Beginning Nov. 4, we’ll no longer mail appeal decision letters for most UnitedHealthcare Community Plans to network health care professionals (primary and ancillary) and facilities in Tennessee, Virginia and Wisconsin. Instead, you’ll be able to view them 24/7 through either the UnitedHealthcare Provider Portal or an Application Programming Interface (API) system-to-system data feed.
Note: Appeal decision letters will continue to be mailed to Behavioral Health professionals and facilities and Home and Community Based Services.
Please share the following changes and digital workflow options with those who are affected, including outside vendors such as revenue cycle management companies.
View appeal decision letters 1 of 2 ways
UnitedHealthcare Provider Portal
Paperless Delivery Options for Primary Access Administrators
View using API: You should consider API if you have significant claims volume and either automate correspondence intake or prefer an option other than looking up individual items in Document Library. Data can be pulled into your practice management system, portal or any application you prefer. API requires technical programming between your organization and UnitedHealthcare.
What’s ahead in paperless
Letters we mail you aren’t the only communications going digital. Looking ahead to 2023, contracted health care professionals and facilities will be required to submit most claims, claim attachments, reconsideration requests and appeal requests electronically. We’ll also begin to introduce digital member ID cards for commercial plans. All transitions will be announced in Network News at least 90 days prior to the change. We encourage you to explore our digital solutions and review your workflows so that your team is prepared. Review the most up-to-date information, exclusions and schedule.
Please contact UnitedHealthcare Provider Services at 877-842-3210, TTY/RTT 711, 7 a.m.–5 p.m. CT, Monday–Friday.