Provider Assistance and Contact Information

Medical Claims Submission

Providers may submit medical claims to the Funds on paper or electronically.

Please submit paper medical claims for Funds' beneficiaries directly to the Funds at:

Claims Submissions
UMWA Health and Retirement Funds
PO Box 619099
Dallas, TX 75261-9741

Electronic Medical Claims Submission

If you would like to submit claims electronically to the Funds, please contact CareVu at 1-877-737-0510 for information and assistance.

The Funds Provider Assistance Programs for Medical Services:

1. • Medical claims assistance is provided by Provider Customer Service. (1-888-865-5290)
2. • Changes in provider information are handled by the Provider Maintenance Unit (in writing).
3. • Pre-certification services are provided by the Medical Management Assistance Line. (1-800-292-2288)
4. • Pharmacy information is available to providers and pharmacists via the Pharmacy Services Inquiry Line. (1-800-294-4741)

1. Medical Claims Assistance

Medical claims assistance is provided by the Provider Customer Service unit. The Funds offers telephone support services to providers for inquiries about medical claims status, eligibility, medical benefits, coverage, remittance advice, and electronic claims submission information.

For assistance, please call the Provider Customer Service unit at 1-888-865-5290. You may choose to speak directly to a customer service representative or you may select the automated voice response system.
Provider Customer Service is available Monday through Friday from 8:30 a.m. to 5:30 p.m., Eastern Standard Time.

2. Provider Information Change Assistance

Provider information changes, such as changes in tax identification numbers, practice or billing address, name, and status may be mailed to the Provider Maintenance Unit. Providers wishing to submit claims and be included in the Funds' provider database file may mail basic practice information, including a W-9 form, Medicare number, practice specialty, a copy of your license, billing address, and practitioners' full names, UPINs and/or Social Security numbers to the Unit at:

Provider Maintenance Unit
UMWA Health & Retirement Funds
PO Box 619111
Dallas, TX 75261-9111

3. Pre-Certification Assistance

Providers may call the Funds' Medical Management line at 1-800-292-2288 for information about eligibility, benefit determination, and pre-certification.
The Medical Management line is available Monday through Friday from 8 a.m. to 6 p.m., Eastern Standard Time, for pre-certifications.

4. Pharmacy Assistance

For assistance, providers and pharmacists may call the Funds' Pharmacy Services Inquiry Line at 1-800-294-4741. The Funds provides assistance for prescription claim status and eligibility inquiries, criteria-based prior authorizations and a technical help desk for pharmacists.
Pharmacy Services is available Monday to Friday from 8:00am to 10:00pm(EST).