Thanks for your interest in joining the UnitedHealthcare network of health care professionals and facilities. The first step for medical providers is to sign in to Onboard Pro in the provider portal using your One Healthcare ID; facilities need to submit a Request for Participation (RFP).
Here’s what to have handy as you get started:
Tax Identification Number (TIN)
CAQH (Council for Affordable Quality Healthcare) Provider Data Portal Account Number – make sure the account is up to date and authorize UnitedHealthcare to access your data
How to Submit a Request for Participation
Care Providers (Excluding Specialists Listed Below)
Effective June 23, 2023, all medical professionals will use Onboard Pro, our improved credentialing tool in the UnitedHealthcare Provider Portal, to request participation with the UnitedHealthcare Network. You’ll need a One Healthcare ID to sign in.
You can also find Onboard Pro at the top right of the portal landing page under the Practice Management dropdown.
To join a practice with an existing UnitedHealthcare group agreement: You’ll need to submit your request through Onboard Pro. Even though you are joining a practice that has a UnitedHealthcare agreement in place, you’ll still need to complete the onboarding process before you can see patients as an in-network provider. Onboard Pro will walk you through the process and redirect users if necessary. Learn more
To add a new group or individual practitioner: You’ll also use Onboard Pro, but your experience will differ slightly. Make sure you have your One Healthcare ID to sign in. Then, you’ll enter the legal name, business name, tax ID number (TIN), state and lines of business to determine next steps. Learn more in the Onboard Pro for New Groups and Individual Practitioners interactive guide.
Becoming affiliated with a delegated medical group: Please refer to the Delegated Credentialing Requirements section of the Delegated Credentialing Program – Capitation and/or Delegation Supplement – UnitedHealthcare Administrative Guide.
Benefits of Onboard Pro
Designed to help you save time – Onboard Pro integrates with Council for Affordable Quality Healthcare (CAQH) Provider Data Portal, in states that require it, so you don’t need to re-enter the same information for UnitedHealthcare
Requires less back and forth: Thetool will let you know immediately if additional information is required
Sends immediate confirmation: We’ll email you a reference number shortly after your application is received
Allows you to check status 24/7: Your personal dashboard will show the real-time status of every enrollment request you’ve submitted
Chiropractor, Outpatient Therapy Provider/Clinic (Physical/Occupational/Speech) or an Alternative Medicine Provider
If you work in one of these specialty areas, you’ll contact a partner who handles credentialing and contracting on behalf of UnitedHealthcare: Optum Physical Health. (Note that alternative medicine providers (CAM) include acupuncturists, naturopaths and massage therapists.)
Accreditation and good standing by the Centers for Medicare & Medicaid Services (CMS)
Approval by independent national accreditation organization (AO) for DMEPOS
Participation for Medicaid plans also requires:
Proof of enrollment in individual state Medicaid plan(s)
What happens after submission:
You’ll receive a confirmation email verifying that your participation request was received
We’ll review your application and make a decision within 15 business days
Upon approval, a representative will contact you with next steps in the participation process
If the application or supporting documentation is incomplete, you will receive an email identifying the missing information
The review will begin upon the receipt of the completed required documentation
Questions? If you have questions about the process or need help, please send an email to the DME general mailbox at email@example.com. Inquiries are responded to within 10 business days.
Home- and Community-Based Services (Ancillary Community Support Services)
The Ancillary Community Support Services team supports those typically considered home and community based as well as some under Early and Periodic Screening, Diagnostic, and Treatment (EPSDT).Below is a list of provider types managed by this team:
AAA and ASAP
Adult day care/social day care
Adult day health care
Adult foster care/developmentally disabled group home
Assisted care living facility/home
Assistive technology supplier
Case management agency
Environmental adaptation company
Foster care agency
Home-delivered meals agency
Licensed home care agencies (attendant care, habilitation, homemaker, in-home supportive care, personal care, private duty nursing and respite)
Prescribed pediatric extended care centers (pediatric medical day care)
Personal emergency response system
Pest control company
Respite care facility
Transition service agency
If you are interested in being credentialed with UnitedHealthcare:
For network participation in the Veteran’s Community Care Network (VA CCN) benefit plan, please contact Optum Serve Provider Services at:
Region 1: 888-901-7407
Region 2: 844-839-6108
Region 3: 888-901-6613
For network participation in UnitedHealthcare Community Plan (Medicaid) benefit plans, please email the following to firstname.lastname@example.org:
Contact phone number
Tax ID number (TIN)
National Provider Identifier (NPI) number, if applicable
What happens after submission:
You’ll receive a confirmation email verifying receipt of your participation request
A participation determination will be made within 15 business days
If approved, a representative will contact you regarding next steps
Please note: Employed health care professionals of Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) should use the practioner enrollment form to submit a request for each practitioner, not the Facility RFP portal; the Facility RFP portal relates to facilities only.
A complete request to join our network includes:
Proof of malpractice and general liability insurance
Phone & fax number
Physical facility address, including suite number if applicable
ZIP code + 4
What Happens Next:
A representative will start the process with you.
You’ll be registered in our system (if you’re not already).
You’ll receive a confirmation of your participation request – this usually occurs within 5 business days.
We’ll quickly review your application – and if we’re not accepting new applications for your area or specialty, we’ll let you know.
If you have questions about our process or need assistance, please sign in with your One Healthcare ID. This allows you to access self-service tools or connect to a chat advocate for support. Please have the care provider’s full name, Tax ID, and National Provider Identifier (NPI) available
Mental Health or Substance Abuse Practitioners
If you work in this specialty area, you’ll contact Optum Behavioral Health Solutions, which handles credentialing and contracting on behalf of UnitedHealthcare.
To get started, go to providerexpress.com (look under “Our Network” for specific instructions) or call 800-817-4705.
Vision Care Providers
Vision Care Providers, Ophthalmologists and Optometrists, may contract with UnitedHealthcare in two ways:
To provide medical services (within the scope of your licensure) go to UHCprovider.com/contactus > Network Contact > Select state > Network Management
To provide routine vision services contact UnitedHealthcare Vision Network/Spectera Vision Network by visiting Spectera.com> Join our Network or call 800-638-3120.
The Credentialing Program has been developed in accordance with state and federal requirements and accreditation guidelines. In accordance with those standards, UnitedHealthcare members will not be referred and/or assigned to you until the credentialing process and contracting process have been completed.