Pharmacy information is
available to providers and pharmacists via the Pharmacy Services
Inquiry Line.
Medical Claims Assistance
Provider Customer Service
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 chose to speak
directly to a customer service representative or you may select
the automated voice response system.
Provider Customer Service is available from
8:30 a.m. to 5:30 p.m., Eastern Standard Time, Monday through
Friday.
Provider
Information Change Assistance
Provider Maintenance Unit
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, 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
Pre-Certification
Assistance
Funds' Medical Management Assistance Line
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 from
8 a.m. to 6 p.m., Eastern Standard Time, Monday through Friday
for pre-certifications.
Pharmacy
Assistance
Funds' Pharmacy Services Inquiry Line
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).
UMWA H & R Funds
2121 K Street N.W.,
Washington, DC 20037
