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

Coverage changes for diabetes medications

As of Sept. 1, 2022, we'll no longer cover diabetes medications Invokana® and Invokamet® for Individual Exchange plans.

Texas Medicaid: Measures that make a difference in patient care

We’ve created a summary of key quality measures to give you a quick resource for providing optimum care for your patients.

Tennessee Medicaid: Increase patient access to care

African Americans in West Tennessee are receiving care at a lower rate than any other race or ethnicity in the region. We’ve developed suggested practices and resources for you to use when treating patients who are UnitedHealthcare Community Plan members.

Wisconsin Medicaid: Denial of claims with incorrect codes starting Sept. 19

Effective Sept. 19, 2022, we will deny claims containing incorrect revenue or incorrect procedure codes for the provider type billed.

Ohio Medicaid: New OhioRISE care program for children and youth

Introduction of the Ohio Rise Program introduced by Ohio Department of Medicaid on July 1, 2022. This Medicaid-managed care program¹ offers specialized behavioral health care for children and youth.

Arizona Medicaid: AHCCCS prior authorization and utilization guidelines

AHCCCS announcement regarding prior authorization and utilization management guidelines.