Claims Overpayment Refund Form - Single or Multiple
Please complete this form and include it with your refund so that we can properly apply the check and record the receipt. If a check is included with this correspondence, please make it payable to UnitedHealthcare and submit it with any supporting documentation.
Point of Care Assist®
Point of Care Assist® (POCA) adds real-time patient information —including clinical, pharmacy, labs, prior authorization, eligibility and cost transparency — to your existing electronic medical records (EMRs) to make it easier for you to understand what patients need at the point of care.
Electronic Payment Solutions
Quicker access to payments for healthcare professionals. Choose between ACH/direct deposit or virtual card payments. Learn more or find helpful resources today.
Hospital Performance-Based Compensation Program
This program provides an incentive to hospitals for quality and efficiency improvements in the delivery of health care affecting the overall health of UnitedHealthcare Commercial members and cost of health care.
CAHPS and the Health Outcomes Survey
The Consumer Assessment of Healthcare Providers and Systems (CAHPS®) survey and the Health Outcomes Survey (HOS) help provide feedback on your patient’s experience with you, the provider and us. UnitedHealthcare’s goal is to continue to help improve the overall experience for your patients and our members.
Waiver of Liability Form for UnitedHealthcare Medicare Advantage
A non-contract provider, on his or her own behalf, may request a reconsideration for a denied claim only if the non-contract provider completes a Waiver of Liability (WOL) statement, which provides that the non-contract provider will not bill the enrollee regardless of the outcome of the appeal.