Payer id life1

What is the payer ID for Optum Health Plan of California? Payer ID: LIFE1 1. Reduces costs: No more handling, sorting, distributing or searching paper documents and it Keeps healthcare affordable to the end customer.

Payer id life1. DHA Receiver/Payer ID: INS028/TPA001DHA Receiver/Payer ID: INS028/INS028 HAAD Receiver/Payer ID: A010/A010 HAAD Receiver/Payer ID: A010/C005 DHA Receiver/Payer ID: INS028/TPA001 HAAD Receiver/Payer ID: A010/C005 (UAE only) (outside UAE) myaetnaneuron.ae www.neuron.aeaetna Xxxxxxx Xxxxxx Employee ID :123456 Policy : …

Payer ID. Payer IDs route EDI transactions to the appropriate payer. Anthem payer name and ID: Your Payer Name is Anthem BlueCross and Blue Shield (Anthem) Your Payer ID is 27514; Note: If you use a billing company or clearinghouse for your EDI transmissions, please work with them on which payer ID they want you to use ;

OptumCare / AZ, CO, CT, ID, IN, KS, OH, MO, NM, NV, NY, OR, SC, WA, WI (formerly Optum Medical Network & Lifeprint Network) LIFE1; Y Y; Medicare, Retirement Preferred Care Partners / FL; 65088 Y; Y * Medicare, Retirement; UnitedHealthcare / Peoples Health 87726; Y Y; former payer id 72126Payer ID LIFE1 Claims Mailing Address PO Box 30788, Salt Lake City, UT 84130-0788 Claims Issue Escalation [email protected] (Please first contact the Service Center) Health Care Coordination 8 a.m.‒5 p.m., Monday‒Friday Pre-authorization, hospital Phone 877-836-6806 pre-notification, emergent Fax 253-627-4708Benefits of Use Our Payer Lookup. Payer ID Lookup offers numerous benefits for healthcare providers, including: 1. Accuracy. By using Payer ID Lookup, providers can ensure that they are submitting claims to the correct payer, reducing the risk of claim denials and delays due to incorrect payer information. 2.Payer Information. Secure Horizons Lifeprint Arizona Payer ID: LIFE1; Electronic Services Available (EDI) Professional/1500 Claims: YES: Institutional/UB Claims: YES:Aetna Voice Advantage ® (AVA) Use our interactive telephone self-service system to check claims and patient eligibility. By calling the AVA National Dentist Line at 1-800-451-7715, you can: Check on several patients in a single call to a single number. Choose to hear the information or have it faxed. Check the status of a claim or claims.If you don’t want or don’t qualify for a driver’s license, you may want a state-issued ID to use as identification. There is no national ID card number in the United States. Instea...

Payer ID 3. Network name 4. Plan name 5. Provider services toll-free number 6. Medical claims address 7. UHC Medicare assigned H contract number Health Plan (80840): For Members911-87726-04 Member ID: RxBIN: RxPCN: RxGrp: H0609-025-000 Group Number: HCFAC9 Payer ID: LIFE1 Member: SAMPLE A MEMBER PCP Name: SAMPLE, M.D., PROVIDER Copay: PCP $0 ... In most cases, your provider will file your medical claims for you. You'll receive an explanation of benefits detailing what TRICARE paid. Sometimes, you'll need to file your own claims. If you do, send your claim form to TRICARE as soon as possible after you get care. In the U.S. and U.S. territories, you must file your claims within one year ...Payer ID. Payer IDs route EDI transactions to the appropriate payer. Anthem payer name and ID: Your Payer Name is Anthem BlueCross and Blue Shield (Anthem) Your Payer ID is 27514; Note: If you use a billing company or clearinghouse for your EDI transmissions, please work with them on which payer ID they want you to use ;When using the services of a contracted clearinghouse, it is critical that the proper Payer ID is used so the electronic data interchange (EDI) claims are sent to Magellan. The following Payer IDs are required for all clearinghouses: 837P Professional: 01260; 837I Institutional: 01260; Payerpath 9030 Stony Point Pkwy Suite 440 Richmond, VA 23235EDI Payer ID #39026 UnitedHealthcare Shared Services P.O. Box 30783 Salt Lake City, UT 84130-0783 UHC Provider Services Phone: (877) 343-1887 If the patient has Medicare primary coverage, mail to GEHA: GEHA FEHB Medical P.O. Box 21542 Eagan, MN 55121. UnitedHealthcare Choice Plus (all 50 states) EDI Payer ID #39026 UnitedHealthcare Shared ServicesCheck our payer list to identify payers unaffected by the Change Healthcare issue. ... Payer ID: LIFE1; Electronic Services Available (EDI) Professional/1500 Claims: YES:Inst: This payer is not available for production until April 1, 2024.; Prof: ERA Payer Code 68069; Payer requires EFT enrollment in order for ERA files to be returned. Centene will not produce an ERA file for any paper checks.; Advantage by Bridgeway Health Solutions 68069 837 Experian Health Payer List Page 2 of 151

86066 Y. HEALTH MGMT ASSOC FALSE N. HMC Healthworks aka Health Management Co ## 75318 N HMC HEALTHWORKS FALSE G HMO Louisiana Blue Advantage ## (Use payer ID 72107 for claims with a DOS on or after 01/01/21) 72107 N LA BLUE ADVAN FALSE G.Payer IDs route EDI transactions to the appropriate payer. Anthem Payer ID: 00265: Anthem Blue Cross and Blue Shield Healthcare Solutions: Note: If you use a clearinghouse, billing service or vendor, please work with them directly to determine payer ID. Electronic remittance advice (835)Your Apple ID is an important identifier for Apple products and services. If you forget your ID or want to change it, you have a few options. This guide will allow you to determine...You are responsible for verifying any information before relying on it. Eclaims.com provides a searchable payer id code list, spanning all states for BCBS, MDCR and MDCD. Search by carrier or state in one easy step to locate the correct payer id code, neccessary to route EDI transactions to the correct payer.

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Receive convenient and secure electronic healthcare claim payments from hundreds of payers on the InstaMed Integrated ERA/EFT® Payer List. ... Payer Name: Payer ID: American Income Life Insurance Company: 60577: AmeriHealth Administrators: 54763: Bankers Conseco Life: 68560: Block Vision: 13374: BlueLink TPA: 55026:Payer Information. Secure Horizons Lifeprint Arizona Payer ID: LIFE1; Electronic Services Available (EDI) Professional/1500 Claims: YES: Institutional/UB Claims: YES:What is the payer ID for UnitedHealthcare Medicare Advantage? Payer ID: 87726 Paper claims: Mail claims to the address on the back of the member’s ID card. What is Payer ID LIFE1? PROVIDER BROWN Payer ID: LIFE1. PCP Phone: (999) 999-9999. Copay: PCP/ Spec/ ER.Claim.MD can get you started fast. Check our payer list to identify payers unaffected by the Change Healthcare issue. Learn more about Claim.MD's excellent pricing. Attend a Webinar to learn more and ask questions from our sales team. See how Claim.MD makes Payer Enrollments faster and easier than ever.Electronic Payor ID: Electronic claims may be submitted through: Emdeon (Payer ID: 63092 or 52192) SSIGroup (Payer ID: 63092) Availity (Payer ID: 63092 or 52192) Proxymed (Payer ID: 63092) Medassets (Payer ID: 63092) Zirmed (Payer ID: 63092) OfficeAlly (Payer ID: 63092) GatewayEDI (Payer ID: 63092)Payer ID LIFE1 Claims Mailing Address PO Box 30788, Salt Lake City, UT 84130-0788 Claims Issue Escalation [email protected] (Please first contact the Service Center) Health Care Coordination 8 a.m.‒5 p.m., Monday‒Friday Pre-authorization, hospital Phone 877-836-6806 pre-notification, emergent Fax 253-627-4708

Payer ID Tech ID OI Code Coverage Type Payer Phone Street City State Payer Name 00029005 359274 05 AS (999) 999-9999 600 LAFAYETTE,PO BOX 2500 DETROIT MI BCBSM 00029010 359274 89 AS (999) 999-9999 PO BOX 2500,600 LAFAYETTE DETROIT MI BCBSM 00029015 359274 87 RX (999) 999-9999 PO BOX 2500, 600 …4. Electronic claim submission allows you to submit claims quickly, track claims received, and save time on resubmissions. You can submit various claim types through your clearinghouse, practice management system, or EDI vendor, including: • Professional • Institutional • Dental (including encounters and predeterminations. Payer ID LIFE1 Claims Mailing Address PO Box 30788, Salt Lake City, UT 84130-0788 Claims Issue Escalation [email protected] (Please first contact the Service Center) Health Care Coordination Pre-authorization https://onehealthport.com 8 a.m.‒5 p.m., Monday‒Friday Phone: 877-836-6806 Fax: 855-402-1684 Health Care Coordination In the “Eligibility, Claims Status & Referrals” tab, enter “Coventry” in the “Payer Name” field. For medical plans, use 25133. For MHNet, use 74289. Use the payer IDs listed in the claims column. Visit www. aetnabetterhealth. com. Select the appropriate state’s plan to learn how to get this information. Visit www.Electronic Payor ID: Electronic claims may be submitted through: Emdeon (Payer ID: 63092 or 52192) SSIGroup (Payer ID: 63092) Availity (Payer ID: 63092 or 52192) Proxymed (Payer ID: 63092) Medassets (Payer ID: 63092) Zirmed (Payer ID: 63092) OfficeAlly (Payer ID: 63092) GatewayEDI (Payer ID: 63092)Availity is a provider portal that connects you with hundreds of payers and offers various features to simplify your workflow. You can access payer lists, authorization capabilities, directory verification, enhanced claim status, and more. Availity helps you reduce calls, paperwork, and errors, and improve your provider experience.For electronic submissions, use payer ID: LIFE1 For paper submissions, use Attention: OptumCare Claims P.O. Box 30539 Salt Lake City, UT 84130 Electronic funds transfer (EFT) OptumCare works exclusively with InstaMed as our free payer payments solution for providers. To continue receiving your OptumCare payments electronically,The Indian Government is in the midst of rolling out the world’s largest biometric identity project. The exercise—conceptualised and steered in its present form by Infosys co-found...Your Apple ID is an important identifier for Apple products and services. If you forget your ID or want to change it, you have a few options. This guide will allow you to determine...Are you looking to create ID cards without breaking the bank? Look no further. In this step-by-step tutorial, we will guide you through the process of creating professional-looking...

Learn how to submit claims for your UnitedHealthcare Medicare Advantage members with the Payer ID LIFE1 through Optum Medical Network's preferred method of electronic claim submission. Find out the benefits, format and specifications of EDI …

following electronic Payer ID or mailing address: Payer ID: LIFE1 Mailing address: Optum Care Network Claims P.O. Box 30539 Salt Lake City, UT 84130-0539 Submit claim reconsiderations: Online: Optum Pro portal By phone: 855-822-4325 By mail: Optum Care Provider Dispute Resolution P.O. Box 30539 Salt Lake City, UT 84130-0539 Check the status of yourTo find the Payer ID Manually. 1. Hover over the "Billing" tab and choose "Payer Search" under the Enrollments section. 2. For billing accounts, the clearinghouse you are set up with will be listed on the left. However, if you submit to Carisk Partners (fka iHCFA) too, for example, you can choose that from the payer list from the dropdown if ...Payer ID: 60801. Enrollment Required (ENR): No Type / Model: Commercial/Par State: Professional (CMS1500)/Institutional (UB04)[Hospitals] Real Time Eligibility (RTE): NO Real Time Claim Status (RTS): NO. ... Request Payer Contact Address to Send Claims by PostUnited Health Card Provider Phone Number: (877) 842-3210. Tip: Say representative, I don’t have it, and press “0” to get a real human as fast as possible. Optum Provider Provider Phone Number: (800) 888-2998. United Behavioral Health Provider Phone Number: (800) 888-2998. If you want to never have to make these sorts of calls, consider ...In most cases, your provider will file your medical claims for you. You'll receive an explanation of benefits detailing what TRICARE paid. Sometimes, you'll need to file your own claims. If you do, send your claim form to TRICARE as soon as possible after you get care. In the U.S. and U.S. territories, you must file your claims within one year ...Payer ID AESSI Payer ID 62118 Phone: (888) 837.2951 or Payer ID 62118 Phone: (888) 686.3260 Payer ID AESSI. Created Date: 1/29/2021 2:16:39 PM ...Members in the affected plans will get new member ID cards that show the Payer ID LIFE1 and will have other applicable delegation-specific descriptors such as delegate name …See full list on cdn-aem.optum.com

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Payer ID numbers are 60054 for Aetna claims and 68246 for Aetna encounters. Learn more about electronic claim submission Read electronic claim submission FAQs. National Provider Identifier (NPI) Federal regulations require you to submit HIPAA standard electronic transactions with only your National Provider Identifier (NPI).(LOB) Brand Name / Plan Name or Region Payer ID Payer ID COB Edits Comments ... LIFE1 N N. Medicare, Retirement OptumCare ... Relay Health Pay or Ids. Document ...86066 Y. HEALTH MGMT ASSOC FALSE N. HMC Healthworks aka Health Management Co ## 75318 N HMC HEALTHWORKS FALSE G HMO Louisiana Blue Advantage ## (Use payer ID 72107 for claims with a DOS on or after 01/01/21) 72107 N LA BLUE ADVAN FALSE G.Benefit from our 8000+ electronic payer connections to streamline your claims processing and increase accuracy.By phone: 877-370-2845. Member ID cards. Members in the affected plans will get new member ID cards that show the Payer ID LIFE1 and will have other applicable …For electronic submissions, use payer ID: LIFE1 and Clearinghouse: Optum 360. For paper submissions, use: Optum Care Network Claims PO Box 30781 Salt Lake City, UT 84130 …Payer ID: LIFE1 Dental Providers: uhcdental.com 1-877-816-3596 Med Claims: P.O. Box 30539, Salt Lake City, UT 84130-0539 Rx Claims: OptumRx P.O. Box 650287, Dallas, …Claim.MD can get you started fast. Check our payer list to identify payers unaffected by the Change Healthcare issue. Learn more about Claim.MD's excellent pricing. Attend a Webinar to learn more and ask questions from our sales team. See how Claim.MD makes Payer Enrollments faster and easier than ever.Payer ID: 86253. Electronic Services Available (EDI) Professional/1500 CLaims. Institutional/UB Claims. ERA. Enrollment. Dental/ADA Claims. Electronic Attachments. ….

1-888-OHIOCOMP (OHIO BWC) Electronic. P I. N. 1st Auto & Casualty (MN Only) (Auto Only) (J1585A) Electronic. Y. 21st Century Insurance (All States) (WC Only) (41556W) 22125 Roscoe Corp. AAA Northern California, Nevada & Utah Insurance Exchange ABC Const. Company Ace Property & Casualty Ins Co AG Facilities Operations, LLC Agri …If you have any questions about payer ID numbers, please contact Harvard Pilgrim Health Care’s Electronic Data Interchange (EDI) team at [email protected] or 800-708-4414 (select option #1 and then option #3). They may have a proprietary ID for you to use prior to submitting claims to PGBA, LLC (HNFS' partner for claims processing). TRICARE West Region Payer ID: 99726. Note: If your clearinghouse is Change Healthcare, the West Region payer ID is SCWI0 for professional claims and 12C01 for institutional claims. Please call your Change Healthcare ... What is the payer ID for UnitedHealthcare Medicare Advantage? Payer ID: 87726 Paper claims: Mail claims to the address on the back of the member’s ID card. What is Payer ID LIFE1? PROVIDER BROWN Payer ID: LIFE1. PCP Phone: (999) 999-9999. Copay: PCP/ Spec/ ER.Check our payer list to identify payers unaffected by the Change Healthcare issue. ... Payer ID: LIFE1; Electronic Services Available (EDI) Professional/1500 Claims: YES: Institutional/UB Claims: YES: ... CO, CT, ID, IN, KS, OH, MO, NM, NV, NY, OR, SC, WA, WI Optum Care Ohio COLLABORATIVE CARE SERVICES, I Northwest Physicians …For electronic claim submissions, use Payer ID: LIFE1. Claim submissions should be in a HIPAA-compliant I or P format. EDI has a standardized format, which ensures that data can be sent quickly and is interpreted on both sides. EDI transactions adhere to HIPAA regulations and American National Standards Institution (ANSI) standards.For up-to-date payer information, please access the payer list from the OptumInsight website at: http://www.ingenix/connectivity or contact OptumInsight Customer Service …Payer ID. Name. Service. 94245. Lifeguard. Claims. 94245. Lifeguard (Added On 12/27/2001). Claims. TH001. Lifemark. Claims. LIFE1. Lifeprint.Electronic Payer ID: CX083 LIBERTY Dental Plan Attn: Claims Department P.O. Box 26110 Santa Ana, CA 92799 Provider Portal: www.libertydentalplan.com Phone: 1-888-352-7294 Prescriptions/ Specialty Pharmacy Express Scripts Express Scripts ATTN: Commercial Claims P.O. Box. 14711 Lexington, KY 40512-4711 Legal StatementPayer ID. Payer Name. 87726. AARP Medicare Complete. 87726. AARP Member Advantage ... LIFE1. Optum Medical Network (10/14); aka UHC Medicare Solutions / AARP. Payer id life1, Cigna Customer Service Phone Number. 1 (800) 997-1654. Cigna Provider Phone Number for Medical, Dental and Vision. 1 (800) 244-6224. Cigna Behavioral Health Phone Number for Providers. 1 (800) 433-5768. Cigna Medicare Phone Number for Providers. 1 (800) 668-3813. You may also want to know about Aetna Provider Phone …, In today’s digital age, having an email address is essential for various reasons. Whether you want to communicate with friends and family, sign up for online services, or create so..., Receive convenient and secure electronic healthcare claim payments from hundreds of payers on the InstaMed Integrated ERA/EFT® Payer List. ... Payer Name: Payer ID: American Income Life Insurance Company: 60577: AmeriHealth Administrators: 54763: Bankers Conseco Life: 68560: Block Vision: 13374: BlueLink TPA: 55026:, We would like to show you a description here but the site won’t allow us., Availity is a provider portal that connects you with hundreds of payers and offers various features to simplify your workflow. You can access payer lists, authorization capabilities, directory verification, enhanced claim status, and more. Availity helps you reduce calls, paperwork, and errors, and improve your provider experience., Box 5: Facility tax ID. Box 6: Statement covers period (DOS) Box 7: Administrative necessary days. Member validation Box 8a-b: Patient name. Box 9a-d: Patient address. Box 10: Patient DOB. Box 11: Patient gender. Admission information. Box 12: Admission date. Box 13: Admission hour. Box 14: Admit type (reason for admission) Box 15: Source of ..., Professional Claims. 837P. View note. AMVI Medical Group. PROSP. Institutional Claims. 837I. View note. Quickly search for insurance payer IDs with Office Ally's easy-to-use payer ID lookup tool & access our updated payer ID list to simplify your billing process. , For electronic claim submissions, use Payer ID: LIFE1. Claim submissions should be in a HIPAA-compliant 837 I or P format. EDI has a standardized format, which ensures that data can be sent quickly and is interpreted on both sides. EDI transactions adhere to HIPAA regulations and American National Standards Institu-tion (ANSI) standards., Meritain Health. Aetna Medicare Prime (HMO) Aetna Medicare Platinum (HMO and PPO) Aetna Medicare Freedom (PPO) Blue Cross Blue Shield. Almost all commercial and Medicare advantage. Medica (Only plans affiliated with BCBS. Does not include general Medica Plans) Gilspar (Only plans affiliated with BCBS), This payer sheet refers to Commercial Other Payer Patient Responsibility (OPPR) Billing. Refer to www.Aetna.com under the Health Care Professionals link for additional payer sheets. To prevent point of service disruption, the RxGroup must be submitted on all claims and reversals. The following is a summary of our new requirements., October 30, 2014. Claims for your UnitedHealthcare Medicare Advantage members for Dates of Service January 1, 2015 going forward should be submitted with the Payer ID: LIFE1 through Optum ™ Medical Network’s preferred method of electronic claim submission known as Electronic Data Interchange (EDI). EDI is the computer-to-computer transfer ..., 36273 ALL. Harvard Pilgrim 04271. ALL Medica. 94265 ALL. Neighborhood Health Partnership 87726. ALL OptumCare / AZ, CO, CT, ID, IN, KS, OH, MO, NM, NV, NY, …, Claim.MD can get you started fast. Check our payer list to identify payers unaffected by the Change Healthcare issue. Learn more about Claim.MD's excellent pricing. Attend a Webinar to learn more and ask questions from our sales team. See how Claim.MD makes Payer Enrollments faster and easier than ever. Access the Claim.MD Knowledge Base., 1199 NATIONAL BENEFIT FUND Payer ID: 13162. Transaction Type Portal Batch Real Time (SOAP) REST (API) Enrollment Required; Eligibility and Benefits Inquiry (270)--Contact Sales: Contact Sales-Professional Claims (837P) Get Essentials Plus: Get EDI Plan---Professional Encounters (837P)-Get EDI Plan---, Payer ID Tech ID OI Code Coverage Type Payer Phone Street City State Payer Name 00029005 359274 05 AS (999) 999-9999 600 LAFAYETTE,PO BOX 2500 DETROIT MI BCBSM 00029010 359274 89 AS (999) 999-9999 PO BOX 2500,600 LAFAYETTE DETROIT MI BCBSM 00029015 359274 87 RX (999) 999-9999 PO BOX 2500, 600 …, For electronic claim submissions, use Payer ID: LIFE1. Claim submissions should be in a HIPAA-compliant 837 I or P format. EDI has a standardized format, which ensures that …, To select the correct payer ID, first upload the client’s insurance ID for reference. To do this: Navigate to the client’s Overview page. Click Edit > Billing and Insurance. Scroll down to their Insurance info. Click + Insurance info. Under Insurance card, click browse to upload the front of the insurance card., Providers should contact their clearinghouse for electronic billing, using payer ID: LIFE1 For paper submissions, use: Attention: Optum Claims P.O. Box 30539 Salt Lake City, UT 84130. Electronic funds transfer (EFT) Optum will work exclusively with InstaMed as our free payer payments solution for providers. Please register for free ERA/EFT:, Check our payer list to identify payers unaffected by the Change Healthcare issue. ... Payer ID: LIFE1; Electronic Services Available (EDI) Professional/1500 Claims: YES: Institutional/UB Claims: YES: ... CO, CT, ID, IN, KS, OH, MO, NM, NV, NY, OR, SC, WA, WI Optum Care Ohio COLLABORATIVE CARE SERVICES, I Northwest Physicians …, The terms payor and payer are both nouns that refer to someone who pays a bill or is the responsible party for some type of financial obligation. While the words have the same mean..., Payer ID LIFE1 Claims Mailing Address PO Box 30788, Salt Lake City, UT 84130-0788 Claims Issue Escalation [email protected] (Please first contact the Service Center) Health Care Coordination 8 a.m.‒5 p.m., Monday‒Friday Pre-authorization, hospital Phone 877-836-6806 pre-notification, emergent Fax 253-627-4708, Washington. Login. Top. If you're an Optum Care provider, you can access the information you need securely. Select a login based on your location. , Claim.MD can get you started fast. Check our payer list to identify payers unaffected by the Change Healthcare issue. Learn more about Claim.MD's excellent pricing. Attend a Webinar to learn more and ask questions from our sales team. See how Claim.MD makes Payer Enrollments faster and easier than ever. Access the Claim.MD Knowledge Base. , For electronic submissions, use payer ID: LIFE1 For paper submissions, use Attention: OptumCare Claims P.O. Box 30539 Salt Lake City, UT 84130 Electronic funds transfer (EFT). In July 2018, OptumCare will work exclusively with InstaMed as our free payer payments solution for providers. To continue receiving your OptumCare payments …, Providers should contact their clearinghouse for electronic billing, using payer ID: LIFE1 For paper submissions, use: Attention: Optum Claims P.O. Box 30539 Salt Lake City, UT 84130. Electronic funds transfer (EFT) Optum will work exclusively with InstaMed as our free payer payments solution for providers. Please register for free ERA/EFT:, Yes, the payer ID and claim address are the same for exchange plans. For information on electronic claims submission, review our claims, payment & reimbursement resources. We encourage electronic claims submission. However, if you prefer to mail a claim, you can use the address below:, Independent Contracting Contact: [email protected] Website: https://professionals.optumrx.com. Certification Testing Window: Certification not required. Pharmacy Help Desk Information: Medicaid: 888-306-3243 OptumRx: 800-788-7871 FlexScripts: 800-603-7796 ProAct: 877-635-9545 MedalistRx: 855-633-2579., See full list on cdn-aem.optum.com , Independent Contracting Contact: [email protected] Website: https://professionals.optumrx.com. Certification Testing Window: Certification not required. Pharmacy Help Desk Information: Medicaid: 888-306-3243 OptumRx: 800-788-7871 FlexScripts: 800-603-7796 ProAct: 877-635-9545 MedalistRx: 855-633-2579., East: 1-800-444-5445. West: 1-844-866-9378. Overseas: Call the Regional Call Center for your overseas area. Downloading TRICARE Forms. To download an enrollment form, right-click and select to "save-as" or download direct from the WHS Forms Page. For enrollment, use your region-specific DD-3043 form. Last Updated 7/20/2023., DHA Receiver/Payer ID: INS028/TPA001DHA Receiver/Payer ID: INS028/INS028 HAAD Receiver/Payer ID: A010/A010 HAAD Receiver/Payer ID: A010/C005 DHA Receiver/Payer ID: INS028/TPA001 HAAD Receiver/Payer ID: A010/C005 (UAE only) (outside UAE) myaetnaneuron.ae www.neuron.aeaetna Xxxxxxx Xxxxxx Employee ID :123456 Policy : …, It allows provider and payer systems to talk to one another to verify eligibility, benefits and submit claims. The payer ID is generally five (5) characters but it may be longer. It may also be alpha, numeric or a combination. The payer ID is often located on the back of the insurance card in the Provider or Claims Submission section. Below are ..., following electronic Payer ID or mailing address: Payer ID: LIFE1 Mailing address: Optum Care Claims P.O. Box 30539 Salt Lake City, UT 84130 Submit claim reconsiderations: Online: Optum Pro portal By phone: 888-685-8491 Check the status of your claim submission: Online: Optum Pro portal By phone: 888-685-8491 Please don’t submit …