UnitedHealthcare Community Plan Tennessee
dentalmedicalvision
Summary
UnitedHealthcare Community Plan Tennessee is a dental, medical, and vision payer operating in Tennessee. Claims route under payer ID 95378, with 3 alternate IDs in use across clearinghouses. Through clearinghouses it supports eligibility checks, claim status inquiries, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.
At a glance
- Payer ID
95378Also seen as 101133, 11025, 7734- Also known as
- UnitedHealthCare Community Plan Tennessee (AmeriChoice Tennessee TennCare Secure Plus Complete), UnitedHealthCare Community Plan of Tennessee, UnitedHealthCare Plan of the River Valley, UnitedHealthcare Community Plan TN
- Service area
- TN
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 |
| Claim status (276/277) | 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 Tennessee?
- The payer ID for UnitedHealthcare Community Plan Tennessee is 95378. Alternate IDs seen across clearinghouses include 101133, 11025, 7734.
- Does UnitedHealthcare Community Plan Tennessee require ERA enrollment?
- Yes. UnitedHealthcare Community Plan Tennessee requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
- What states does UnitedHealthcare Community Plan Tennessee cover?
- UnitedHealthcare Community Plan Tennessee operates in TN. Coverage can differ by plan and product line, so confirm the specific plan before you file.
- What types of coverage does UnitedHealthcare Community Plan Tennessee offer?
- UnitedHealthcare Community Plan Tennessee covers dental, medical, and vision.
- Can I submit claims to UnitedHealthcare Community Plan Tennessee electronically?
- Yes. UnitedHealthcare Community Plan Tennessee is reachable through clearinghouses for eligibility checks, claim status inquiries, professional claims, institutional claims, and electronic remittance. Electronic claims are supported for professional (837P) and institutional (837I).
Related payers
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.