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.
For BH Auth Inquiries: 877-440-9946
Provider Services Call Center:
Phone: 877-440-9946; available 8 a.m. – 5 p.m. Central Time, M-F
Provider Relations:
Email: mn_provider relations@uhc.com
Network Management Resource Team
Phone: 877-842-3210
Email: networkhelp@uhc.com
Technical Support:
Phone: 866-209-9320
Behavioral Health Services
Phone: 877-440-9946 available 8 a.m. – 5 p.m. Central Time, M-F
Online: providerexpress.com
Housing Stabilization Navigator is Camille Edosa:
Online: camille.edosa@uhc.com
Pharmacy Services:
Pharmacies call: 844-495-8038
Prescribers requesting Pharmacy Prior Authorization call: 800-310-6826 or submit prior authorization through CoverMyMeds or SureScripts.
UnitedHealthcare Dental:
Phone: 866-547-0809
Online: uhcdental.com
MARCH Vision Care:
Phone: 855-596-2724
Online Reference Guides: marchvisioncare.com
Contact Information: providers.eyesynergy.com
MTM for Nonemergency Medical Transportation Services
Phone: 888-444-1519
Call to schedule two days in advance
For Credentialing and Attestation updates, contact the National Credentialing Center at 1-877-842-3210.
Registering as a housing stabilization services provider
Before rendering services to UnitedHealthcare Community Plan members, you’ll need to enroll as a housing stabilization services (HSS) provider with the Department of Human Services Minnesota Health Care Programs (DHS MHCP).
Once you’re registered with DHS as an HSS provider, your claims will be eligible for reimbursement. Please note you don’t need a UnitedHealthcare Community Plan contract to provide HSS services and submit claims.
Submitting claims
To submit claims, you’ll first need to register for access to the UnitedHealthcare Provider Portal. Visit UHCprovider.com/access to create your account.
Submit supporting documentation for unprocessed claims
A National Provider Identifier (NPI) number is not required to use the portal.
Behavioral Health Providers
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 are found in the UnitedHealthcare Community Plan Care Provider Manuals.
Overview
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.
Reporting Fraud, Waste or Abuse to Us
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.
HIPAA 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.
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.