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UnitedHealthcare Community Plan

UHC Community Plan

Primary payer ID
04567Compare transaction IDs ↓
Last successful claim statusNo successful response observedObserved across Substrate's claim-status network.
Currently not answeringEDI 270/271

Is your practice experiencing high volumes of no response claims or denials from UnitedHealthcare Community Plan? Try Substrate Denial Intelligence here -->.

Coverage profile

How Substrate can help you with UnitedHealthcare Community Plan

Substrate can help practices and billers with the following claims tasks for UnitedHealthcare Community Plan.

Eligibility

EDI 270/271

The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with UnitedHealthcare Community Plan.

Available

Payer intelligence

Observed adjudication timing

How long completed claims in Substrate’s aggregate network took from payer receipt to the 835 payment date.

Median time to payment

13 days
10% of adjudications by
8 days
90% of adjudications by
14 days
Applicable state coverage
NY
Current As Of
July 2026

Five-month median trend

Days to 835 payment
UnitedHealthcare Community Plan median observed adjudication timingMonthly median days from payer receipt to 835 payment from April 2026 through August 2026. Missing qualified months are shown as gaps.07.515AprMayJunJulAug
View chart data as a table
UnitedHealthcare Community Plan observed adjudication timing by service month
Service monthMedian10% of adjudications by90% of adjudications byCompleted claimsCoverage
Apr11 days7 days69 days225NY
May13 days9 days16 days476NY
Jun13 days7 days14 days393NY
Jul13 days8 days14 days414NY
AugNo qualified data

Frequently asked questions

UnitedHealthcare Community Plan payer FAQs

What is the payer ID for UnitedHealthcare Community Plan?

The primary payer ID for UnitedHealthcare Community Plan is 04567. The correct routing ID can differ by clearinghouse and transaction, so compare the 837P, 837I, 835, 270, and 276 entries before submitting.

What are the 837 payer IDs for UnitedHealthcare Community Plan?

The 837P and 837I payer ID for UnitedHealthcare Community Plan is 04567 via Stedi.

What is the 835 payer ID for UnitedHealthcare Community Plan?

The 835 payer ID for UnitedHealthcare Community Plan is 04567 via Stedi.

What is the 270 payer ID for UnitedHealthcare Community Plan?

The 270 payer ID for UnitedHealthcare Community Plan is 04567 via Stedi.

Resource library

Routing reference

UnitedHealthcare Community Plan payer IDs and operating states

Use the payer ID listed for the transaction you are submitting. Verify current routing and enrollment requirements with your clearinghouse.

UnitedHealthcare Community Plan payer name, operating states, and transaction-specific payer IDs
Payer nameUnitedHealthcare Community PlanSource: Substrate payer directory · last refreshed
837P professional claims payer IDStedi04567Source: Stedi payer catalog · catalog dated · matched by payer ID
837I institutional claims payer IDStedi04567Source: Stedi payer catalog · catalog dated · matched by payer ID
835 ERA payer IDStedi04567Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID
270 eligibility payer IDStedi04567Source: Stedi payer catalog · catalog dated · matched by payer ID

Routing sources and verification

  • Substrate payer directoryPayer identity, aliases, operating states, and vendor IDs. Last refreshed .Open payer website ↗
  • Stedi payer catalogMatched by payer ID; matched record: UnitedHealthcare Community Plan. Source dated .PrimaryPayerId is used as the transaction payer ID when the corresponding Stedi support flag is true.Open current Stedi reference ↗

Clearinghouse payer IDs are transaction-specific and can change. Confirm the current payer list and the member’s ID card before submission.

Other aliases

Also known as

  • 04567
  • 6893
  • 86048
  • UHC Community Plan