Meet the Link Self-Service Tools

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Selecting the title that most closely matches your role will help us limit email and fax communications to ones that may be most relevant to you. You can also update your email preferences on our subscription page.

Afterwards, if you also need to change your name, select Menu and My Account. 

With eligibilityLink, You Can:

• Quickly check UnitedHealthcare member eligibility 
• Find the member’s cost share, deductible or out-of-pocket responsibility
• Determine network and tier status
• View coverage details and limits specific to each benefit plan
• View detailed benefits information for multiple plans
• View previous member benefit plans — up to 18 months in the past
• View preventive care opportunities for some members
• Find out if referrals, notification and prior authorization are needed for the member’s plan.
• Get therapy accumulator information for most UnitedHealthcare Commercial members

Resources

• Quick Reference, Training and More

referralLink Tool on Link

• Find out if a referral is needed for your patient.
• Submit a referral request and receive a confirmation number.
• Check the status of a referral request.
• View, print or save confirmation numbers and timelines for submitted referrals. 
• For more information, including Quick Reference and video, visit the referralLink section.

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 the Prior Authorization and Notification Tool on Link, You Can:

• Determine if prior authorization or notification is required for UnitedHealthcare Commercial, UnitedHealthcare Medicare Solutions, UnitedHealthcare Community Plan and UnitedHealthOne members.
• Complete your request for notification or prior authorization if it is required and can be completed online.
• Upload medical notes or other attachments when required and add messages for the reviewer when attachments are required.
• Check the status of your notification and prior authorization requests – including those made by phone.
  

Resources

• Quick Reference, Videos and more
• Training for Prior Authorization and Notification Tool

Get Real-Time Prescription Costs and Coverage Details

The PreCheck MyScript on Link helps make it easy to run a pharmacy trial claim and get real-time prescription coverage detail for your patients who are UnitedHealthcare benefit plan members.

Learn more about PreCheck MyScript. 

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.

Learn more about the Genetic & Molecular Lab Testing Notification/Prior Authorization process.

With claimsLink, You Can:

• View claims information for multiple UnitedHealthcare® plans
• Access letters, remittance advice documents and reimbursement policies
• Submit additional information requested on pended claims
• Flag claims for future viewing
• Submit corrected claims or claim reconsideration requests
• Receive instant printable confirmation for your submissions

Resources

• Quick Reference, Training and More

Electronic Payments and Statements (EPS)

Sign up for direct deposit or virtual card payments, view payments, search remittances and print or download ERAs. If you have not yet enrolled in EPS, enroll today.

Resources

• EPS Training 
• Quick Reference, Tutorials and More

For UnitedHealthcare West SignatureValue HMO and Medicare Advantage HMO claim payments, you must enroll in Electronic Funds Transfer (EFT) using the UnitedHealthcare West EFT tool, a separate application from EPS.

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

To learn about other claim submission methods and connections, visit the EDI 837: Electronic Claims page for more information.

• Claim Submission Quick Reference Guide
• Visit UHC On Air for a video tutorial. Sign in to Link and go to UHC News Now > Link Provider Self-Service.
• On-Demand Training: Submit a Professional Claim (must Sign in with your Optum ID)

With Claim Estimator, You Can:

Quickly receive an estimate of a UnitedHealthcare Commercial claim reimbursement and share the estimated cost of a procedure with your patient before treatment. Use claim bundling logic for professional claims and determine how the CPT or HCPCS codes will be paid.

If you’re new to Claim Estimator, use the Claim Estimator Quick Reference Guide to get started.

The Claim Research Project tool on Link lets you search for and submit a reconsideration request for multiple claims with the same reason for denial.

• Claim Research Project Quick Reference  
• On-Demand Training: Claim Research Projects (must Sign in with your Optum ID) 
  

Are you a UHCWest care provider?

At this time, the Claim Research tool on Link does not include support for UHCWest care providers. To submit multiple claims as a UHCWest care provider, please fill out and email both the Claims Project Management Request Form and the Multiple Claims Inquiry Spreadsheet found below to ProjectIntake@uhc.com.

• UHCWest Claims Project Management Request Form
• UHCWest Multiple Claims Inquiry Spreadsheet

Look up contracted rates for CPT and HCPCS codes whose rates are dollar amounts or a percentage of charges for a specific provider and name. (Available only for Commercial and some Community Plan states.)

If you are new to the Fee Schedule Lookup, use the Fee Schedule Lookup Quick Reference to get started.

With the OneNet PPO Pricing Tool, You Can:

OneNet PPO maintains the OneNet PPO Workers’ Compensation Network, a network of physicians, health care practitioners, hospitals and ancillary facilities used for work-related illness and injury. The network serves workers’compensation programs administered by employers and TPAs contracted with Procura, an Optum Company.

For information about OneNet PPO and OneNet workers’ compensation claim pricing sheets for Procura, access the OneNet PPO Pricing on Link.

If you are new OneNet PPO Pricing, use the OneNet PPO Pricing Status Quick Reference Guide to get started.

With UnitedHealthcare West Electronic Funds Transfer Enrollment Tool, You Can:

• Enroll to have your claims payments deposited electronically into your designated bank account.
• Make changes to an existing enrollment
• Receive reports through your clearinghouse

The UnitedHealthcare West Electronic Funds Transfer (EFT) Enrollment tool allows you to enroll or make changes to EFT and 835s from the Link dashboard for your UnitedHealthcare West claims.

Enrollment in UnitedHealthcare West EFT currently applies to payments from SignatureValue HMO and Medicare Advantage HMO plans.*

You will continue to receive checks by mail until you complete your enrollment using the UnitedHealthcare West EFT tool.

Resources

• UnitedHealthcare West EFT Enrollment Tool Overview

With Single Explanation of Benefit Search, You Can:

The Single Explanation of Benefit (EOB) Search is available to all care providers, including those not enrolled in Electronic Payments and Statements (EPS).

• Single Explanation of Benefit (EOB) Search Quick Reference Guide

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. 

Resources

• Quick Reference and More

With My Practice Profile, You Can:

View, update and attest to the care provider demographic information UnitedHealthcare members see for your organization. Use the tool to make demographic changes just one time, in one place – and get those updates into our systems more quickly.  

Resources

• Training for My Practice Profile
  
• Quick Reference, Videos and More

With Document Vault,You Can:

• Access reports
  
• View claim and prior authorization letters as well as provider remittance advice (PRA)
• Search and filter letters
• Mark documents with a star to quickly access them again
  
• Download and print documents

Learn more about Document Vault.

With Paperless Delivery, Password Owners Can:

Turn off mail delivery of claim letters that can be accessed in Document Vault.

The Paperless Delivery Options tool can send daily or weekly email notifications to alert you to new letters that have been added to your Document Vault. With our flexible delivery options, you decide when and where the emails are sent for each type of letter.

This tool is available to Link Password Owners only.

Learn more about Paperless Delivery through Document Vault.