Before you begin, we encourage you – and your office staff – to watch this short Welcome Video from UnitedHealthcare leaders. View video transcript text.
The next step is to get connected with our online systems and resources. You’ll find everything you need from seeing patients to getting paid. View the Get Connected Quick Start Guide checklist.
Keeping your demographic and tax information up-to-date is important for several reasons. It can help connect you with members searching for a care provider, and it supports claims processing and compliance with regulatory requirements.
Sign into the UnitedHealthcare Provider Portal by clicking on the Sign in button in the top right corner of UHCprovider.com. Select the “MyPractice Profile” to view your information and if anything needs to be updated, you can submit changes through this tool.*
Review your information in our online directory. If anything needs to be updated, submit changes by using our Demographic Change Request Form.
In the future, you will be asked to verify and attest to your information every 120 days. You may also receive a call from us to verify your information.
Our provider website is designed with you in mind. You’ll find everything you need in one place:
Add UHCprovider.com to your bookmarks, so you can quickly get the information you need, when you need it.
The UnitedHealthcare Provider Portal is your gateway to UnitedHealthcare’s self-service online tools. You’ll be able to complete a number of tasks — such as checking on member eligibility, benefits and claims for multiple UnitedHealthcare plans — all without having to pick up the phone.
1. Visit UHCprovider.com/portal to learn more.
2 Create a One Healthcare ID to access the portal. Go to UHCprovider.com and click on “New User & User Access” in the upper-right corner of your screen. Simply follow the step-by-step, on-screen instructions to request a One Healthcare ID.
3 Start checking out the portal. You can submit claims and complete a number of other claims transactions, such as providing additional information that may be requested or requesting a reconsideration of a claim decision. You can also check member eligibility, locate quick reference guides and find other helpful resources.
The fastest way to receive payments is to enroll with Optum Pay for electronic funds transfer (EFT). Optum Pay is a fully integrated, full-service payment and remittance advice solution administered by Optum Bank® for all sizes and types of health care professionals.
Enrolling online is simple and easy:
If you do not sign up for ACH through Optum Pay,™ you will begin to receive Virtual Card payments in place of paper checks. To learn more about Virtual Card payments, go to UHCprovider.com/payment.
Through Electronic Data Interchange (EDI), you’ll be able to submit claims, check eligibility, request prior authorization and referrals and more — all electronically through your practice management system (PMS) or hospital information system (HIS). There’s no need to manually enter data, make phone calls or log into our website. Using EDI for all eligible UnitedHealthcare transactions can help you improve efficiency and reduce costs.
Our electronic newsletter gives you and your staff the latest updates on UnitedHealthcare procedures, policy changes and other useful administrative and clinical information. Visit UHCprovider.com/news to sign up.
We have training options to help you stay up-to-date on the health care industry and learn how to use UnitedHealthcare’s many tools and resources. Highlights include:
The New Provider Orientation Training Course
This short, half-hour course will help you and your staff learn more about the tools and other resources you’ll need to use as you do business with UnitedHealthcare. It’s available on demand, 24/7, so you can complete it whenever your schedule allows. Click here to access the course.
Health Care Professional Education and Training
This is a source for on-demand courses that give you in-depth program information and other updates from UnitedHealthcare. And, they’re available from any device.
Check out all of the training options available at UHCprovider.com/training.
Before you see your first UnitedHealthcare patient, make sure you and your staff are aware of the policies and protocols for UnitedHealthcare plans.
1. Go to UHCprovider.com.
2 Select Administrative Guides under Quick Links at the bottom of the page.