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

10/2021: Medicare: New required Part B step therapy prior authorizations

UnitedHealthcare Medicare Advantage members will have new step therapy prior authorization requirements starting Jan. 1, 2022.

Serving children and pregnant women in Texas

UnitedHealthcare provides services to children and pregnant women with health issues and health risks in Texas.

Kentucky Medicaid: Coverage extended for pregnant individuals

Medicaid coverage in Kentucky is extended to 12 months after postpartum delivery for pregnant individuals and infants.

11/2021: Appeal decision letters won’t be mailed in 2022

Beginning March 4, 2022, most* contracted medical providers will need to view Medicare Advantage (including Dual Special Needs) and commercial appeal decision letters online in Document Library or with API.

Michigan: Updates to the 2022 Care Management and Quality Incentive Program for UnitedHealthcare Community Plan Primary Care Physicians (PCPs)

Starting Jan. 1, 2022, we have updated the 2022 Care Management and Quality Incentive Program for Michigan. See the updates and how they impact your practice.

Central/Southeast/Northeast regions: Prior authorization and clinical decision letters are going paperless

Starting June 3, 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.