PCA 1 011045 06112018 TX Claim Clarification Template Word R2 071618.indd

Transcript

1 All Ambulance Claims Clarification: Transportation Claims for STAR+PLUS Members Who Also Have Medicare Benefits UnitedHealthcare Community Plan in Texas is sharing this information from the Texas Health and Human . Services Commission so you know what ’s required when billing for ambulance transportation services ambulance transportation for The Texas Health and Human Services Commission covers o are also eligible for Medicare benefits. UnitedHealthcare Community Plan STAR+PLUS members wh both e Claims for emergent ambulance services for these members should be submitted mergent and non- directly to Texas Medicaid & Healthcare Partnership (TMHP). You can confirm a UnitedHealthcare Community Plan member ’s Medicare eligibility by asking the member or checking online at UHCprovider.com/eligibility link . You can also us e TexMedConnect at tmhp .com > providers > Go to TexMedConnect. eligible for Medicare should be Claims for UnitedHealthcare Community Plan members who aren’t submitted to UnitedHealthcare Community Plan . Learn More ing ambulance claims to TMHP, go to tmhp .com > P roviders > Medicaid Provider For information on bill > Individual Chapters PDF > Volume Manual > Texas Medicaid Provider Procedures Manual 2: Ambulance Service Handbook > 2.4.3 Medicare and Medicaid Coverage . For help submitting claims to TMHP, go to tmhp .com > Providers > Medicaid Provider Manual > Texas Medicaid Provider Procedures Manual > Individual Chapters PDF > Volum e 1: Section 6: Claims Filing. You can also call the TMHP Contact Center General Inquiries Line at 800- 925- 9126. We’re Here to Help For information on submitting UnitedHealthcare Community Plan claims, go to UHCprovider.com/claims. questions, please contact your Provider Advocate or call Customer Service If you have at 888 -887 -9003, 8 a.m. ‒ 6 p.m., Monday ‒ Friday. Thank you. Healthcare Insurance Company in the Texas Health and Human Services UnitedHealthcare Community P lan is the trade name of United Commission’s STAR+PLUS Central and Northeast Medicaid Rural Service Areas. UnitedHealthcare Community Plan is the trade name of UnitedHealthcare Community Plan of Texas LLC in the following service delivery areas: Jefferson, Harris, Hidalgo, Nueces and Travis. Doc#: PCA _01222019 01042019 -1-013426- Services, Inc. © 2019 United HealthCare

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