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