Members in a gated plan choose a network PCP at the time of their enrollment. If not, we assign one. A PCP is a physician in family practice, internal medicine, pediatrics, or general practice. Other specialties may be included if required by state law.
The PCPs designated by the member and enrolled dependent(s) do not need to be the same person, or affiliated with the same group. The member and enrolled dependent(s) must select a PCP within the geographic area where the subscriber lives.
There are three ways to identify the member’s assigned PCP:
- EDI: Transactions 270/271 through your vendor or clearinghouse
- Online: Using eligibilityLink
- Phone: 877-842-3210
Remember, you can submit address corrections on UHCprovider.com/mypracticeprofile or call the phone number on the back of the member’s health care ID card.