Indlela Yokwenza Isimangalo Sokukhokhiswa Kwezokwelapha ku-UnitedHealthcare

Ukuzulazula amasevisi e-inthanethi nakumafoni

I-UnitedHealthcare yiyona eyinkampani enkulu kunazo zonke zezempilo e-United States enezinhlangano ezingaphezu kuka-40 nezixhumanisi ezihleliwe, kufaka phakathi bonke abaSebenzi, iMidwest Security, Ukubambisana kwezeMpilo yabomakhelwane, i-OneNet PPO, i-OptumHealth, i-Oxford Health Plans, ne-UMR.

Nansi ulwazi jikelele ukusiza ukuhamba ngenqubo yokukhokha ye-UnitedHealthcare yezokwelapha.

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Ukuhambisa isimangalo

Kunezindlela ezintathu ezilula zokuhambisa isimangalo ku-UnitedHealthcare:

1. Izimangalo ze-elekthronikhi zingathunyelwa ngewebhusayithi ye-UnitedHealthcare ephephile.
2. Izimangalo zephepha zingathunyelwa ekhelini le-imeyili le-UnitedHealthcare lamakheli ehlongozwa ohlwini ekhadini le-ID yelungu.
3. Izimangalo ze-elekthronikhi zingathunyelwa ngokusebenzisa umthengisi / indlu yokuhlanza.

Isimangalo sesibili yilapho omunye umhlinzeki wesibili enesibopho sokukhokha egameni lomkhokhi oyinhloko. Kunezindlela eziningana zokuhambisa isimangalo sesibili:

• Izimangalo ze-elekthroniki zingathunyelwa njengenhla.
• Izicelo zePhepha zingathunyelwa ngokuchazwa kweziNzuzo ze-EOB .

Lapho uhambisa isimangalo sesibili, qinisekisa ukuthi ufake amanani wokulungiswa, kokubili ezingeni lesimangalo kanye nezinga lezinsizakalo zesevisi. Hlanganisa nezizathu zokulungiswa (njengokuzibophezela kwesivumelwano, ukuchithwa, noma ukukhokhelwa kwemali), bese usebenzisa amakhodi anikezwe ukukhokhelwa kwabakhokhi abakhokhelwayo.

Okokugcina, faka inani elikhokhwayo lokukhokha eliyinhloko, futhi futhi ezingeni lesimangalo kanye nezinga lesevisi yesevisi.

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Ukuhlola ukufaneleka, izinzuzo, nesimo sesimangalo

Ngaphambi kokunikeza izinsizakalo, ungaqinisekisa ukufaneleka kwamalungu, izinzuzo, nesimo sokumangalelwa ku-intanethi ngezindlela ezintathu:

• Sebenzisa i-portHealthcare ye-UnitedHealthcare ephathekayo yefoni (877) 842-3210. Yisho noma faka inombolo yakho ye-ID yentela futhi ulandele izinyathelo.
• Sebenzisa iwebhusayithi ye-UnitedHealthcare yomhlinzeki ephephile.
• Sebenzisa umdayisi we-electronic / indlu yokuhlanza.

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Ukulungisa isimangalo esikhokhelwayo

Uma wenza izinguquko kumangalo akhokhelwa ngaphambilini, thumela izimangalo ezilungisiwe ngekhompyutha. Ukwenza kanjalo, faka "UKUKHULULEKILE OKUHLELEKILE" kumanothi amanothi. Landela ngokuvuselela ikhodi yezimangalo zesimangalo nge:

• 7 = Ukufakwa kwesimangalo esandulele
• 8 = Vala / Khansela isimangalo esandulele

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Ukuhambisa isicelo sokugunyazwa kuqala

Njalo uhambisa isicelo sokugunyazwa ngaphambilini okungenani izinsuku ezimbili zebhizinisi ngaphambi kokunikezela ngamasevisi. Ungenza lokhu ngefoni noma nge-elekthronikhi, kanje:

• Izicelo ezingekho eziphuthumayo kufanele zithunyelwe ngefeksi ku- (800) 303-9902.
• Izicelo zesibhedlela kufanele zithunyelwe ngefeksi ku- (800) 699-4712.
• Izicelo ezijwayelekile zokuhlinzeka zingenziwa ngokubiza (877) 842-3210.
• Izicelo ze-elekthronikhi zingenziwa ngohlelo lokusebenza lwe-UnitedHealthcare Prior Authorization noNotification. Finyelela ithebhu emakwe "Thumela isicelo sokugunyazwa kwangaphambili nokuzisola."
• Ungaphinde uthumele isicelo ngokusebenzisa ukushintshaniswa kwedatha ye-elektroniki (EDI).

Okuningi

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Ukudlulisa Ukulahlwa Kwemangalo

Indlela esheshayo yokwedlulisa isimangalo ukuhambisa isicelo sokubukwa kwesimangalo ku-intanethi.

Uma kudingwa amadokhumenti ebhaliwe, njengobufakazi bokufaka isikhathi esifanele noma amanothi ezokwelapha, kufanele ugcwalise futhi uthumele Ifomu Lokucela Ukubukwa Kwamangalo. Ifomu kufanele ithunyelwe ekhelini lokumangala ngemuva kwekhadi le-ID yelungu.

Uma ucela ukucutshungulwa kwesimangalo esenqatshelwe ukulondoloza amaphepha asezokwelapha, gcwalisa ifomu elibalwe ngenhla bese unikezela kokubili incazelo yamadokhumenti ethunyelwe kanye nolwazi olufanele.

Okuningi

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Ukucela ukubuyiselwa imali

Ukuze ucele ukubuyiselwa kwemali ngenxa yokukhokhelwa ngokwezimali, kufanele uthumele isimangalo esifanele ku-UnitedHealthcare. Ukubuyiselwa kwemali ngenxa yezilinganiso zezikweletu ezikhona kungathunyelwa ku-:

Izinsizakalo Zokubuyiswa Kweqembu le-UnitedHealth
PO Box 740804
I-Atlanta, GA 30374-0804

Ukukhokhwa ngokwezimali kufanele kuhanjiswe zingakapheli izinsuku ezingama-30 kokuthola isicelo kusuka ku-UnitedHealthcare futhi kufaka yonke imininingwane edingekayo ehambelana nokukhokha okutholiwe.

Uma unemibuzo, ungashayela Izinsizakalo Zomhlinzeki ku (800) 445-1638.

Okuningi

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Ukuxhumana ne-UnitedHealthcare

Ngefoni:

• I-Voice Voice Portal: (877) 842-3210
• Izinzuzo nokufaneleka: (877) 842-3210
• Idokhumenti yosizo: (866) 842-3278; Inketho 1
• Izimangalo ze-Electronic Data Interchange (EDI): (800) 842-1109
• Ukukhokha kwe-elekthronikhi nezitatimende (EPS): (877)602-6194
• Uhlelo Lokuqhathanisa Nezibhedlela: (866) 270-5588
• I-United Behavioral Health: (877) 633-7824
• Buka360 Impendulo Yesikhala Semibiko Imibiko: (866) 270-5588
• Hlaziya izibuyekezo zosizo: (877) 842-3210
• Uhlelo Lokuqokwa Kwezazi: (866) 270-5588
• Uhlelo lokwahlukaniswa kwezikhungo ezikhethekile: (866) 270-5588

NgeMeyili:

• Sebenzisa ikheli ngemuva kwekhadi le-ID yelungu
• Sebenzisa ikheli elibalulwe kwisivumelwano somhlinzeki

Amahora ebhizinisi aqala ngo-6: 30 ekuseni kuya ku-12: 00 ekuseni ngoMsombuluko kuya kuLwesihlanu, kusukela ngo-7: 00 ekuseni kuya ku-6: 00 ntambama e-EST ngoMgqibelo, kusukela ngo-7: 00 ekuseni kuya ku-5: 00 ntambama nge-EST ngeSonto.