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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

Oxford prior authorization requirement changes

On Jan. 1, 2023, we will make significant changes to the UnitedHealthcare Oxford plan prior authorization requirements.

PCOR is transitioning to Practice Assist

In the coming months, you will access your PCOR via Practice Assist using your One Healthcare ID.

You may see more Individual Exchange members

You may see an increase in Individual Exchange plan members as 2 health insurers exit the ACA Marketplace on Dec. 31, 2022.

Updated emergency room auto-pay list

UnitedHealthcare recently expanded our emergency room auto-pay list effective Dec. 1, 2022.

New oral oncology prior authorization process

A new oral oncology prior authorization process for commercial and Individual Exchange plans will be effective Dec. 1, 2022.

Massachussetts Medicaid: Gender-affirming care resources

In Sept. 2021, MassHealth launched a webpage offering details about several important gender-affirming care topics.