Update: Payer Name & CPID Change - United Healthcare Community Plan Ohio
CollaborateMD Blog
Update: There has been a change in the transition date noted in this original notification. According to United Healthcare Community Plan Ohio, the changes below will be effective 04/01/2013 instead of 03/01/2013. The date below has been updated.

Original Notice Sent 02/22/2013:
Due to a payer change, effective 3/1/2013, claims sent to United Healthcare Community Plan Ohio, which was associated with the Unison Health Plan of Tennessee/Ohio payer ID 25175 (CPIDs 7531 and 2809), must be submitted to different CPIDs:

Current Name: United Healthcare Community Plan Ohio
New Name: United Healthcare
Current CPID: 2809
New CPID: 3429
Current Payer ID: 25175
New Payer ID: 87726
Payer Agreement Required: No

Current Name: United Healthcare Community Plan Ohio
New Name: United Healthcare
Current CPID: 7531
New CPID: 3550
Current Payer ID: 25175
New Payer ID: 87726
Payer Agreement Required: No

In order to continue receiving Electronic Remittance Advice (ERA) for United Healthcare Community Plan Ohio, providers must be enrolled for ERA using payer ID 04567 which will be available as part of the enrollment form for CPIDs 3429 and 3550 United Healthcare. The ERA will be returned using CPIDs 3429 or 3550.

ERA and claims for all other health plans associated with payer ID 25175 Unison Health Plan of Tennessee/Ohio will continue to be processed under CPIDs 7531 and 2809 Unison Health Plan of Tennessee/Ohio.

Action Required: Send all claims for United Healthcare Community Plan Ohio, CPIDs 7531 and 2809 to the new CPIDs above. Enroll for ERA using payer ID 04567 which will be available as part of the enrollment form for CPIDs 3429 and 3550 United Healthcare.

If you have any questions, please contact Client Services at1-888-348-8457, option 2.