UnitedHealthcare Provider Portal
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
May 19, 2022
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.
May 18, 2022
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.
