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UnitedHealthcare West (PacifiCare Arizona Colorado Nevada)

dentalmedicalvision

Summary

UnitedHealthcare West (PacifiCare Arizona Colorado Nevada) is a dental, medical, and vision payer. Claims route under payer ID 95959, 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
95959Also seen as 6895, 95958, COPHS
Also known as
PacifiCare of Colorado, United Healthcare West Encounters (Pacificare), UnitedHealthCare West (PacifiCare Arizona Colorado Nevada)

Clearinghouse transaction setup

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

TransactionEnrollmentTypical setup
Eligibility checks (270/271)Not requiredImmediate
Claim status (276/277)Not requiredImmediate
Professional claims (837P)Not requiredImmediate
Institutional claims (837I)Not requiredImmediate
ERA / remittance (835)RequiredSeveral weeks

Common questions

What is the payer ID for UnitedHealthcare West (PacifiCare Arizona Colorado Nevada)?
The payer ID for UnitedHealthcare West (PacifiCare Arizona Colorado Nevada) is 95959. Alternate IDs seen across clearinghouses include 6895, 95958, COPHS.
Does UnitedHealthcare West (PacifiCare Arizona Colorado Nevada) require ERA enrollment?
Yes. UnitedHealthcare West (PacifiCare Arizona Colorado Nevada) requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
What types of coverage does UnitedHealthcare West (PacifiCare Arizona Colorado Nevada) offer?
UnitedHealthcare West (PacifiCare Arizona Colorado Nevada) covers dental, medical, and vision.
Can I submit claims to UnitedHealthcare West (PacifiCare Arizona Colorado Nevada) electronically?
Yes. UnitedHealthcare West (PacifiCare Arizona Colorado Nevada) 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).

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 Spot something out of date?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.