UCare at a glance
| Legal name | UCare Minnesota |
|---|---|
| Also known as | UCare MN, UCare Minnesota |
| Category | Medicaid MCO |
| Parent organization | UCare |
| Claims payer ID | 55413 is published for direct UCare electronic claims. Dental services from January 1, 2025 route through DentaQuest/CX014; do not overwrite the delegated dental route with the general claims ID. |
| Eligibility (270/271) payer ID | No single all-product identifier established in this registry; see source findings and verify the member product and transaction separately |
| ERA (835) payer ID | No single all-product identifier established in this registry; see source findings and verify the member product and transaction separately. Clearinghouse-specific: This registry has not established one national ERA payer ID for UCare. ERA enrollment and 835 routing are clearinghouse- and product-specific; verify in the payer portal or clearinghouse payer list before enrollment. |
| NAIC company code | Not established in this registry |
| States covered | Minnesota |
| Provider resource entry point | https://www.ucare.org/providers/policies-resources/claims-billing/electronic-transactions |
| Provider phone | 1-612-676-3300 |
Always verify claims-routing details against the member ID card and the payer's current EDI companion guide before submission.
Timely filing & appeals for UCare
This registry lists 180 days as an initial-claim reference for UCare. Confirm the applicable product, provider agreement, start event and current payer instructions. Do not apply this value automatically to out-of-network, secondary, corrected or appealed claims.
| Submission type | Window |
|---|---|
| Initial claim reference | 180 days (verify applicability) |
| Out-of-network initial claim | Verify the member's plan and applicable out-of-network rules |
| Secondary / coordination of benefits | Verify the allowed window and start event; a primary EOB does not automatically restart filing |
| Corrected claim | Verify correction instructions; do not substitute an appeal deadline |
| Reconsideration / appeal | Use the applicable denial or decision notice and the process below |
This registry has not established a payer-specific appeal ladder for UCare. Use the denial notice, plan document, provider agreement, or jurisdictional rule to assign the correct route and deadline. Missing registry evidence does not mean appeal rights are unavailable.
Source: UCare provider policy. Always confirm before disputing a TFL denial — payer policies are versioned and product-specific.
Prior authorization with UCare
Decision deadlines depend on the product, service and urgency. CMS-0057-F generally starts its decision-timeframe requirements in 2026 for Medicare Advantage, Medicaid and CHIP payers subject to the rule: seven calendar days for standard requests and 72 hours for expedited requests. Those requirements exclude drug authorizations and QHP issuers on the federally facilitated exchanges. Other plans, state rules and permitted extensions can differ. Check the applicable policy; a decision deadline is not a guarantee of approval.
CMS-0057-F decision-timeframe requirements and exclusions
Verify UCare electronic claims (837), eligibility (270/271), remittance (835) and authorization (278) separately for the member product and clearinghouse. Registry flags and routing references are not current transaction-complete approval. Confirm the companion guide, enrollment and applicable source findings below. A blank or unverified field does not establish that the transaction is unavailable. Authorization requirements and submission channels depend on the product, service and delegated reviewer. Verify the applicable policy before scheduling; a portal listing is not proof of X12 278 connectivity.
This registry does not provide a current prior-authorization code list for UCare. Start with the provider resources or the policy documents below, then confirm the applicable product, service and effective date. A resource link does not establish that a live code-lookup tool is available.
Top denial reasons for UCare
Per-payer denial benchmarks publish here once the QuickIntell anonymized ETL pipeline ingests sufficient UCare volume. Until then, see the broader CARC reference for industry-wide remediation guides.
Electronic claims, eligibility & ERA
| Transaction | Registry indication — not verification | Routing reference |
|---|---|---|
| 837P / 837I claims | Listed in registry; verify current scope | 55413 is published for direct UCare electronic claims. Dental services from January 1, 2025 route through DentaQuest/CX014; do not overwrite the delegated dental route with the general claims ID. |
| 270 / 271 eligibility | Listed in registry; verify current scope | No single all-product identifier established in this registry; see source findings and verify the member product and transaction separately |
| 278 prior authorization | Listed in registry; verify current scope | Verify X12 278 routing separately |
| 835 ERA | Verify support and enrollment separately | No single all-product identifier established in this registry; see source findings and verify the member product and transaction separately. Clearinghouse-specific: This registry has not established one national ERA payer ID for UCare. ERA enrollment and 835 routing are clearinghouse- and product-specific; verify in the payer portal or clearinghouse payer list before enrollment. |
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
- Claims routing evidence does not independently verify eligibility, ERA enrollment, or X12 278 support. Confirm each transaction separately.
- The reviewed EDI page states 276/277 claim-status transactions are unavailable; use its provider-portal status workflow. 837 claims and 270/271 eligibility have separate documented setup.
Source checks and remaining limits
The latest partial comparison is dated . Retained earlier findings keep their original dates below. This is a partial source check, not a whole-page, clinical or legal review. It does not refresh the legacy review date above.
payer_ids.claims
Source comparison: 2026-09-26
UCare EDI page publishes 55413 for direct electronic claims; delegated dental routing is distinct.
Primary source for payer_ids.claimselectronic_claims_supported / supports_279_271
Source comparison: 2026-09-26
The payer explicitly supports electronic claims and 270/271 via Availity.
Primary source for electronic_claims_supported / supports_279_271record_scope
Source comparison: 2026-09-26
Dental services from January 1 2025 route to DentaQuest/CX014; general claims ID must not overwrite that delegate route.
Primary source for record_scopeportal_url
Source comparison: 2026-09-26
Use the transaction-resource entry for current EDI instructions.276/277 is explicitly unavailable; portal status lookup is the stated workaround.
Primary source for portal_url
Not checked in this pass: Whole-record approval, legal identity, ownership and complete product coverage; Authenticated transactions and QuickIntell integrations; provider_phone / timely_filing_days / payer_ids.eligibility / payer_ids.era / supports_278: This pass does not verify baseline phone/180-day filing.270/271 and 835 availability do not establish that 55413 applies to each transaction; 278 is not documented..
Sources used for this guide
State coverage
UCare operates in the following states. Each link opens state-level Medicaid program details, dominant commercial payers, and state-specific RCM regulations.
Evaluate QuickIntell workflow fit for UCare
These module references are evaluation starting points, not evidence of a validated connection, supported transaction or customer deployment. Confirm the actual member plan, data access and product scope first.
- QuickRCM
Evaluate claim preparation, follow-up and denial worklists for UCare; verify the actual plan rules and available connections before implementation.
- QuickAuth
Assess authorization-packet and status workflows for UCare; confirm product, service, delegated reviewer and permitted submission channels.
- QuickERA
Verify the actual 835 files, posting exceptions and reconciliation requirements for UCare before evaluating automation. An ERA identifier alone does not establish supported ingestion or posting.
Frequently asked questions about UCare
Where is the UCare provider portal?
Use https://www.ucare.org/providers/policies-resources/claims-billing/electronic-transactions as a starting point for UCare provider resources. This link may open a directory or contact page rather than a transaction portal. Select the applicable product and administrator, then verify the available functions, enrollment and access requirements. QuickIntell is not the official payer portal.
What is the timely filing limit for UCare?
This registry lists 180 days as an initial-claim reference for UCare. Confirm the applicable product, provider agreement, start event and current payer instructions. Do not apply this value automatically to out-of-network, secondary, corrected or appealed claims.
Does UCare publish a single claims payer ID?
This registry has not established one all-product claims payer ID for UCare. Claims: 55413 is published for direct UCare electronic claims. Dental services from January 1, 2025 route through DentaQuest/CX014; do not overwrite the delegated dental route with the general claims ID.. Eligibility (270/271): No single all-product identifier established in this registry; see source findings and verify the member product and transaction separately. ERA (835): No single all-product identifier established in this registry; see source findings and verify the member product and transaction separately. Clearinghouse-specific: This registry has not established one national ERA payer ID for UCare. ERA enrollment and 835 routing are clearinghouse- and product-specific; verify in the payer portal or clearinghouse payer list before enrollment.. Do not substitute a claims ID for an unverified transaction ID. Look up the correct ID for the member's plan and transaction in your clearinghouse directory and verify against the member ID card before submission.
Does UCare accept electronic claims?
Verify UCare electronic claims (837), eligibility (270/271), remittance (835) and authorization (278) separately for the member product and clearinghouse. Registry flags and routing references are not current transaction-complete approval. Confirm the companion guide, enrollment and applicable source findings below. A blank or unverified field does not establish that the transaction is unavailable.
How do I appeal a UCare denial?
This registry has not established a payer-specific appeal ladder for UCare. Use the denial notice, plan document, provider agreement, or jurisdictional rule to assign the correct route and deadline. Missing registry evidence does not mean appeal rights are unavailable.
How long do UCare prior authorization approvals take?
Decision deadlines depend on the product, service and urgency. CMS-0057-F generally starts its decision-timeframe requirements in 2026 for Medicare Advantage, Medicaid and CHIP payers subject to the rule: seven calendar days for standard requests and 72 hours for expedited requests. Those requirements exclude drug authorizations and QHP issuers on the federally facilitated exchanges. Other plans, state rules and permitted extensions can differ. Check the applicable policy; a decision deadline is not a guarantee of approval.
What is the UCare provider phone number?
This registry lists 1-612-676-3300 as a contact reference for UCare. Confirm the number and service scope against the member ID card and current product-specific directory; claims, eligibility and authorization inquiries may use different teams.
Automate workflows around UCare requirements
Connect eligibility, prior authorization, pre-submission claim checks, and remittance routing in one governed workflow. Payer and plan configuration is confirmed during implementation.
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 UCare's current published documents before submission. CPT® is a registered trademark of the American Medical Association.