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UniCare is becoming Wellpoint
Same doctors. Same hospitals. Same commitment. New name.
 

Eligibility, Claims, and Reimbursement Resources

Check Claims and Eligibility Information

 

File claims and get quick online access to eligibility and claims status for your UniCare patients with Availity. You will also find benefits information and the status of the yearly deductible. If you do not already have an Availity account, register now.

For questions about claims:

1. Send an email to UniCare Provider Relations or
2. Call UniCare Customer Service at 800-442-9300

 

Filing Electronic Claims

 

UniCare complies with HIPAA 5010 Transaction Standards and Code Sets and with the electronic data interchange (EDI) standards for healthcare required by the Health Insurance Portability and Accountability Act (HIPAA). EDI is the computer-to-computer transfer of transactions and information. We encourage providers to submit claims electronically to improve productivity and efficiency.

UniCare has a strategic partnership with Availity to serve as our designated EDI gateway for all electronic data and transactions. Providers, billing services, and clearinghouses that wish to establish a direct connection can register to exchange EDI transactions at www.availity.com.  Learn more about filing electronic claims with UniCare.


Member ID Cards

 

View samples of the member ID cards for all four plans. UniCare ID cards show copay amounts and other plan information.

Reimbursement Policies

 

Check UniCare’s reimbursement policies, which help providers submit claims correctly and outline the basis for reimbursement for services covered under a UniCare plan.