We know you don't have time to spare, so we put all the UnitedHealthcare Community Plan resources you need in one place. Use the navigation on the left to quickly find what you're looking for. Be sure to check back frequently for updates.
Phone: 877-440-9946 available 8 a.m. – 5 p.m. Central Time, M-F
Email: mn_provider relations@uhc.com
Phone: 877-842-3210
Email: networkhelp@uhc.com
Phone: 866-209-9320
Phone: 877-440-9946 available 8 a.m. – 5 p.m. Central Time, M-F
Online: providerexpress.com
Pharmacies call: 844-495-8038
Prescribers requesting Pharmacy Prior Authorization call: 800-310-6826 or submit prior authorization through CoverMyMeds or SureScripts.
Phone: 866-547-0809
Online: uhcdental.com
Phone: 855-596-2724
Online Reference Guides: marchvisioncare.com
Contact Information: providers.eyesynergy.com
For Credentialing and Attestation updates, contact the National Credentialing Center at 1-877-842-3210.
Learn how to join the Behavioral Health Network, review Community Plan Behavioral Health information, or submit demographic changes at Community Plan Behavioral Health.
Facility/Hospital-Based Providers, Group/Practice Providers and Individually-Contracted Clinicians
The state-specific requirements and process on how to join the UnitedHealthcare Community Plan network is found in the UnitedHealthcare Community Plan Care Provider Manuals.
The Centers for Medicare & Medicaid Services (CMS) established the Medicaid Managed Care Rule to:
Enhance policies related to program integrity With the Medicaid Managed Care Rule, CMS updated the type of information managed care organizations are required to include in their care provider directories.
The best way for primary care providers (PCPs) to view and export the full member roster is using the CommunityCare tool, which allows you to:
For help using CommunityCare, please see our Quick Reference Guide. If you’re not familiar with our portal, go to UHCprovider.com/portal.
When you report a situation that could be considered fraud, you’re doing your part to help save money for the health care system and prevent personal loss for others. If you suspect another provider or member has committed fraud, waste or abuse, you have a responsibility and a right to report it.
Taking action and making a report is an important first step. After your report is made, we will work to detect, correct and prevent fraud, waste, and abuse in the health care system.
Call us at 1-844-359-7736 or visit uhc.com/fraud to report any issues or concerns.
Last Modified | 01.25.2022
A 100-day supply of medications is now available in 22 states for the same copay as a 90-day supply.
Learn MoreLast Modified | 01.24.2022
Commercial plan Prescription Drug List and Pharmacy Benefit Coverage Updates that will take effect May 1, 2021 are now available to view.
Learn MoreLast Modified | 01.21.2022
Beginning April 1, 2022, the entire claim will be denied if outpatient cardiovascular prior authorizations are not received or denied due to lack of medical necessity for Medicare Advantage plans.
Learn MoreLast Modified | 01.25.2022
A 100-day supply of medications is now available in 22 states for the same copay as a 90-day supply.
Learn MoreLast Modified | 01.24.2022
Commercial plan Prescription Drug List and Pharmacy Benefit Coverage Updates that will take effect May 1, 2021 are now available to view.
Learn MoreLast Modified | 01.21.2022
Beginning April 1, 2022, the entire claim will be denied if outpatient cardiovascular prior authorizations are not received or denied due to lack of medical necessity for Medicare Advantage plans.
Learn MoreHIPAA standardized both medical and non-medical codes across the health care industry and under this federal regulation, local medical service codes must now be replaced with the appropriate Healthcare Common Procedure Coding System (HCPCS) and CPT-4 codes. View our updated HIPAA information for UnitedHealthcare Community Plan.
UnitedHealth Group requires compliance with the requirements of federal and state laws that prohibit the submission of false claims in connection with federal health care programs, including Medicare and Medicaid. View our policy.
If UHG policies conflict with provisions of a state contract or with state or federal law, the contractual / statutory / regulatory provisions shall prevail. To see updated policy changes, select the Bulletin section at left.