AARP Medicare provider portal, phone and payer ID quick facts
| Provider portal | https://www.uhcprovider.com |
|---|---|
| Provider phone | 1-877-842-3210 |
| Claims payer ID | 87726 |
| Eligibility payer ID | 87726 |
| ERA payer ID | 87726 |
| Timely filing | 90 days |
| Prior auth route | X12 278 plus provider portal |
| Last reviewed | 2026-04-23 |
AARP Medicare at a glance
| Legal name | AARP Medicare (administered by UnitedHealthcare) |
|---|---|
| Also known as | AARP MedicareComplete, UHC AARP |
| Category | Medicare Advantage |
| Parent organization | UnitedHealth Group (underwritten for AARP) |
| Claims payer ID | 87726 |
| Eligibility (270/271) payer ID | 87726 |
| ERA (835) payer ID | 87726 |
| NAIC company code | Not published |
| States covered | Nationwide (50 states) |
| Members covered | ~13 million members |
| Provider portal | https://www.uhcprovider.com |
| Provider phone | 1-877-842-3210 |
Always verify claims-routing details against the member ID card and the payer's current EDI companion guide before submission.
Timely filing & appeals for AARP Medicare
AARP Medicare's standard timely filing window for participating providers is 90 days from the date of service. Plan-specific products (Medicare Advantage, Medicaid, employer groups, secondary claims) may have shorter or longer windows — always confirm against the policy linked below before disputing a TFL denial.
| Submission type | Window |
|---|---|
| In-network initial claim | 90 days |
| Out-of-network initial claim | 90 days (verify per plan) |
| Secondary / coordination of benefits | 90 days from primary EOB |
| Corrected / appeal | 60 days from denial |
Appeal levels
- Level 1: First-Level ReconsiderationFile within 60 days
Written request for claim reconsideration with supporting documentation, filed within the stated window of the denial notification.
- Level 2: Second-Level Formal AppealFile within 60 days
Formal appeal reviewed by a party not involved in the initial determination; typically requires the first-level decision letter.
- Level 3: External / Independent ReviewFile within 120 days
External Independent Review Organization (IRO) review per ACA §2719 and applicable state law.
Source: AARP Medicare provider policy. Always confirm before disputing a TFL denial — payer policies are versioned and product-specific.
Prior authorization with AARP Medicare
AARP Medicare accepts X12 278 prior-authorization transactions electronically. The procedures most commonly subject to prior authorization include advanced imaging, inpatient admissions, specialty pharmacy, and certain outpatient surgical procedures. Use the payer's authorization tool below to confirm requirements per CPT before scheduling a service.
AARP Medicare maintains a live prior-authorization code lookup tool that supersedes any cached list. Use the provider portal or the policy documents below to confirm the current PA list before rendering a service.
Top denial reasons for AARP Medicare
Per-payer denial benchmarks publish here once the QuickIntell anonymized ETL pipeline ingests sufficient AARP Medicare volume. Until then, see the broader CARC reference for industry-wide remediation guides.
Electronic claims, eligibility & ERA
| Transaction | Supported | Payer ID |
|---|---|---|
| 837P / 837I claims | Yes | 87726 |
| 270 / 271 eligibility | Yes | 87726 |
| 278 prior authorization | Yes | 87726 |
| 835 ERA | Yes | 87726 |
Payer IDs vary by clearinghouse — confirm against your clearinghouse payer list (Availity, Change Healthcare/Optum, Waystar) before configuring submitter routing.
What revenue cycle teams should verify before submitting claims
- Confirm the member's state Medicaid program before applying UHC Community Plan rules; benefits, authorization requirements, timely filing, and appeal paths vary by state contract.
- Use payer ID 87726 only after confirming the member card and clearinghouse route for the specific UHC Community Plan product.
- Check whether the service is carved out to a state vendor, pharmacy benefit manager, behavioral health administrator, dental plan, or transportation vendor before submitting to UHC.
Common denial and routing risks for this payer
- Treating UHC Community Plan like commercial UnitedHealthcare when the member is enrolled in a state Medicaid managed-care product.
- Missing state-specific authorization, referral, or benefit carve-out requirements.
- Submitting with the correct UHC name but the wrong state/product route in the clearinghouse.
How QuickIntell supports this workflow
- Require state, product, Medicaid ID, and member-card payer route before claim creation.
- Route authorization checks to the UHC state product and carve-out vendor when the eligibility response indicates delegated management.
- Compare state-specific timely filing and appeal windows against the denial notice before assigning AR follow-up.
Sources used for this guide
QuickIntell coverage for AARP Medicare
- QuickRCM
End-to-end claim lifecycle automation tuned to AARP Medicare's edits and adjudication patterns.
- QuickAuth
Automated prior-authorization submissions and status checks for AARP Medicare services that require PA.
- QuickERA
Automated 835 ERA posting from AARP Medicare with payment reconciliation and denial routing.
Frequently asked questions about AARP Medicare
Where is the AARP Medicare provider portal?
The AARP Medicare provider portal is available at https://www.uhcprovider.com. Use it for eligibility checks, claim status, prior authorization workflows, appeals, and payer-specific routing updates. QuickIntell links to the payer's provider-facing portal as a reference and is not the official payer portal.
What is the timely filing limit for AARP Medicare?
AARP Medicare's standard timely filing limit for participating providers is 90 days from the date of service. Plan-specific products (Medicare Advantage, Medicaid managed care, employer groups) may have different windows — confirm against the payer's provider manual before disputing a TFL denial.
What is the AARP Medicare payer ID?
The primary claims payer ID for AARP Medicare is 87726. Eligibility (270/271) uses 87726 and ERA (835) uses 87726. Always verify against the member ID card and your clearinghouse payer list before submitting.
Does AARP Medicare accept electronic claims?
Yes — AARP Medicare accepts ANSI X12 837P and 837I electronic claims through standard clearinghouses. Real-time eligibility (270/271) is supported and X12 278 prior authorization is supported.
How do I appeal a AARP Medicare denial?
AARP Medicare uses a 3-level appeal process. Level 1 (First-Level Reconsideration) must be filed within 60 days of the denial. Each escalation level requires the prior decision letter and supporting clinical or coding documentation. See the appeal-levels block above for deadlines and process.
How long do AARP Medicare prior authorization approvals take?
AARP Medicare's prior-authorization decision turnaround typically follows standard industry windows: 72 hours for urgent requests and up to 14 calendar days for non-urgent requests. Specialty drugs and high-cost imaging may extend further. Submit through X12 278 or the AARP Medicare provider portal for the fastest turnaround.
What is the AARP Medicare provider phone number?
Providers can reach AARP Medicare at 1-877-842-3210 for claims status, eligibility verification, and authorization questions. Have the member ID, date of service, and tax ID ready before calling. Most operational tasks are faster through the provider portal at https://www.uhcprovider.com.
Run cleaner claims to AARP Medicare with QuickIntell
QuickAuth, QuickRCM, and QuickERA are validated against AARP Medicare's EDI behavior — eligibility, prior auth, claim scrubbing, and ERA posting all run on real payer rules.
Disclaimer
This page is operational reference for medical-billing professionals. It is not legal, clinical, or contractual advice. Payer policies change without notice — always verify against AARP Medicare's current published documents before submission. CPT® is a registered trademark of the American Medical Association.