criteria/guidelines used to conduct medical necessity reviews, please use this link: https://www.unitedhealthcareonline.com/b2c/CmaAction.do?channelId=ca174ccb4726b010VgnVCM100000c520720a____

Contact Us

Contract, Demographic, and Network Related Issues: (800) 557-9933

Claims or Service Related Questions: (800) 557-9933

Hours of Operation (Call Center): 8AM - 6PM

Postal Mailing Address:
795 Woodlands Parkway
Suite 301
Ridgeland, MS  39157

Claims Mailing Address:

P.O. Box 5032
Kingston, NY  12402-5032



UnitedHealthcare Community Plan Medical & Drug Policies and Coverage Determination Guidelines

UnitedHealthcare has developed Medical Policies, Medical Benefit Drug Policies and Coverage Determination Guidelines to assist us in administering health benefits. These policies and guidelines are provided for informational purposes, and do not constitute medical advice.
View the guidelines

Integrity of Claims, Reports, and Representations to the Government

UnitedHealth Group requires compliance with the requirements of federal and state laws that prohibit the submission of false claims in connection with federal health care programs, including Medicare and Medicaid. 
View our policy (PDF 38.15 KB).


If UHG policies conflict with provisions of a state contract or with state or federal law, the contractual / statutory / regulatory provisions shall prevail. To see updated policy changes, select the Bulletin section at left.