Coverage profile
Work UnitedHealthcare West (PacifiCare Arizona Colorado Nevada) across every published route
Use the current payer record to choose the right claim-status, eligibility, portal, phone, or appeals workflow. Substrate only marks routes that are published for this payer.
Claim status
EDI 276/277The Substrate Claim Status Agent can check clearinghouse claim status for your practice with UnitedHealthcare West (PacifiCare Arizona Colorado Nevada).
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with UnitedHealthcare West (PacifiCare Arizona Colorado Nevada).
Other aliases
Also known as
- 6895
- 95958
- 95959
- COPHS
- PacifiCare of Colorado
- United Healthcare West Encounters (Pacificare)
- UNITED HEALTHCARE WEST
- UNITEDHEALTHCARE WEST ENCOUNTERS (FKA PACIFICARE)
- PCFCRENCTR
- UNITEDHEALTHCARE WEST ENCOUNTERS (PACIFICARE)
2027 maternity billing research
When does UnitedHealthcare West (PacifiCare Arizona Colorado Nevada) change OB/GYN billing?
Applicability to UnitedHealthcare West/PacifiCare products in Arizona, Colorado and Nevada is unverified. For plans governed by the cited policy, report complete same-group maternity care globally and follow its component-itemization and separately reportable-service rules. This document states no 2027 transition date.
- Transition start
- Not stated in cited policy
- Billing start
- No 2027 billing date stated in cited policy
- Published
- Not stated in source
- Current As Of
- August 2026
Scope: UHC Commercial and Individual Exchange professional maternity claims on CMS-1500 or its equivalent/successor. West/PacifiCare medical-product applicability requires verification; no Dental or Vision billing guidance.
Obstetrical Policy, Professional (2026R0064A). Verify the payer source before claim submission.
Frequently asked questions
UnitedHealthcare West (PacifiCare Arizona Colorado Nevada) payer FAQs
How do I check claim status with UnitedHealthcare West (PacifiCare Arizona Colorado Nevada)?
Providers check UnitedHealthcare West (PacifiCare Arizona Colorado Nevada) via EDI 276/277 when the payer ID is accepted. Substrate automates claim status across 3,500+ payers.
What is the payer ID for UnitedHealthcare West (PacifiCare Arizona Colorado Nevada)?
The primary payer ID for UnitedHealthcare West (PacifiCare Arizona Colorado Nevada) is 95959. 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 West (PacifiCare Arizona Colorado Nevada)?
The 837P and 837I payer ID for UnitedHealthcare West (PacifiCare Arizona Colorado Nevada) is 95959 via Stedi.
What is the 835 payer ID for UnitedHealthcare West (PacifiCare Arizona Colorado Nevada)?
The 835 payer ID for UnitedHealthcare West (PacifiCare Arizona Colorado Nevada) is 95959 via Stedi.
What is the 270 payer ID for UnitedHealthcare West (PacifiCare Arizona Colorado Nevada)?
The 270 payer IDs for UnitedHealthcare West (PacifiCare Arizona Colorado Nevada) are 95959 via Stedi and 87726 via Availity.
What is the 276 payer ID for UnitedHealthcare West (PacifiCare Arizona Colorado Nevada)?
The 276 payer IDs for UnitedHealthcare West (PacifiCare Arizona Colorado Nevada) are 95959 via Stedi and 87726 via Availity.
What states does UnitedHealthcare West (PacifiCare Arizona Colorado Nevada) operate in?
UnitedHealthcare West (PacifiCare Arizona Colorado Nevada) operates in AL, AR, AZ, CA, CO, CT, DE, IL, LA, MD, NJ, OK, TN, and WY.
Routing reference
UnitedHealthcare West (PacifiCare Arizona Colorado Nevada) 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.
| Payer name | UnitedHealthcare West (PacifiCare Arizona Colorado Nevada)Source: Substrate payer directory · data last changed |
|---|---|
| Operating states | AL, AR, AZ, CA, CO, CT, DE, IL, LA, MD, NJ, OK, TN, WYSource: United Clearinghouse payer catalog · matched by payer name |
| 837P professional claims payer IDStedi | 95959Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 837I institutional claims payer IDStedi | 95959Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 835 ERA payer IDStedi | 95959Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDStedi | 95959Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDAvaility | 87726Source: Availity payer catalog · catalog dated · matched by payer name |
| 276 claim status payer IDStedi | 95959Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 276 claim status payer IDAvaility | 87726Source: Availity payer catalog · catalog dated · matched by payer name |
Routing sources and verification
- Substrate payer directoryPayer identity, aliases, operating states, and vendor IDs. Data last changed ; checked .
- Stedi payer catalogMatched by payer ID; matched record: UnitedHealthcare West (PacifiCare Arizona Colorado Nevada). Source dated .PrimaryPayerId is used as the transaction payer ID when the corresponding Stedi support flag is true.Open current Stedi reference ↗
- Availity payer catalogMatched by payer name; matched record: UNITEDHEALTHCARE WEST (PACIFICARE ARIZONA COLORADO NEVADA). Source dated .The attached API workbook supplies 270 and 276 payer IDs only. It does not supply 837P, 837I, or 835 IDs.Open current Availity reference ↗
- United Clearinghouse payer catalogMatched by payer name; matched record: UnitedHealthcare West (PacifiCare Arizona Colorado Nevada). The source did not provide a publication date.The attachment supplies payer names and states only; it does not contain transaction-specific payer IDs.Open current United Clearinghouse reference ↗
Clearinghouse payer IDs are transaction-specific and can change. Confirm the current payer list and the member’s ID card before submission.
Payer contact directory
UnitedHealthcare West (PacifiCare Arizona Colorado Nevada) phone and fax numbers
Use the number associated with your task. These contacts were stated in successful eligibility responses and may apply to specific benefits, products, or departments.
- Other stated context phone
- (877) 205-8035PACIFICARE
- Other stated context fax
(702) 804-3773OPTUM HEALTH NETWORKS NO NV
| Channel and number | Payer Notes | Department | Specialties |
|---|---|---|---|
fax(702) 804-3773 | Other stated contextBenefit context: Active Coverage |
| Health Benefit Plan Coverage |
| phone(866) 273-8410 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Pharmacy |
| phone(800) 283-8073 | PharmacyBenefit context: Other or Additional Payor |
| Pharmacy |
| phone(000) 000-0000 | Other stated contextBenefit context: Other or Additional Payor |
| Health Benefit Plan Coverage |
| phone(800) 620-6768 | Other stated contextBenefit context: Active Coverage |
| Health Benefit Plan Coverage |
| phone(800) 872-3862 | Other stated contextBenefit context: Other or Additional Payor |
| Health Benefit Plan Coverage |
| phone(855) 893-2297 | Other stated contextBenefit context: Active Coverage |
| Health Benefit Plan Coverage |
| phone(866) 595-8133 | Other stated contextBenefit context: Other or Additional Payor |
| Health Benefit Plan Coverage |
| phone(877) 205-8035 | Other stated contextBenefit context: Other or Additional Payor |
| Health Benefit Plan Coverage |
| phone(877) 757-4440 | Other stated contextBenefit context: Active Coverage |
| Health Benefit Plan Coverage |
| phone2058035 | Other stated contextBenefit context: Other or Additional Payor |
| Health Benefit Plan Coverage |
Phone and fax numbers sourced directly from the payer response