We have online tools and resources to help you manage your practice’s claim submission and payment.
If you aren’t satisfied with the outcome of a claim reconsideration request, you may submit a formal claim dispute/appeal using the process outlined in your Care Provider Manual.
Please allow 10 business days from the submission date before requesting a status update to enable us to begin processing the review.
UnitedHealthcare Community Plan of Kentucky has elected to waive co-pays as an option through Kentucky's current Medicaid co-pay regulation (KRS 205.6312). Current UHCCP members are not required to pay copays. If you have questions regarding copayments, please call (866) 633-4449.
Direct deposit and VCP information is available to EPS-enrolled care providers in the Electronic Payments & Statements (EPS) tool on Link.
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 get started with electronic transactions.
A PRA is generated for every processed claim and includes relevant details about how the claim was processed.