Want to help secure accurate and timely payments? Verify your data!
Health care professionals who are contracted with UnitedHealthcare are required to verify demographic data every 90 days.
How do I verify my data?
Individual practitioner solutions
CAQH Provider Data Portal
The CAQH Provider Data Portal portal allows you to access directory services and update profiles in real time. It’s a multi-payer solution, so any updates and attestations you make are available to all payers you’ve authorized.
CAQH Provider Data Portal for Groups is a new option created for delegated groups to manage demographic roster submissions. Manage a single standardized roster with CAQH, which shares all updates and attestations with participating CAQH health plans.
If your practice is assigned to the roster management program, please work directly with your assigned roster manager to review and verify the accuracy of your practice’s data. You can also submit data through CAQH. Reach out to your roster manager to learn more.
Why is data attestation so important?
Keeping your data accurate helps our members find you. Members most often search for care based on cultural competencies including:
Familiarity with member demographics
New patient acceptance
Specialized training and expertise
Services and treatments provided
What do I need to keep updated?
Phone number associated with the specific provider practice location
Accepting new patients
Office locations where the provider accepts appointments only
United States Postal Service (USPS) address at all locations, including suite, building number and handicap accessibility
Affiliated group name
Office hours and website
Specialties and areas of expertise
Languages spoken and availability of interpreter services
Certifications, affiliations and licenses
Cultural competency training participation
Area of expertise
Area of expertise designates unique experience, training and certifications and helps members identify in-network health care professionals best aligned with their needs. Sample indicators:
Working with hearing impaired populations
Caring for patients with HIV/AIDS
Medication-assisted treatment (MAT) for substance abuse
OB/GYN with clinical focus in endometriosis and infertility
Want to view your profile?
1. In the medical directory choose your UnitedHealthcare contracted plan type and follow the instructions.
2. Type your name in the search bar, select your listing, click the “Area of Expertise” tab.
The Area of Expertise tab will NOT display if there are no indicators associated with your profile.
How can I add, change or remove an area of expertise?
Submit a request through one of the 3 attestation options above
Area(s) of expertise will be displayed in the directory based on provider TIN. If you are associated with more than one TIN, updates must be made to all profiles.
Groups, hospitals or facilities must provide areas of expertise using a roster template
Occasionally, we may add an area of expertise indicator to provider profiles based on historical claim data or expertise verification through a primary source, such as the National Technical Information Service (NTIS) database. Email email@example.com for assistance.
What do I need for an area of expertise request?
Full provider name
The area(s) of expertise you would like UnitedHealthcare to add, remove from or update in your profile
Your NPI and TIN
Reason for request
Need to get re-credentialed as a UnitedHealthcare partner in care?