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Resources and tools for providers and health care professionals

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

Nokia employees now have Surest plans

Learn how to recognize and support Surest plan members, including Nokia employees who are now covered by the plans.

Prior authorization updates for provider-administered drugs

Effective for dates of service starting May 1, 2023, we will require prior authorization for the certain medications.

New therapies for Cancer Therapy Pathway program

Chronic myeloid leukemia, prostate, esophageal and gastric added to Cancer Therapy Pathways Program

Reimbursement Policy Update Bulletins: February 2023

You can review the details on February's reimbursement policy updates through the commercial, Medicare, Medicaid and Exchange plan bulletins.

Optum to manage kidney care management services

Effective Jan. 1, 2023, we’ve transferred kidney care management services from Somatus to Optum KRS.

Medicare: Part B Step Therapy program updates

Starting Feb. 1, 2023, Feraheme will move to a preferred status for some plans.