Thank you for your interest in becoming a network care provider with UnitedHealthcare Community Plan of Hawaii. In joining our network, you’ll become part of a group of physicians, health care professionals and facilities who share our commitment to helping people live healthier lives and making the health care system better for everyone.
To join our network:
1. Submit your credentialing application
Credentialing is required for all licensed independent practitioners and facilities to participate in the UnitedHealthcare network. We partner with MDX and Optum to help manage the credentialing process. Please follow these steps to submit your credentialing application based on your practicing specialty. These are also the resources to call if you have a question or want to check the status of your application.
- General Care Providers (excluding specialties listed below): Most care providers will work with MDX Hawaii, Inc. to begin the application process. You can reach MDX at 808-532-6989, option 2 from 8 a.m. to 5 p.m. Hawaii Time, Monday through Friday.
- Mental Health or Substance Abuse Practitioners: If you work in this specialty area, you’ll contact Optum Behavioral Health Solutions, which handles credentialing and contracting on behalf of UnitedHealthcare. To get started, go to providerexpress.com (look under “Our Network” for specific instructions) or call 800-817-4705.
If you also provide medical services in addition to mental health and substance abuse services, you’ll work with MDX for credentialing. Please follow the instructions noted above.
- Home and Community-Based Services: Please email UnitedHealthcare Community Plan hcbsprovidernetwork@uhc.com or call 888-980-8728.
- Dental: If you work in this specialty, you’ll contact Dental Benefit Partners to begin the credentialing process. To get started, visit https://www.uhcdental.com/ (look under “Join Our Network”) or call 800-822-5353.
2. Complete your participation agreement
After credentialing is complete, UnitedHealthcare Community Plan will send you a Participation Agreement (contract) through a secure application called DocuSign. (If we don’t have a valid email address for you, we’ll mail you the Participation Agreement.) Once contracting is completed, you’ll receive the countersigned agreement with your effective date.
- If you’re joining a medical group that already has a participation agreement, you’ll be added to the group agreement once credentialing has been approved. A new contract will not be issued.
3. Get connected with us electronically
Once you are credentialed and have received your countersigned agreement, your next step is to know how to get connected with us electronically so you can take advantage of our online tools, paperless options, electronic payments and more. Review our Quick Start Guide for the most recent checklist.
We’re here to help! If you have questions, please call us at 888-980-8728 from 7:45 a.m. to 4:30 p.m. Hawaii Time, Monday through Friday.
