Electronic Transaction Support
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Supported |
| Claim status (276/277) | Supported |
| Professional claims (837P) | Supported |
| Institutional claims (837I) | Supported |
| Dental claims (837D) | Not supported |
| Electronic remittance (ERA 835) | Enrollment required |
| Electronic funds transfer (EFT) | Enrollment required |
| ERA + EFT combined | Not supported |
| Coordination of benefits (271) | Not supported |
| Attachments (275) | Supported |
Other payer IDs and names
- Payer ID
11107 - Payer ID
12242 - Payer ID
1227 - Payer ID
4527 - Payer ID
UHCMO - Also listed as United Healthcare Community Plan Missouri
Coverage states
Missouri.
Enrollment requirements
- Electronic remittance (ERA 835): one click enrollment, typically takes weeks
Workflow Guidance
- Run 270/271 eligibility and benefits checks before visits or claims when possible, and document any response needed for billing.
- Submit professional claims as 837P, institutional claims as 837I, and supporting attachments as 275 through the electronic workflow.
- Complete payer enrollment before relying on EFT or ERA 835; until then, use a payment-posting process that does not depend on electronic funds or remittance.
- Treat EFT and ERA as separate supported options, since this payer does not offer a combined ERA and EFT transaction.
- For dental claims or coordination-of-benefits 271, route the work through a different process because those transactions are not supported here.
Common questions
Which medical claim types can I submit electronically?
This payer supports professional claims in 837P format and institutional claims in 837I format. Dental claims in 837D format are not available.
Can I send attachments and check claim status electronically?
Yes. Attachments (275) and claim status (276/277) are supported.
Can I check eligibility and benefits electronically?
Yes. Eligibility and benefits are supported through the 270/271 transaction.
How do I receive ERA and EFT from this payer?
Complete payer enrollment before using EFT or ERA (835). The combined ERA and EFT transaction is not available.
Run this payer inside Hero EMR
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