How to contact UnitedHealthOne resources - 2021 UnitedHealthcare Administrative Guide

GRIC– Group Number 705214

Admission notification is required for all inpatient services as described in Chapter 7: Medical management.

Where to go: 

Call the number on the back of the member’s ID card, or go to UHCprovider.com/priorauth.

Where to go: 

Call the number on the back of the member’s ID card, or go to myuhone.com

Requirements and Notes: 

To inquire about a member’s plan benefits or eligibility

Where to go: 

Go to myuhone.com

Requirements and notes: 

To view pending and processed claims

Where to go: 

Prior Authorizations:

Online: professionals.optumrx.com

Benefit Information: Call the pharmacy number on the back of the member’s ID card.

Requirements and Notes: 

For information on the Prescription Drug List (PDL), go to

Oxford– Group Number 908410

Where to go: 

Online: providerexpress.com

Phone: 1-855-779-2859

Requirements and Notes: 

Submit admission notification or prior authorization for behavioral health, including substance use and autism.

Diagnostic catheterization, electrophysiology implants, echocardiogram and stress echocardiogram

Where to go: 

Online: UHCprovider.com/cardiology; Go to Prior Authorization and Notification Tool

Phone: 1-866-889-8054

Requirements and Notes: 

Request prior authorization for services as described in the Outpatient cardiology notification/ prior authorization protocol section of Chapter 7: Medical management.

Where to go: 

Online (clinical submission request): myoptumhealthphysicalhealth.com

Phone: 1-888-676-7768

Requirements and Notes: 

Follow the clinical submission process for chiropractic, physical and occupational therapy as described in Chapter 7: Medical management.

Where to go: 

Electronic Claims Submission: Payer ID 37602

Paper Claims Submission: Mail to the address listed on the back of the ID card.

Where to go: 

Prior Authorizations:

Online: professionals.optumrx.com

Benefit Information:

Call the pharmacy number on the back of the member’s ID card.

Requirements and Notes: 

For information on the PDL, go to UHCprovider.com/pharmacy

Where to go: 

EDI: Transactions 278 and 278N

Online: UHCprovider.com/paan

Phone: 1-800-999-3404

Requirements and Notes: 

Prior authorization and admission notification is required as described in Chapter 7: Medical management. EDI 278A transactions are not available.

Where to go:

CT scans, MRIs, MRAs, PET scans and nuclear medicine studies, including nuclear cardiology

Online: UHCprovider.com/radiology; Go to Prior Authorization and Notification Tool

Phone: 1-866-889-8054

Requirements and Notes: 

Request prior authorization for services as described in the Outpatient radiology notification/ prior authorization protocol section of Chapter 7: Medical management.

Health plan ID card

Members receive health plan ID cards with information to help you submit claims accurately. Information varies in appearance or location on the card. However, cards display the same basic information (e.g., claims address, copayment information, phone numbers).

You can view and download current member ID cards when you verify eligibility and benefits on Link.

For more detailed information and to see a sample ID card, refer to the Health Care Identification (ID) Cards Section of Chapter 2: Provider Responsibilities and Standards.