announcement
June 30, 2021 at 12:00 PM CT

 A new and updated Hawaii Care Provider Manual will be available July 1st, 2021.

Get Connected | Hawaii

Congratulations! You’re now ready to see patients as a UnitedHealthcare network care provider. 

Before you begin, we encourage you – and your office staff – to watch this short Welcome Video from UnitedHealthcare leaders. View video transcript text.

The next step is to get connected with our online systems and resources. You’ll find everything you need from seeing patients to getting paid. View the Get Connected Quick Start Guide checklist.

Take a few minutes now to verify your demographic information:

Review your information in our online directory under Find Dr. on UHCprovider.com/HIcommunityplan.

Look for the Find Dr. icon in the top right corner. If anything needs to be updated, submit changes to Hawaii_Network_Management@uhc.com.

In the future, you will be asked to verify your information every 90 days. You may also receive a call from us to verify your information.

Our provider website is designed with you in mind. You’ll find everything you need in one place:

  • Easily access information and online tools to submit, view and take action on claims.
  • Quickly find administrative guides, policies and protocols.
  • Stay current with the newest developments from UnitedHealthcare and Optum.

Add uhcprovider.com/hicommunityplan to your bookmarks so you can quickly get the information you need, when you need it.

The UnitedHealthcare Provider Portal is your gateway to UnitedHealthcare’s self-service online tools. You’ll be able to complete a number of tasks — such as checking on member eligibility, benefits and claims for multiple UnitedHealthcare plans — all without having to pick up the phone.

Get started today.

  1. Visit UHCprovider.com/portal to learn more.
  2. Create a One Healthcare ID to access the UnitedHealthcare Provider Portal. Go to UHCprovider.com and click on “New User & User Access” in the upper-right corner of your screen. Simply follow the step-by-step on-screen instructions to request an One Healthcare ID.
    • The One Healthcare ID must be connected to the Tax ID of your practice, facility or organization.
    • Be sure your practice has a security management process to grant the appropriate access to staff members to perform online transactions.
  3. Start checking out the portal.  You can submit claims and complete a number of other claims transactions, such as providing additional information that may be requested or requesting a reconsideration of a claim decision. You can also check member eligibility, locate quick reference guides and find other helpful resources.

The fastest way to receive payments, as well as online Provider Remittance Advice (PRA)/Explanation of Benefits (EOB) statements, is by enrolling in Optum Pay. It’s a free service offered to you by UnitedHealthcare.

Get started today.

Enrolling online is simple and easy:

  1. Visit UHCprovider.com/optumpay.
  2. Read the Direct Deposit Enrollment Guide and have the following things handy:
    • Bank account and routing numbers for direct deposit.
    • A voided check or bank letter to verify your bank account information.
    • A copy of your practice or facility’s W-9 form.
  3. Click on the “Enroll Now” button and follow the prompts to complete your enrollment.

Through Electronic Data Interchange (EDI), you’ll be able to submit claims, check eligibility, request prior authorization and referrals and more — all electronically through your practice management system (PMS) or hospital information system (HIS). There’s no need to manually enter data, make phone calls or log into our website. Using EDI for all eligible UnitedHealthcare transactions can help you improve efficiency and reduce costs.

Our monthly electronic newsletter gives you and your staff the latest updates on UnitedHealthcare procedures, policy changes and other useful administrative and clinical information. Just visit UHCprovider.com/networknews to sign up.

We have a variety of options for ongoing training and education — from self-paced user guides that you can view whenever your schedule allows, to instructor-led sessions that give you the chance to participate in a Q&A discussion at the end. You can browse the complete training catalog at UHCprovider.com/training.

Before you see your first UnitedHealthcare Community plan patient,view the Care Provider Manual so that you and your staff are aware of the policies and protocols for UnitedHealthcare’s Community Plan members.

Quick Tips

  • Wondering if you’re an in-network provider for a specific patient? You can use the  Eligibility and Benefits capability on the UnitedHealthcare Provider Portal  to check member eligibility and to view your participation status.
  • Our health plan ID cards makes it easy to identify the member’s health plan and find important contact information. You can find images of all ID cards online when you check member eligibility on the portal
The Credentialing Program has been developed in accordance with state and federal requirements and accreditation guidelines. In accordance with those standards, UnitedHealthcare members will not be referred and/or assigned to you until the credentialing process and contracting process have been completed.