UnitedHealthcare West Capitation, Settlement, Shared Risk Claims, Eligibility, and Patient Management Reports

View list below for available reports through the UnitedHealthcare West Reports tool. You can access the tool in the UnitedHealthcare Provider Portal under the Documents & Reporting drop-down menu.

Need help using the report tool? Check out our resources on

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Capitation Reports
  • Capitation Reports
  • Capitation Detail File
  • Additional Payment Support
    • Remittance Advice
    • Manual Adjustment back-up
  • Capitation Group Package
Claims Withhold
  • Reports
  • Data Files
Medical Drug Benefits
  • Reports
  • Data Files
  • Reports
  • Data Files
Shared Risk Claims
  • Reports
  • Data Files
  • Eligibility Data Files (EL915)
  • Member Cost Share (EL918)
  • Max Out of Pocket (EL917)
Patient Management
  • Annual Exams
  • Medication Adherence
  • High Risk Medications
  • Member Risk
  • New Members
  • Osteoporosis
  • Rheumatoid Arthritis
  • Diabetic Eye Exams
  • Diabetic A1C Testing
  • Health Risk Assessment

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