What is the payer ID for UnitedHealthcare Community Plan?

The payer ID for UnitedHealthcare Community Plan is 04567. Alternate IDs seen across clearinghouses include 6893.

How long does UnitedHealthcare Community Plan provider enrollment take?

UnitedHealthcare Community Plan provider enrollment typically takes 60-120 days from application to effective date. Timelines vary by state, plan, and how complete the application is.

Does UnitedHealthcare Community Plan require CAQH?

Yes. UnitedHealthcare Community Plan uses CAQH for credentialing data, so keep the provider's CAQH profile current and attested before applying.

Does UnitedHealthcare Community Plan require ERA enrollment?

Yes. UnitedHealthcare Community Plan requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.

What states does UnitedHealthcare Community Plan cover?

UnitedHealthcare Community Plan operates in 30+ states. Coverage can differ by plan and product line, so confirm the specific plan before you file.

UnitedHealthcare Community Plan

Part of UnitedHealth Group

Medicaid managed caredentalmedicalvision

Typical enrollment turnaround

60-120 days

Summary

UnitedHealthcare Community Plan is a Medicaid managed care organization, part of UnitedHealth Group, offering dental, medical, and vision coverage across all 50 states. Claims route under payer ID 04567, with 1 alternate ID in use across clearinghouses. Provider enrollment typically takes 60-120 days, with applications through UHC Community Plan Portal, and CAQH is used for credentialing data. Through clearinghouses it supports eligibility checks, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.

At a glance

Payer ID: 04567Also seen as 6893
Also known as: UHC Community Plan
Uses CAQH: YesApplication route: Payer portal application
Service area: 30+ states

Clearinghouse transaction setup

Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.

Transaction	Enrollment	Typical setup
Eligibility checks (270/271)	Not required	Immediate
Professional claims (837P)	Not required	Immediate
Institutional claims (837I)	Not required	Immediate
ERA / remittance (835)	Required	Several weeks

Common questions

What is the payer ID for UnitedHealthcare Community Plan?: The payer ID for UnitedHealthcare Community Plan is 04567. Alternate IDs seen across clearinghouses include 6893.
How long does UnitedHealthcare Community Plan provider enrollment take?: UnitedHealthcare Community Plan provider enrollment typically takes 60-120 days from application to effective date. Timelines vary by state, plan, and how complete the application is.
Does UnitedHealthcare Community Plan require CAQH?: Yes. UnitedHealthcare Community Plan uses CAQH for credentialing data, so keep the provider's CAQH profile current and attested before applying.
Does UnitedHealthcare Community Plan require ERA enrollment?: Yes. UnitedHealthcare Community Plan requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
What states does UnitedHealthcare Community Plan cover?: UnitedHealthcare Community Plan operates in 30+ states. Coverage can differ by plan and product line, so confirm the specific plan before you file.

Compiled from public payer resources and clearinghouse catalogs. Details change often, so confirm with the payer before relying on them. Spot something out of date? Tell us and we will fix it.