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Resources and tools for providers and health care professionals

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

Florida: Report resident status changes

Report changes for UnitedHealthcare Community Medicaid Long-Term Care members.

Iowa: Join us in person at our provider expo

Sign up today and stay current on claim submissions, payment accuracy requirements, self-service tools and more.

March monthly overview

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

Nebraska Medicaid: System updates to the claims editing application

Updates to the claims editing application will enhance efficient management of submitted claims. Learn more.

Tackle claims tasks with greater ease and speed

Use the digital solutions provided by the UnitedHealthcare Provider Portal to save time and expedite your claim-related tasks.

New eConsult platform for specialty care

UnitedHealthcare Community Plan of Texas has partnered with AristaMD® to help make it easier for you to connect with specialists and get guidance on a member’s disease or illness quickly.