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.
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.
Contact your established Provider Advocate or the Provider Call Center at 888-702-2202
UnitedHealthcare Provider Advocate/Network Contracting Contact Guide (PDF 136.84 KB) (PDF 136.84 KB)
Medical, Behavioral Health and Long-Term Care Services Customer Call Center
Available 8:00 A.M. to 5:00 P.M.
월요일부터 금요일까지 상담 가능
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
전화: 888-493-4070 (providers only)
Main Office Address
220 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 커뮤니티 플랜
P.O. Box 31345
Salt Lake City, UT 84131-0348
Behavioral Health for UnitedHealthcare Dual Complete Plan
Optum Behavioral Services
P.O. Box 30757
Salt Lake City, UT 84130-0757
|UHC Online Tools/Links:||
|www.UHCprovider.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. 이러한 정책과 지침은 정보 제공을 목적으로 제공되는 것으로, 의학적인 조언은 아닙니다.
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.
사전 고지 사항
If UHG policies conflict with provisions of a state contract or with state or federal law, the contractual / statutory / regulatory provisions shall prevail. 업데이트된 정책 변경 사항을 확인하려면 왼쪽에서 게시판 섹션을 선택하십시오.