Are you using the correct POS code on your claims?

Smart Edits alerts you to potential place of service errors

Are you using the correct POS code on your claims?

Smart Edits alerts you to potential place of service errors

Are you using the correct POS code on your claims?

Smart Edits alerts you to potential place of service errors

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

Three drugs added to specialty pharmacy drug list for outpatient hospitals only

Three drugs have been added to the specialty pharmacy drug list for outpatient hospitals only.

Delay for Tennessee: Home health review process

Please be aware of a change to the prior authorization requirement announced in April for home health services.

Reimbursement Policy Update Bulletins: July 2022

You can review the details on July's reimbursement policy updates through the commercial, Medicare, Medicaid and Exchange plan bulletins.

July 2022 policy and protocol updates overview

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

Medical Policy Update Bulletins: July 2022

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

Specialty Medical Injectable Drug Program updates: July 2022

Specialty Medical Drug Program updates for UnitedHealthcare Commercial, Community Plan, Medicare Advantage, and Value & Balance Exchange plans for July 2022.