UnitedHealthcare Community Plan
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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. 

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Important Notice:

Monday, April 18th

Please note, due to weather advisory, our service center is currently experiencing higher than normal call wait times. If this matter is not urgent, please consider calling back Wednesday April 20th during normal business hours.

Thank you for your patience.

Please select the state where you practice.

Welcome to the UnitedHealthcare Community Plan Health Professionals area for Texas 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)

Contact Us (CHIP)

Provider Call Center

888-887-9003
Monday-Friday  8 a.m. – 5 p.m. CST

 

 

Postal Mailing Address

UnitedHealthcare Community Plan
14141 Southwest Freeway
Suite 800
Sugar Land, TX 77478
 

Claims Mailing Address

UnitedHealthcare Community Plan
PO Box 5270
Kingston, NY 12402-5270


 

Member and Provider Complaints and Appeals Address

UnitedHealthcare Community Plan
Attn:  Complaint and Appeals Dept.
PO Box 31364
Salt Lake City, UT 84131-0364

Overbilling and Refund Address

UnitedHealthcare Community Plan
PO Box 740800
Atlanta, GA 30374

Contact Us (STAR)

Provider Call Center

888-887-9003
Monday-Friday  8 a.m. – 5 p.m. CST

Mailing Address

UnitedHealthcare Community Plan
14141 Southwest Freeway
Suite 800
Sugar Land, TX 77478
 

Claims Mailing Address

UnitedHealthcare Community Plan
PO Box 5270
Kingston, NY 12402-5270
 

Member and Provider Complaints and Appeals     
Address 

UnitedHealthcare Community Plan
Attn:  Complaint and Appeals Dept.
PO Box 31364
Salt Lake City, UT 84131-0364
 

Overbilling and Refund Address

UnitedHealthcare Community Plan
PO Box 740800
Atlanta, GA 30374

Contact Us (STAR+PLUS)

Provider Call Center

888-887-9003
Monday-Friday, 8 a.m. – 5 p.m. CST 

Postal Mailing Address

UnitedHealthcare Community Plan
14141 Southwest Freeway
Suite 800
Sugar Land, TX 77478
 

Claims Mailing Address

UnitedHealthcare Community Plan
CLAIMS
PO Box 31352
Salt Lake City, UT 84131-0352
 

Provider Appeals and Complaints Address           

UnitedHealthcare Community Plan
Attn: Complaint and Appeals Dept.
PO Box 31364
Salt Lake City, UT 84131-0364
 

Overbilling and Refund Address

UnitedHealthcare Community Plan
PO Box 740800
Atlanta, GA 30374

Join Our Network

Click here to learn more about our network. 3.28.2016

 

 

UnitedHealthcare Connected (Medicare-Medicaid Plan) - See covered services, formulary, preferred drug list and more. 

 

UnitedHealthcare Community Plan Medical Policies and Coverage Determination 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. Click here (PDF 38.15 KB) to download our policy.

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.