Smart Edits alerts you to potential place of service errors
Smart Edits alerts you to potential place of service errors
Smart Edits alerts you to potential place of service errors
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_forwardVerify member eligibility, determine benefits, view care plans and get a digital copy of the member ID card.
Check prior authorization and notification requirements, submit requests, upload medical notes, check status and update cases.
Submit claims, look up fee schedules, check status, view payment information, and submit reconsideration and appeal requests.
Check referral requirements, submit requests, review referral history and monitor the number of remaining visits.
All designed to support faster payments.
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.
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.
June 28, 2022
Three drugs have been added to the specialty pharmacy drug list for outpatient hospitals only.
June 28, 2022
Please be aware of a change to the prior authorization requirement announced in April for home health services.
June 28, 2022
You can review the details on July's reimbursement policy updates through the commercial, Medicare, Medicaid and Exchange plan bulletins.
June 28, 2022
Review the latest UnitedHealthcare prior authorization, medical policy, pharmacy, reimbursement, laboratory and policy and protocol updates.
June 28, 2022
Medical policy updates for July 2022 for the following plans: Medicare, Medicaid, Exchanges, and Commercial.
June 28, 2022
Specialty Medical Drug Program updates for UnitedHealthcare Commercial, Community Plan, Medicare Advantage, and Value & Balance Exchange plans for July 2022.