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Planned portal maintenance Dec. 9–10

Due to planned maintenance, the My Practice Profile (MPP) tool in the UnitedHealthcare Provider Portal may experience service interruptions and/or be unavailable beginning Friday, Dec. 9 at 8:30 p.m. ET through Saturday, Dec. 10 at 7 a.m. ET. We apologize for any inconvenience this may cause.

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.

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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.

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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.

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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: HCPCS codes for prenatal visits

Help initiate early access to care. Use the correct HCPCS and ICD codes when billing for initial prenatal visits.

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.

North Carolina Medicaid: Get training on EVV

You’re required to use electronic visit verification for home health visits starting in April. Here’s how to get trained.

December monthly overview

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

Florida Medicaid: Claim and AHCA data must match

Your claims must have the correct identifiers per AHCA requirements, or they will be denied. See what you need to do.

Medical Policy Updates: December 2022

Medical policy updates for December 2022 for the following plans: Medicare, Medicaid, Exchanges, and Commercial.