Rocky Mountain Health Plans | RMHP (2024)

FAQs

Is Rocky Mountain Health Plan part of UnitedHealthcare? ›

Rocky Mountain Health Plans (RMHP) ), A UnitedHealthcare Company, is the RAE (Region 1) for Health First Colorado (Colorado's Medicaid Program) Members who have a primary care provider that is located in the following counties: Archuleta, Delta, Dolores, Eagle, Garfield, Grand, Gunnison, Hinsdale, Jackson, La Plata, ...

In my opinion, in 2016 when RMHP was acquired by United Healthcare, the largest for-profit insurance company in the world, things changed. Since my appointment as president/CEO of Mind Springs Health (MSH) and West Springs Hospital (WSH) in August 2022, there have been 17 audits by state agencies.

Harvard Pilgrim products and services are available through Health Plans, Inc., a Harvard Pilgrim affiliate.

Regional Accountable Entities, or RAEs, are new organizations in Health First Colorado, Colorado's Medicaid program. They are responsible for coordinating members' care, ensuring they are connecting with primary and behavioral health care, and developing regional strategies to serve Health First Colorado members.

In 1998, the company was reorganized as the holding of independent companies UnitedHealthcare, Ovations, Uniprise, Specialized Care Services and Ingenix, and rebranded as "UnitedHealth Group". Also in 1998, United Health Group acquired HealthPartners of Arizona, operator of Arizona's largest AHCCCS provider.

UnitedHealthcare is the health benefits business of UnitedHealth Group, a health care and well-being company working to help build a modern, high-performing health system through improved access, affordability, outcomes and experiences.

Claims Process

Corrected claims and appeals must be submitted within 60 days from the date of the original explanation of payment (EOP).

How do I submit claims for Rocky Mountain Health Plans patients? To pay claims online, visit the Claims and Payments page on UHCprovider.com and use the electronic data interchange (EDI) payer ID 87726 for all plan types.

The $3.7 billion sale will see Health Care Service, the country's largest customer-owned health insurer, take control of Cigna's Medicare Advantage, Supplemental Benefits and Part D customers, as well as the CareAllies business that works with healthcare providers.

Tufts Health Plan and Harvard Pilgrim Health Care are now part of one combined organization. For the time being, however, Tufts and Harvard Pilgrim will continue to operate as separate companies and keep their current respective company names. A new name for the combined company is expected in the coming months.

Is Blue Cross better than Harvard Pilgrim? ›

Harvard Pilgrim Health Care scored higher in 7 areas: Overall Rating, Culture & Values, Work-life balance, Senior Management, Compensation & Benefits, CEO Approval and Recommend to a friend. Blue Cross Blue Shield of Massachusetts scored higher in 1 area: Positive Business Outlook.

One of the top twenty health plans in the United States, Point32Health builds on the quality of our founding organizations, Harvard Pilgrim Health Care and Tufts Health Plan.

RMHP helps Health First Colorado (Colorado's Medicaid Program) members in Western Colorado and Larimer County live healthier lives. We also help members outside these regions if they get primary care from one of our providers. We can help you: Get answers to your questions.

Medicaid in Colorado is known as Health First Colorado.

UnitedHealth Group is a health care and well-being company with team members in two distinct and complementary businesses — Optum and UnitedHealthcare — working to help build a modern, high-performing health system.

It covers the full continuum of essential health services, from health promotion to prevention, treatment, rehabilitation and palliative care.

How do I submit claims for Rocky Mountain Health Plans patients? To pay claims online, visit the Claims and Payments page on UHCprovider.com and use the electronic data interchange (EDI) payer ID 87726 for all plan types.

Plans are insured through UnitedHealthcare Insurance Company or one of its affiliated companies, a Medicare Advantage organization with a Medicare contract and a Medicare-approved Part D sponsor. Enrollment in these plans depends on the plan's contract renewal with Medicare.