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.
- Provider Information
- Billing and Reference Guides
- Claims and Member Information
- Claim Reconsideration and Appeals
- Clinical Practice Guidelines
- Cultural Comptency Library
- Medicare Part D Educational Materials
- Pharmacy Program
- Prior Authorization
- Provider Administrative Manual
- Provider Education
- Provider Forms
- Reimbursement Policy
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.
Questions? Contact your established Provider Advocate
Or Provider Call Center @ 888-702-2202
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
Behavioral Health: 877-614-0484
Logisticare (non-emergent, medically necessary)
Ride Assistance: 866-913-2493
Recurring Appointments: 866-400-8233
United Dental Benefits
Phone: 888-493-4070 (providers only)
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:||
|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.
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.