Create a One Healthcare ID to access the UnitedHealthcare Provider Portal. To register click on “New User & User Access” in the upper-right corner of your screen. Simply follow the step-by-step on-screen instructions to request an One Healthcare ID.
The One Healthcare ID must be connected to the Tax ID of your practice, facility or organization.
Be sure your practice has a security management process to grant the appropriate access to staff members to perform online transactions.
Start checking out the portal. The UnitedHealthcare Provider Portal allows you to get claims information like status updates, reconsiderations and appeals. You can also submit prior authorization requests, check eligibility and benefits information and access items in Document Library.
The fastest way to receive payments, as well as online Provider Remittance Advice (PRA)/Explanation of Benefits (EOB) statements, is by enrolling in Optum Pay. It’s a free service offered to you by UnitedHealthcare.
Through Electronic Data Interchange (EDI), you’ll be able to submit claims, check eligibility, request prior authorization and referrals and more — all electronically through your practice management system (PMS) or hospital information system (HIS). There’s no need to manually enter data, make phone calls or log into our website. Using EDI for all eligible UnitedHealthcare transactions can help you improve efficiency and reduce costs.
Our monthly electronic newsletter gives you and your staff the latest updates on UnitedHealthcare procedures, policy changes and other useful administrative and clinical information. Just visit UHCprovider.com/networknews to sign up.
We have a variety of options for ongoing training and education — from self-paced user guides that you can view whenever your schedule allows, to instructor-led sessions that give you the chance to participate in a Q&A discussion at the end. You can browse the complete training catalog at UHCprovider.com/training.
Before you see your first UnitedHealthcare Community plan patient,view the Care Provider Manual so that you and your staff are aware of the policies and protocols for UnitedHealthcare’s Community Plan members.
Our health plan ID cards makes it easy to identify the member’s health plan and find important contact information. You can find images of all ID cards online when you check member eligibility on the portal
The Credentialing Program has been developed in accordance with state and federal requirements and accreditation guidelines. In accordance with those standards, UnitedHealthcare members will not be referred and/or assigned to you until the credentialing process and contracting process have been completed.