Through these difficult times, nurses continue to support and guide those in need. Thank you today and every day for making a difference.
Through these difficult times, nurses continue to support and guide those in need. Thank you today and every day for making a difference.
Through these difficult times, nurses continue to support and guide those in need. Thank you today and every day for making a difference.
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 16, 2022
The Pennsylvania Department of Human Services has updated its billing requirements for personal care services that are verified using an electronic visit verification (EVV) system. For dates of service starting May 1, 2022, health care professionals administering personal care services to UnitedHealthcare Community Plan members in their home must use HCPCS code T1019 when submitting claims and requesting prior authorization.
May 10, 2022
The Louisiana Department of Health has shared policy updates regarding COVID-19 monoclonal treatment, cardiovascular services and cochlear implants.
May 09, 2022
Effective June 1, 2022, in accordance with your contractual agreement that you do business with us electronically, UnitedHealthcare is no longer sending paper checks for claim payments. This change supports our continued efforts to accelerate payments to your practice by moving to digital transactions.
May 06, 2022
The Centers for Medicare & Medicaid (CMS) requires all Medicare members, including Dual Eligible Special Needs Plan (D-SNP) members, to know costs prior to receiving non-covered services. Request a prior authorization if you know or have reason to believe that a service for a Medicare Advantage member may not be covered.
May 04, 2022
Starting May 20, 2022, UnitedHealthcare will no longer mail prior authorization and clinical letters to network providers and facilities in AL, AR, CT, DC, DE, FL, GA, IA, IL, IN, KS, KY, LA, MA, MD, ME, MI, MO, MS, NC, ND, NE, NH, NJ, NY, OH, OK, PA, RI, SC, SD, TN, TX, VA, VT, WI and WV.
May 04, 2022
Starting July 1, 2022, there’s a new obstetrical ultrasound medical policy for UnitedHealthcare Individual Exchange plan members.
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.