Review and verify your demographic information every 90 days
Review and verify your demographic information every 90 days
Review and verify your demographic information every 90 days
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.
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.
May 20, 2022
TennCare is updating abortion, sterilization and hysterectomy forms and guidance effective July 1, 2021, for Tennessee Medicaid members.
May 20, 2022
Texas Health and Human Services Commission (HHSC) announced 4 new directed payment programs with a program effective date of Sept. 1, 2021.
May 20, 2022
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.
May 20, 2022
Earn an incentive when you submit an Obstetrical Risk Assessment Form (OBRAF) for UnitedHealthcare Community Plan patients.
May 19, 2022
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.
May 18, 2022
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.
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.