Wiki Unique Identifiers for Different Insurance

chembree

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Rockmart, GA
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Many times our hospitals will send the different insurance plans over as standard UHC or standard Cigna, their parent plan. Then the claim sits a long time because it never really made it to the correct payer. I am hoping to use some rules in our billing system to identify each plan based off unique characters. For example, the prefix or group ID.

Does anyone know if these UHC plans have any unique identifiers or prefixes? I dont have a list of all the Cigna plans, but the same questions apply.

All Savers® Health Plan

Bind

Heritage / UnitedHealthcare® of the River Valley

UnitedHealthcare® Choice and Choice Plus

UnitedHealthcare® Choice Advanced and Choice Plus Advanced

UnitedHealthcare® Core and Core Essential

UnitedHealthcare EDGE®

UnitedHealthcare Navigate®

UnitedHealthcare® NexusACO®

UnitedHealthcare® Options PPO Plans

UnitedHealthcare® Tiered Benefit Plans

Georgia AARP® Medicare Advantage Plans

Georgia Assisted Living Plans

Georgia UnitedHealthcare® Medicare Silver/Gold Plans

Georgia Dual Complete® Special Needs Plans

Georgia Group Medicare Advantage Plans

Georgia UnitedHealthcare Medicare Advantage Plans

Georgia Nursing Home Plan

UHC Georgia Exchange Plans
 
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