Here you will find the tools and resources you need to help manage your practice’s submission of claims and receipt of payments. Your primary UnitedHealthcare claims resource, the Claims (on Link), is available on Link, the gateway to UnitedHealthcare’s self-service tools.
Direct deposit and virtual card payments (VCP) information is available on Link in the Electronic Payments & Statements tool, if you are enrolled.
If you are not satisfied with the outcome of a Claim Reconsideration Request, you may submit a formal Claim Dispute/Appeal using the process outlined in your provider manual.
Additional state requirements may apply. Please consult your state Care Provider Administrative Guide or Manual for more details or contact the provider services center.
Additional information about the Appeals, Grievances and State Fair Hearings process for Kansas can be found in the Care Provider Administrative Manual.
To view up to date claim reconsideration information go to UHCprovider.com/claims.
Using Electronic Data Interchange (EDI) for all eligible UnitedHealthcare transactions can help your organization improve efficiency, reduce costs and increase cash flow. We encourage you to use the following tools and resources to help you get started with electronic transactions.
Claims submitted by non-participating providers, on or after January 1, 2019, must be submitted with a completed and signed Non-Participation Reimbursement Agreement.
This signed document must be attached to each claim in order for the claim to be accepted and processed for payment. Claims submitted by non-participating providers, without this form, will be denied for lack of required documentation
Care providers who wish to refund an overpayment on any UnitedHealthcare Community Plan account for the KanCare program can submit a check to the following address:
P.O. Box 5230
Kingston, NY 12401
Please also include the following information with your check so the refund is accurately credited to our system in a timely manner:
If you have questions, please call Provider Services at 877-542-9235.
All vision claims should be submitted to March Vision, the UnitedHealthcare Community Plan of Kansas vision vendor:
MARCH Vision Care Claims
6701 Center Drive West, Suite 790
Los Angeles, CA 90045
A PRA is generated for every processed claim and includes relevant details about how the claim was processed.