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.
To view current claim reconsideration information or submit a new request electronically, go to UHCprovider.com/claims. If you do not have access to our electronic Claims (on Link) tool, you can also submit a reconsideration request using the Claim Reconsideration Request Form - UnitedHealthcare Community Plan of Michigan.
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.