Ultimate Health Plans

Ultimate Health Plans (Florida Medicare Advantage HMO and D-SNP) 2026 Quick Reference Guide, updated June 2026. Claim status and eligibility are also available on the plan's provider portal (providerportal.uhp.health). Paper claims accepted only on original CMS-1500 or UB-04 'red forms' (no handwritten or replicated forms). Not for dental, vision, behavioral health or Part D claims, which go to separate vendors.

Listed under the Provider Services heading of the 2026 Quick Reference Guide (PDF text order places these digits under that heading). For contracts, credentialing status and escalations use the Provider Relations email instead.

Email published for questions about contracts, credentialing status and escalated issues. The Contact Us page lists ProviderRelations@ulthp.com (no underscore) for providers interested in contracting; this line uses the Quick Reference Guide address only.

Outpatient prior authorization requests. Authorizations can also be submitted through the plan's Mirra Healthcare portal (ultimate.mirrahealthcare.com). The PCP must obtain authorization for services not on the Prior Authorization Exclusion List; specialists coordinate with the PCP.

Inpatient concurrent review, skilled nursing facility, inpatient rehabilitation and long-term acute care authorization requests. Not for outpatient requests.

For claim denials related to untimely filing, incidental procedures, unlisted or non-covered codes, etc. Submit within 65 calendar days of the Explanation of Payment; electronic submission at request.uhp.health.

Ultimate Health Plans medical claims EDI payer ID 77022. The phone is the Change Healthcare number the plan lists for EDI submission; the Quick Reference Guide also lists Availity (800-282-4548) and WayStar (844-492-9782). Clearinghouse lines are the vendors' support numbers, not plan claims staff.

Part D coverage determinations (non-formulary, PA, quantity limit, step therapy, tiering exceptions) for Ultimate Health Plans members, handled by OptumRx. Phone is published for expedited requests.

Part D redetermination (appeal) requests for Ultimate Health Plans members.

Care management contact listed in the 2026 Quick Reference Guide; a case and disease management referral form is on the provider reference page.

Behavioral health for Ultimate Health Plans is administered by Optum Behavioral Care; EDI payer ID 87726; provider services via providerexpress.com. Member behavioral health line is 800-627-1259 (not provider-specific).

Member line, not provider services. Hours per the Quick Reference Guide: Apr 1–Sep 30 Mon–Fri 8 a.m.–8 p.m.; Oct 1–Mar 31 Mon–Sun 8 a.m.–8 p.m. TTY 711.