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.

Go Digital!

  • less paper
  • more automation
  • faster workflow 

All designed to support faster payments.

Find out more

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

News

Washington Medicaid: Clinical practice guideline updates

Review changes in clinical practice guidelines from year 2021 to 2022.

New York Medicaid: Changes to practitioner dispensing billing process

Effective Sept. 1, 2022, Medicaid Managed Care plans will deny payment to pharmacies not enrolled as a pharmacy provider for FFS Medicaid.

Maryland Medicaid: Monkeypox vaccine pre-registration now available

The Maryland Department of Health Monkeypox Vaccination Pre-Registration System is now available.

September monthly overview

Review the latest UnitedHealthcare prior authorization, medical policy, pharmacy, reimbursement, laboratory and policy and protocol updates.

Taxonomy code and requirements for Florida Medicaid claims

As of March 1, 2022, the Agency for Health Care Administration requires billing and rendering providers to include certain identifying information on your claims. Ensure your information matches the current provider enrollment information on file with AHCA or your claims will deny beginning Oct. 1, 2022.

Helping children with challenges adapt to school

Children in the TennCare program can get additional services they may need while in a school setting. See how you can help.