We continue to ensure that all documents are updated for ICD-10 Terminology. Providers should be aware that ICD-9 content applies to dates of service prior to 10/1/2015. ICD-10 terminology and claims sets apply to dates of service 10/1/2015 and after, regardless of the status of the document. 

Please select the state where you practice.
UnitedHealthcare Community Plan New Mexico Providers

Welcome to the United Healthcare Community Plan Health Professionals area for New Mexico Providers.

 

United Healthcare Community Plan Mission is to help people live healthier lives and to help make health system work better for everyone. 

Here you will find the information forms, manuals, and LINKS you need to conduct business with United Healthcare Community Plan to help accomplish the mission. 

Please choose your topic of interest, by selecting one of the navigation buttons on the left-hand side of page or select on of the topics or products listed below including our contract information.

 

Contact Information:

Questions? Contact your established Provider Advocate

Or Provider Call Center @ 888-702-2202

UnitedHealthcare Provider Advocate/Network Contracting Contact guide (PDF 136.84 KB)

Medical, Behavioral Health and Long-Term Care Services Customer Call Center
Available 8:00 A.M. to 5:00 P.M.
Monday through Friday
Customer Call Center: 877-236-0826
Customer Call Center TTY:711  

Credentialing
Medical: 888-702-2202
Behavioral Health: 877-614-0484

Pharmacy
Optum RX
Phone: 800-310-6826
Fax: 866-940-7328

Transportation
Logisticare (non-emergent, medically necessary)
Reservations: 866-913-2492
Ride Assistance: 866-913-2493
Recurring Appointments: 866-400-8233
TTY: 866-288-3133 

Dental
United Dental Benefits
Phone 877-408-0159

Vision
March Vision
Phone: 888-493-4070 (providers only) 

Report Health Care Fraud, Waste and Abuse: 844-359-7736 or uhc.com/fraud

Main Office Address
8220 San Pedro NE, Suite 300
Albuquerque, NM 87113


Electronic Claim Submission

Payer ID Number 87726


Paper Claim Submission

-Centinnial Care Plan
United Healthcare Community Plan
P.O. Box 31365
Salt Lake City, UT 84131-0350

-UnitedHealthcare Dual Complete Plan
UnitedHealthcare Community Plan
P.O. Box 31345
Salt Lake City, UT 84131-0348

-Behavioral Health for UnitedHealthcare Dual Complete Plan
Optum Behavioral Services
P.O. Box 30755
Salt Lake City, UT 84130-0755 

 

 

 

UHC Online Tools/Links:

Upcoming Expos/Trainings:

www.unitedhealthcareonline.com Provider Information Expo Invitation-2017 New Mexico save the date (PDF 222.99 KB)

 

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

UnitedHealthcare Medicare Advantage Coverage Summaries

For policy guidance for Medicare Advantage plan members, view the UnitedHealthcare Medicare Advantage Coverage Summaries Manual and corresponding policy update bulletins here

Disclaimer

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.