Online Self-Service Tools

Save time, get better documentation and reduce paper by using our online self-service tools.

Are You a New User? Register for Access

Learn About Our Online Tools

Training, Education & User Guides

Get Started

To see how you can use Electronic Data Interchange (EDI) and UnitedHealthcare’s online tools to help you quickly get the information you need for most of UnitedHealthcare benefit plan members, check out the Self-Service Comparison Guide.

For information on getting started, including how to register or manage user IDs or passwords, and to learn about all of our tools, click on any plus sign (+) below.

Eligibility, ID Cards, Benefits and Referrals

With Care Conductor, You Can:

  • View a member’s plan of care and health assessment
  • Enter plan notes and view notes history for some plans

Learn more about Care Conductor

With CommunityCare, You Can:

  • View a member’s plan of care and health assessment for most Medicaid and Medicare SNP populations
  • Enter plan notes and view notes history for some plans
  • Obtain HEDIS information for your member population
  • Access information about member’s admitted to or discharged from an inpatient facility
  • Access information about member’s seen in an Emergency Department
  • View and export the full member roster
Resources:

Prior Authorization and Notification

Notification is required for certain genetic and molecular lab tests for certain UnitedHealthcare Commercial benefit plans. Ordering care providers will complete the notification/prior authorization process online or over the phone.

Labs must register their tests to participate as part of the Genetic and Molecular Lab Testing Notification/Prior Authorization process.

Claims and Payments

1. Direct Connect: Manage Overpayments

  • Direct Connect is a free online tool that helps you review and resolve overpaid claims quickly and easily. Using Direct Connect, you can track and manage overpayment requests, dispute an overpayment finding and submit refunds – reducing the letters and calls you receive from UnitedHealthcare, or the need to work with third-party vendors.
  • Direct Connect is available on the UnitedHealthcare Provider Portal. To get started, simply email directconnectaccess@optum.com. Please include the requestor’s name as well as the organization’s TIN(s), physical address and mailing address.

2. Submit a Claim

  • With the Claim Submission Tool, You Can:
  • Submit professional claims, including National Drug Code (NDC) claims, for all UnitedHealthcare members
  • Easily see which fields are required. The highlighted fields will update based on the information you enter
  • View on-screen messages that allow you to correct certain errors before you hit submit
  • Eliminate paper, postage and mail time

Resources:

Go Paperless

The accuracy of care provider practice demographic data can play an important part in the success of a medical practice. It can help connect you with members searching for a care provider, and it supports claims processing and compliance with regulatory requirements. 

Learn More

Need Help?

If you need technical help to access Link, please email ProviderTechSupport@uhc.com or call our Help Desk at 866-842-3278, option 1. Representatives are available Monday - Friday 7 a.m. - 9 p.m. Central Time.