Mmene Mungapangire Chigamulo Chodandaula Chachipatala ku UnitedHealthcare

Kuyenda pa intaneti ndi ma telefoni Services

UnitedHealthcare ndi wothandizira wathanzi kwambiri ku United States omwe ali ndi anthu oposa 40 omwe akugwirizana nawo, kuphatikizapo All Savers, Midwest Security, Neighborhood Health Partnership, OneNet PPO, OptumHealth, Oxford Health Plans, ndi UMR.

Pano pali zambiri zomwe zingakuthandizeni kuyenda njira ya kulipira azachipatala ya UnitedHealthcare.

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Kutumiza Chigamulo

Pali njira zitatu zosavuta zowonjezera chigamulo cha UnitedHealthcare:

1. Zomveka zamakono zingatumizidwe kudzera pa webusaiti yotetezera ya UnitedHealthcare.
2. Kulemba mapepala kungaperekedwe ku adilesi ya UnitedHealthcare yomwe imatumizira maadiresi omwe ali pamakalata a membala.
3. Zomveka zamakono zingatumizedwe kudzera mu nyumba yogulitsa zipangizo zamagetsi.

Lamulo lachiwiri ndi limodzi limene wopereka wachiwiri ali ndi udindo wopanga malipiro m'malo mwa olipidwa. Pali njira zingapo zoperekera chigwirizano chachiwiri:

• Malingaliro achinsinsi angaperekedwe monga pamwambapa.
• Malingaliro a pepala angaperekedwe ndi Kufotokozera kwapadera kwa Mapindu (EOB) .

Mukamapereka chilolezo chachiwiri, nthawi zonse onetsetsani kuti muphatikize ndalama zowonjezera, ponseponse pa mlingo woyenera ndi msinkhu wa mndandanda wautumiki. Phatikizanipo zifukwa zosinthira (monga chigwirizano chachinsinsi, deductible, kapena coinsurance), ndipo mugwiritse ntchito zizindikiro zomwe zimaperekedwa ndi ndalama zowonjezera.

Potsiriza, phatikizani malipiro oyambirira omwe amalipilira, kachiwiri pa mlingo woyenera ndi msinkhu wa mndandanda wa utumiki.

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Kuyang'anitsitsa Kuyenerera, Mapindu, ndi Chidziwitso

Musanapereke maubwino, mukhoza kutsimikizira kuti wothandizidwa ndi oyenerera, phindu lake, ndi malo omwe akufunira pa intaneti mu njira zitatu:

• Gwiritsani ntchito liwu la VoiceHealthcare lopanda malire pa (877) 842-3210. Nenani kapena kulowetsani nambala yanu ya msonkho ndikutsatira zomwe mukuchita.
• Gwiritsani webusaiti yotetezera ya UnitedHealthcare.
• Gwiritsani ntchito wogulitsa zamagetsi / nyumba yosungira.

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Kukonza Chiwongoladzanja Cholipidwa

Pamene mukupanga kusintha kuzinthu zowonongedwa kale, perekani zotsutsana zogwiritsidwa ntchito pakompyuta. Kuti muchite chomwecho, lowetsani "KULEMBEDWA KUKHALA" muzolemba. Tsatirani ndi kukonzanso ndondomeko yafupipafupi yodzinenera ndi:

• 7 = Kusinthidwa kwa Chidziwitso Choyambirira
• 8 = Sungani / Sungani Lamulo Loyamba

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Kutumiza Chilolezo Chovomerezeka Choyambirira

Nthawi zonse perekani pempho lovomerezeka lapadera kwa masiku osachepera awiri osanagwiritsire ntchito. Mungathe kuchita izi telefoni kapena zamagetsi, motere:

• Zopempha zosafunika ziyenera kutumizidwa ndi fax kuti (800) 303-9902.
• Zopempha zachipatala ziyenera kutumizidwa ndi fax kuti (800) 699-4712.
• Zopereka zopereka zowonjezera zingapangidwe mwa kuyitana (877) 842-3210.
• Zopempha zamakono zingapangidwe kupyolera mu pulogalamu ya UnitedHealthcare ya Prior Authorization ndi Notification. Pezani tsambalo "Lembani pempho lovomerezeka ndi chidziwitso."
• Mukhozanso kutumiza pempho kudzera mwachindunji deta yanu (EDI).

Zambiri

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Kuwombera Mlandu Wokanidwa

Njira yowonjezera yakupempha chigamulo ndikutumiza pempho la Reconsideration Request pa intaneti.

Ngati zolembedwa zolembedwa zikufunika, monga umboni wa kufikitsa nthawi kapena zolemba zachipatala, muyenera kulemba ndikupereka Fomu ya Kufunsidwa kwa Claim Reconsideration Request. Fomuyi iyenera kutumizidwa ku adiresi yomwe ikufunsidwa kumbuyo kwa khadi la membala.

Ngati mukupempha kubwereranso kwa chigamulo chomwe chinatsutsidwa ndikudikira zolemba zachipatala, malizitsani fomu yomwe ili pamwambapa ndipo perekani zonse kufotokozera zomwe zikuperekedwa pamodzi ndi chidziwitso chilichonse chofunikira.

Zambiri

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Akupempha kubwezeredwa

Kuti mupemphere kubwezeredwa chifukwa cha kulipiritsa ndalama, muyenera kupereka chigamulo chovomerezedwa ku UnitedHealthcare. Kubwezera chifukwa cha ngongole za ngongole zilipo zingatumizedwe ku:

UnitedHealth Group Recovery Services
PO Box 740804
Atlanta, GA 30374-0804

Malipiro owonjezereka ayenera kutumizidwa mkati mwa masiku 30 atalandira pempho kuchokera ku UnitedHealthcare ndikuphatikizapo zonse zofunika zomwe zikugwirizana ndi malipiro omwe adalandira.

Ngati muli ndi mafunso alionse, mungatchule ma Service Provider ku (800) 445-1638.

Zambiri

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Kulimbana ndi UnitedHealthcare

Ndifoni:

• United Voice Portal: (877) 842-3210
• Ubwino ndi Kuyenerera: (877) 842-3210
• Desiki Thandizo: (866) 842-3278; Njira 1
• Malingaliro a Electronic Data Interchange (EDI): (800) 842-1109
• Malipiro a zamagetsi ndi Malemba (EPS): (877)602-6194
• Kuyerekeza kwa Chipatala: (866) 270-5588
• United Behavioral Health: (877) 633-7824
• View360 Patient Opportunity Summary Reports: (866) 270-5588
• Gwiritsani Zosintha Zowonjezera: (877) 842-3210
• Ndondomeko Yopanga Udokotala: (866) 270-5588
• Specialty Center Designation Program: (866) 270-5588

Ndi Mail:

• Gwiritsani ntchito adilesi kumbuyo kwa khadi la membala wa membalayo
• Gwiritsani ntchito adiresi yomwe ili mu mgwirizano wothandizira

Maola amalonda amachokera 6:30 am mpaka 12:00 am EST Lolemba mpaka Lachisanu, kuyambira 7:00 am mpaka 6:00 pm EST Loweruka, kuyambira 7:00 am mpaka 5:00 pm EST Lamlungu.