If you are experiencing connectivity issues with UnitedHealthcare, please use our secure self-service options in the UnitedHealthcare Provider Portal or an existing API connection. The portal is currently available to check eligibility, manage claim reconsiderations and appeals, and submit prior authorization requests.
Claims, billing and payments
Health care provider claim submission tools and resources. Learn how to submit a claim, submit reconsiderations, manage payments, and search remittances.
Health care professionals working with UnitedHealthcare can use our digital tools to access claims, billing and payment information, forms and get live help. To begin using the UnitedHealthcare Provider Portal sign in with your One Healthcare ID.
Our digital solutions are designed to give you the most up-to-date claims status and payment information quickly and easily. Our digital solutions comparison guide can help identify which tools are right for you.
UnitedHealthcare Provider Portal
You can manually process 20 transactions at a time in the portal. The portal is ideal for transactions that aren’t compatible with automated Electronic Data Interchange (EDI) and organizations with low transaction volume or minimal IT support.
Document Library houses claim, prior authorization and payment (including overpayment and appeal) information so authorized users can access it right away.
Application Programming Interface (API) is designed to help your organization improve efficiency, reduce costs and increase cash flow. Using automatic data feeds, API distributes information in a timely and effective manner. API is commonly used by practices, facilities, health care systems, vendors, clearinghouses and revenue cycle management companies.
Explore API to determine if it’s the right solution for you.
Electronic Data Interchange
Electronic Data Interchange (EDI) allows for multiple patient and payer digital submissions, and receiving batch transactions and is commonly used by health care professionals, facilities and sometimes clearinghouses.
The EDI overview can help you decide if it’s the right solution for you.
Digital payment options
You have 2 options for receiving payments from UnitedHealthcare. Read more about our digital payment options to help decide which option is right for you.
Both options are facilitated by Optum Pay®, a full-service payment and remittance solution used by all sizes and types of health care organizations. Learn how to enroll.
Automated Clearing House (ACH)/direct deposit Learn more about this option, also known as electronic funds transfer (EFT), in our enrollment guide. It outlines why it’s preferred by most practices because of its speed and efficiency in depositing payments directly into a bank account. Each payment is issued for the full amount of the claim payment at no charge to you.
Virtual card payments (VCP) A virtual card is issued for each payment and transactions are processed as credits through the same terminal used for patient copays. Our user guide walks you through the enrollment process.
Claims reconsideration quick start guide
Get details on how you can submit claim reconsideration requests with one easy-to-use tool. It uses the most up-to-date claims status and payment information, and there’s no need for mailing or faxing.
The Consumer Assessment of Healthcare Providers and Systems (CAHPS®) and the Health Outcomes Survey (HOS) provides feedback on patient experiences. Our goal is to continue to help improve the overall experience for your patients and our members.
West Plan Codes Report
Find more information about the UnitedHealthcare West Plan Codes Report and NICE system. The plan codes support billing, claim payments and more.
No Surprises Act resources
Batched items or services guidance
Guidance for reviewing provider remittance advice (PRAs) to determine which No Surprises Act claims can be batched for the Independent Dispute Resolution (IDR) process.