Resources for healthcare providers

At APWU Health Plan, we partner with healthcare professionals, hospitals, and facilities to improve the health of our members. Thank you for your dedication to protecting the well-being of each patient you serve.

Join our network

How precertification works with APWU Health Plan

Providers must obtain precertification or prior approval for certain services and procedures:

Refer to section 3 the APWU Health Plan federal or postal brochure for detailed precertification guidelines and a complete list of services that require prior approval.

Failure to obtain prior approval of certain procedures will result in a minimum $500 penalty for inpatient hospital (High Option and Consumer Driven Option), $100 for certain outpatient radiology/imaging procedures (High Option only), and/or denial of the claim pending review.

For High Option members, call

For Consumer Driven Option members, call

Call to verify or determine a patient’s eligibility for services:

Medical services

Call the UnitedHealthcare automated phone system 24/7:
1-866-204-8020

Visit the Provider Portal

Call provider services:
1-866-204-8020
7 am – 6 pm ET, Monday – Friday

Dental services

Call APWU Health Plan:
1-800-222-APWU (2798)
8:30 am – 6:30 pm ET, Monday – Friday

Contact APWU Health Plan with questions about a member’s coverage.

1-800-222-APWU (2798)
8:30 am – 6:30 pm ET, Monday – Friday
Automated phone system is available 24/7

Coverage Inquiry for Providers

Mailing addresses for claims
The current claims mailing information is on the APWU Health Plan member ID card.

High Option
Medical claims
APWU Health Plan is the primary payer
All states and U.S. Virgin Islands

UnitedHealthcare
EDI # 39026
UnitedHealthcare Shared Services
PO Box 30783
Salt Lake City, UT 84130-0783

Submit a claim through the Provider Portal

High Option
Secondary medical claims and dental claims
APWU Health Plan is the secondary payer

APWU Health Plan
EDI # 44444
P.O. Box 8660
Elkridge, MD 21075

To get information about a claim or request remittance:

Medical services

Call provider services:
1-866-204-8020
7 am – 6 pm ET, Monday – Friday
Automated phone system is available 24/7

Visit the Provider Portal

Call APWU Health Plan:
1-800-222-APWU (2798)
Automated phone system is available 24/7

Dental services

Call APWU Health Plan:
1-800-222-APWU (2798)
8:30 am – 6:30 pm ET, Monday – Friday

Provider Claim Status Inquiry

Send appeals or general correspondence to the member’s health plan:

High Option
APWU Health Plan
6514 Meadowridge Rd
Suite 195
Elkridge, MD 21075

Consumer Driven Option correspondence
UnitedHealthcare
P.O. Box 740800
Atlanta, GA 30374-0800

Consumer Driven Option appeals
UnitedHealthcare Appeals
P.O. Box 740816
Atlanta, GA 30374-0816

Verify patient eligibility

Call to verify or determine a patient’s eligibility for services:

Medical services

Call the UnitedHealthcare automated phone system 24/7:
1-866-204-8020

Visit the Provider Portal

Call provider services:
1-866-204-8020
7 am – 6 pm ET, Monday – Friday

Dental services

Call APWU Health Plan:
1-800-222-APWU (2798)
8:30 am – 6:30 pm ET, Monday – Friday

Contact APWU Health Plan with questions about a member’s coverage.

1-800-222-APWU (2798)
8:30 am – 6:30 pm ET, Monday – Friday
Automated phone system is available 24/7

Coverage Inquiry for Providers

Mailing addresses for claims
The current claims mailing information is on the APWU Health Plan member ID card.

High Option
Medical claims
APWU Health Plan is the primary payer
All states and U.S. Virgin Islands

UnitedHealthcare
EDI # 39026
UnitedHealthcare Shared Services
PO Box 30783
Salt Lake City, UT 84130-0783

Submit a claim through the Provider Portal

High Option
Secondary medical claims and dental claims
APWU Health Plan is the secondary payer

APWU Health Plan
EDI # 44444
P.O. Box 8660
Elkridge, MD 21075

To get information about a claim or request remittance:

Medical services

Call provider services:
1-866-204-8020
7 am – 6 pm ET, Monday – Friday
Automated phone system is available 24/7

Visit the Provider Portal

Call APWU Health Plan:
1-800-222-APWU (2798)
Automated phone system is available 24/7

Dental services

Call APWU Health Plan:
1-800-222-APWU (2798)
8:30 am – 6:30 pm ET, Monday – Friday

Provider Claim Status Inquiry

Send appeals or general correspondence to the member’s health plan:

High Option
APWU Health Plan
6514 Meadowridge Rd
Suite 195
Elkridge, MD 21075

Consumer Driven Option correspondence
UnitedHealthcare
P.O. Box 740800
Atlanta, GA 30374-0800

Consumer Driven Option appeals
UnitedHealthcare Appeals
P.O. Box 740816
Atlanta, GA 30374-0816

Join our provider network

Become part of the nationwide network of UnitedHeatlhcare providers who are committed to helping APWU Health Plan members live healthier lives.

Download and access Health Plan resources

View all Health Plan Resources

APWU Health Plan Holiday Office Hours

The Health Plan will be closed on Wednesday, January 1. We will reopen at 8:30 a.m. ET on Thursday, January 2.

Manage your High Option or Consumer Driven Option health plan 24/7 with your postal member portal or federal member portal.