Help potential patients find you

Review and verify your demographic information every 90 days

Help potential patients find you

Review and verify your demographic information every 90 days

Help potential patients find you

Review and verify your demographic information every 90 days

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.

COVID-19 resources

Access resources, information and tools to help you provide care to patients and support your practice during the public health emergency. You’ll find details on federal, state and health plan requirements, claim and billing guidelines for COVID-19 testing, treatment and vaccines, and any temporary provisions in effect. The site is updated as new information becomes available.

News

Tennessee: TennCare’s updated forms for OB-GYN

TennCare is updating abortion, sterilization and hysterectomy forms and guidance effective July 1, 2021, for Tennessee Medicaid members.

UnitedHealthcare working to complete Texas direct payment program implementation by June 1, 2022

Texas Health and Human Services Commission (HHSC) announced 4 new directed payment programs with a program effective date of Sept. 1, 2021.

Texas: Changes to CHIP copayments for Mental Health and Substance Use Disorder Services

Effective July 1, 2022, Texas Health and Human Services is prohibiting copayments for Children’s Health Insurance Program Mental Health and Substance Use Disorder Services.

Florida: Complete the Obstetrical Risk Assessment Form to earn an incentive

Earn an incentive when you submit an Obstetrical Risk Assessment Form (OBRAF) for UnitedHealthcare Community Plan patients.

Louisiana Medicaid: Updated urine drug testing policy from the Louisiana Department of Health

Effective June 16, 2022, universal drug testing/screening in a primary care setting will no longer be covered. Drug testing without signs or symptoms of substance use, or without current controlled substance treatment, will not be covered. Please be aware of this policy change when treating UnitedHealthcare Community Plan members and filing claims.

Michigan Medicaid: What you need to know about caring for members with hepatitis C

The Michigan Department of Health and Human Services (MDHHS) launched the We Treat Hep C Initiative to help eliminate the hepatitis C virus (HCV) in Michigan. The We Treat Hep C initiative has removed barriers to care and offers support to health care professionals testing and treating UnitedHealthcare Community Plan members for hepatitis C.

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