Are you using the correct POS code on your claims?

Smart Edits alerts you to potential place of service errors

Are you using the correct POS code on your claims?

Smart Edits alerts you to potential place of service errors

Are you using the correct POS code on your claims?

Smart Edits alerts you to potential place of service errors

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.

Find out more

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.

Read the news

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

Overpayment letters won’t be mailed after Sept. 23

Starting Sept. 23, 2022, most E&I and M&R overpayment notification letters sent by UnitedHealthcare are going paperless. View via portal, API or Direct Connect.

Louisiana Medicaid: Updates to pneumococcal vaccine policy

The Louisiana Department of Health (LDH) updated the pneumococcal vaccine policy effective Jan. 1, 2022.

Louisiana Medicaid: Allergy testing and immunotherapy policy updates

The Louisiana Department of Health updated their policy on allergy testing and immunotherapy to include more covered services effective July 27, 2022.

Medicare Advantage and Commercial: Updated review process timing for sepsis-related treatment

As of July 1, 2022, Medicare Advantage and commercial claims for sepsis-related treatment may be reviewed on a pre-payment or post-payment basis.

Louisiana: Telehealth changes to COVID-19 temporary measures

The Louisiana Department of Health (LDH) revised the COVID-19 Informational Bulletin 20-5 on May 6, 2022 making billing changes to COVID-19 temporary measures.

Louisiana: Changes to Medicaid provider enrollment tool

The Louisiana Department of Health revised the Informational Bulletin 22-4 regarding the Medicaid Provider Enrollment Portal lookup tool on June 10, 2022. The Medicaid Provider Enrollment Portal is now available at LAmedicaid.com. When using the lookup tool, you may search by NPI, provider name, provider type, specialty, address, city and state, or zip code.