uhcprovider.com: uhcprovider.com is your home for health care professional information with 24/7 access to the UnitedHealthcare Provider Portal, medical policies and news bulletins. The website offers great resources to support administrative tasks including eligibility, claims, referrals, and prior authorizations and notifications.
uhcprovider.com/digitalsolutions: Going digital means less paper and more automation, faster workflow between applications and quicker claims submission process to get you paid faster. Our 3 digital solutions, Electronic Data Interchange (EDI), Application Programming Interface (API) and the UnitedHealthcare Provider Portal, help to make that a reality, and it’s not a one-size-fits-all approach. There’s flexibility to choose the best approach for your practice, and there’s the ability to integrate with the practice management systems you use today. This webpage will help you choose the right solution to fit your practice’s needs.
uhcprovider.com/portal: Our portal allows you to quickly get the answers you need to claims information like status updates, reconsiderations and appeals. You can also submit prior authorization requests, check eligibility and benefits information, access items in Document Library (including virtual card payment statements) and even track your work, all at no cost to you and without having to make a phone call. To log in, click Sign In in the top right corner of uhcprovider.com.
uhcprovider.com/edi: Submit and receive data using HIPAA Electronic Data Interchange (EDI) X12 transactions for claim submissions, eligibility and benefits, claim status, authorizations, referrals, hospital admission, discharge and observation stay notifications and electronic remittance advice. You can submit single or batch transactions for multiple members and payers without manual data entry or logging into multiple payer websites.
uhcprovider.com/api: Our Application Programming Interface (API) solutions allow you to access comprehensive real-time data on a timetable you set. Data can be distributed to your practice management system, proprietary software or any application you prefer. We have APIs for claim status and payment, eligibility and benefits, reconsiderations and appeals, prior authorization, documents and referrals.
We provide a full range of training resources including interactive self-paced courses and instructor- led sessions at uhcprovider.com/training. The training content is organized by categories to make it easier to find what you need.
Network News: Find health care professional news and updates for national and state Commercial, Medicare and Medicaid plans at uhcvprovider.com/news.
Policy and Protocol Updates: News and updates regarding policy, product or reimbursement changes are posted online at uhcprovider.com/news. Updates are posted at the beginning of each month. Sign up to receive notification of these updates by email at uhcprovider.com/subscribe.
Most questions can be answered using our online solutions at uhcprovider.com. If you need to speak with someone, we’re here to help. For state-specific contact information, visit uhcprovider.com > Menu > Contact Us. UnitedHealthcare Web Support 1-866-842-3278 firstname.lastname@example.org Provider Services 1-877-842-3210 Provider Services (Individual Exchange Plans) 1-888-478-4760 Prior Authorizations 1-877-842-3210 Prior Authorizations (Individual Exchange Plans) 1-888-478-4760 Optum PayTM Helpdesk 1-877-620-6194 Provider Agreement questions: Contact your Network Management representative. To identify your Network Management representative, go to uhcprovider.com > Menu > Contact Us > Find a Network Contactand select your state. Provider Advocate: To find your health care provider advocate, go to uhcprovider.com > Contact Us > Find a Network Contact and select your state.
Access benefit, coverage and identification card information. Online: UnitedHealthcare Provider Portal uhcprovider.comand click Sign In in the top right corner. EDI: 270/271 transaction | uhcprovider.com/edi270 Phone: 1-877-842-3210
For Individual Exchange Plans, call 1-888-478-4760.