Help potential patients find you

Review and verify your demographic information every 90 days

Help potential patients find you

Review and verify your demographic information every 90 days

Help potential patients find you

Review and verify your demographic information every 90 days

UnitedHealthcare Provider Portal

The UnitedHealthcare Provider Portal has more than 40 tools that allow you to take action on claims and get the answers you need quickly. It’s available 24/7 – and at no cost to you. All without having to pick up the phone.

Get training arrow_forward

Eligibility and Benefits

Verify member eligibility, determine benefits, view care plans and get a digital copy of the member ID card.

Prior Authorization and Notification

Check prior authorization and notification requirements, submit requests, upload medical notes, check status and update cases.

Claims and Payments

Submit claims, look up fee schedules, check status, view payment information, and submit reconsideration and appeal requests.

Referrals

Check referral requirements, submit requests, review referral history and monitor the number of remaining visits.

COVID-19 resources

Access resources, information and tools to help you provide care to patients and support your practice during the public health emergency. You’ll find details on federal, state and health plan requirements, claim and billing guidelines for COVID-19 testing, treatment and vaccines, and any temporary provisions in effect. The site is updated as new information becomes available.

News

11/2021: Medicare and D-SNP: Prior authorization and site of service expansion

Starting May 1, 2022, for UnitedHealthcare Medicare Advantage plans, we’re expanding our prior authorization requirements and site of service medical necessity reviews for certain surgical procedures.

Maryland: Doula services now covered for Medicaid members

Starting Feb. 7, 2022, we will cover doula services for Maryland Medicaid members. Enroll with Maryland Medicaid before obtaining an agreement with UnitedHealthcare Community Plan.

The 2021 Quality Improvement survey results are in

Learn about key clinical activities from our 2021 Quality Improvement program to improve our members’ and providers’ health care experience.

Washington: Updated clinical practice guidelines

We use evidence-based clinical guidelines from nationally recognized sources to develop our quality and health management programs for UnitedHealthcare Community Plan members.

Tennessee: TennCare’s updated forms for OB-GYN

TennCare is updating abortion, sterilization and hysterectomy forms and guidance effective July 1, 2021, for Tennessee Medicaid members.

UnitedHealthcare working to complete Texas direct payment program implementation by June 1, 2022

Texas Health and Human Services Commission (HHSC) announced 4 new directed payment programs with a program effective date of Sept. 1, 2021.

Network News

Find the latest announcements, updates and reminders – prior authorization requirements, policy and protocol changes, reimbursement updates and other important information to guide how your practice works with UnitedHealthcare and our members.

Read the news

No Surprises Act open negotiations

Learn more about the requirements of the No Surprises Act of 2020 and the out-of-network claims covered under the Act. Step-by-step instructions guide you through submitting a negotiation request through the UnitedHealthcare Provider Portal.

Review the process