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Quick Start Guide - UnitedHealthcare of MN, ND and SD

Thank you for joining us!

As a new payer in Minnesota, North Dakota and South Dakota, we have an extraordinary opportunity to collaborate with you in serving UnitedHealthcare members in the communities we call home.

We believe the best solutions come from working together to improve the patient experience and health outcomes. Together, we can help people live healthier lives and help the health care system work better for everyone.

Health care providers like you are vital to our success, and we’re here to support you every step of the way. This guide will help you get started. Please let us know how we can help.

Getting-Started To-Do List

Click on the links below for more information.

Get Connected to Tools, Education and Support

Get access to information anytime using our new website designed specifically for health care providers.

  • Easily search for information.
  • Quickly find administrative guides, policies and protocols.
  • Instantly access the most-used transactions and information.
  • Stay current with the newest developments from UnitedHealthcare and Optum®.

Add UHCprovider.com to your bookmarks, so it’s there when you need it. 

We support providers’ operational needs with Link, your portal to the tools and information you need to manage UnitedHealthcare member accounts. This self-service platform includes, but is not limited to, the following tools:

eligibilityLink

View health plan ID cards and detailed patient eligibility and benefits information. Learn more about eligibilityLink.

claimsLink

Get claims information for UnitedHealthcare plans, including access letters, remittance advice documents and reimbursement policies. Submit corrected claims, reconsideration requests and appeals online. Learn more about claimsLink.

Prior Authorization and Notification

Determine if prior authorization or notification is required and, if so, submit the request online. Check the status of notification and prior authorization requests — including those made by phone. Learn more about Prior Authorization & Notification.

PreCheck MyScript

Get real-time prescription pricing for a patient’s desired pharmacy. It also alerts you to drugs that limit member out-of-pocket costs or when utilization management (prior authorization, quantity limit or step therapy) is required. Learn more about PreCheck MyScript.

Optum ID 

You need an Optum ID to access the Link self-service tools. Sign up for an Optum ID.

Beginning Sept. 1, 2018, all licensed practitioners and facilities contracted with UnitedHealthcare will need to begin credentialing directly with us and complete the process by Feb. 28, 2019.

Sept. 1, 2018 through Jan. 31, 2019, we’ll credential care providers for ongoing participation in our network. We work with Aperture, a credentials verification organization, to complete this process. You may receive communications from UnitedHealthcare and/or Aperture, on our behalf, during this process.

Care providers can start the process today by submitting their credentialing application to the Council for Affordable Quality Healthcare (CAQH) or Minnesota Credentialing Collaborative (MCC).

  • Option 1: Nationally, UnitedHealthcare is a member of the CAQH. CAQH ProView™ is a web-based credentialing application portal that streamlines the credentialing process for health care professionals. Visit proview.caqh.org/pr to learn more.
  • Option 2: UnitedHealthcare is now a member of the Minnesota Credentialing Collaborative (MCC), offering ApplySmart, a provider credentialing application website for licensed practitioners practicing in Minnesota, North Dakota or South Dakota. Visit mncred.org for more information on MCC.

Care providers who will be new to serving UnitedHealthcare members after Sept. 1, 2018:

Please follow the credentialing process outlined in our credentialing section at UHCprovider.com/join or call us at 877-842-3210 to request to be a participating care provider:

  • At the prompt, enter your Tax Identification Number (TIN)
  • Select Credentialing
  • Select Medical
  • Select Join the Network

You will be transferred to a provider service representative who will request information about your practice.

Use the Electronic Payments & Statements (EPS) tool to receive electronic funds transfers (EFT) and electronic remittance advice (ERA) information.

You can receive claims payments by direct deposit or Virtual Card Payment (VCP) 5-7 days faster than with paper checks. 

You can also use the EPS tool to view or print remittance advice and post payments manually to your practice management system. Or have them posted automatically using the 835 ERA file.

Make sure you are prepared to submit claims and other EDI transactions to UnitedHealthcare.

Visit the EDI section to view the UnitedHealthcare requirements for exchanging electronic data and national standards for electronic data exchange among providers, health care plans, clearinghouses, vendors and other health care business associates.

UnitedHealthcare interacts with many clearinghouses and does not endorse a particular one. However, most of our transactions go through OptumInsight, a clearinghouse owned by Optum, an affiliate of UnitedHealthcare. Optum also interacts with many clearinghouses.

Our health plan ID cards make it quick and easy to confirm member eligibility and access important member information. Learn more in the UnitedHealthcare Administrative Guide

The UnitedHealthcare payer ID number remains the same: 87726.

Image of a generic member ID card that highlights the group number and payer ID. Image of a generic member ID card that highlights the group number and payer ID.

Our monthly eNewsletters have the latest information from UnitedHealthcare that’s important to you.

View recent issues of Network Bulletin

Live and on-demand training and educational videos are tailored exclusively for providers in Minnesota, North Dakota and South Dakota.

To get started:

  1. Click on the Link button in the top-right corner or click the button below.
  2. Then, select the UHC On Air tile on the Link dashboard
  3. From within UHC on Air, select the UHC News Now channel
  4. Choose the Link and Provider Self-Service series.
  5. Find your state’s channel and see and hear updates from us.
Learn More

UHC On Air gives you in-depth program information and meaningful updates from UnitedHealthcare 24/7and from any device

Learn More

Get in Contact for Information and Support

Provider Service Center

UnitedHealthcare’s commitment to building strong partnerships with local providers includes the creation of a provider call center based in Minnetonka, MN. This team will address concerns, answer questions and connect you to available tools and resources to make your job easier. Call 1-877-842 3210, available Monday-Friday from 7 a.m. to 7 p.m. CST.

Provider Network Management Team

Contact this local team if you have questions about your  UnitedHealthcare contract.

Provider Relations Team

We are an experienced team that lives and works near you so we can better support you in delivering an excellent patient experience. We are here to help when you’re not able to get what you need from our self-service tools or the Provider Service Center.

VIDEO: A welcome message (read transcript) for you from your team at UnitedHealthcare.

Video still: click to view video, image shows exterior of a UnitedHealthcare campus building. Video still: click to view video, image shows exterior of a UnitedHealthcare campus building.

Insurance coverage provided by or through UnitedHealthcare Insurance Company, All Savers Insurance Company, Oxford Health Insurance, Inc. or their affiliates. Health Plan coverage provided by UnitedHealthcare of Arizona, Inc., UHC of California DBA UnitedHealthcare of California, UnitedHealthcare Benefits Plan of California, UnitedHealthcare of Colorado, Inc., UnitedHealthcare of Oklahoma, Inc., UnitedHealthcare of Oregon, Inc., UnitedHealthcare of Texas, LLC, UnitedHealthcare Benefits of Texas, Inc., UnitedHealthcare of Utah, Inc. and UnitedHealthcare of Washington, Inc., Oxford Health Plans (NJ), Inc. and Oxford Health Plans (CT), Inc. or other affiliates. Administrative services provided by United HealthCare Services, Inc., OptumRx, OptumHealth Care Solutions, LLC, Oxford Health Plans LLC or their affiliates. Behavioral health products are provided by U.S. Behavioral Health Plan, California (USBHPC), United Behavioral Health (UBH) or its affiliates. PCA-1-011157-06212018