To help you get paid faster, a new Smart Edit will alert you if we need more primary insurance information for a claim.
To help you get paid faster, a new Smart Edit will alert you if we need more primary insurance information for a claim.
To help you get paid faster, a new Smart Edit will alert you if we need more primary insurance information for a claim.
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.
August 18, 2022
Effective Sept. 9, 2022, Medicaid (C&S) PRAs in Effective Sept. 9, 2022, Medicaid (C&S) PRAs in KY, MO, OH and DC are going paperless. View in the portal (Document Library), with Optum Pay or through EDI.
August 16, 2022
As of Sept. 1, 2022, we'll no longer cover diabetes medications Invokana® and Invokamet® for Individual Exchange plans.
August 15, 2022
We’ve created a summary of key quality measures to give you a quick resource for providing optimum care for your patients.
August 10, 2022
African Americans in West Tennessee are receiving care at a lower rate than any other race or ethnicity in the region. We’ve developed suggested practices and resources for you to use when treating patients who are UnitedHealthcare Community Plan members.
August 10, 2022
Effective Sept. 19, 2022, we will deny claims containing incorrect revenue or incorrect procedure codes for the provider type billed.
August 10, 2022
Introduction of the Ohio Rise Program introduced by Ohio Department of Medicaid on July 1, 2022. This Medicaid-managed care program¹ offers specialized behavioral health care for children and youth.