Minnesota: Medical claim-related letters going paperless starting Sept. 9
Effective Sept. 9, 2022, we will no longer print and mail the following medical claim-related letters for most commercial and UnitedHealthcare® Medicare Advantage health plans to network health care professionals and facilities in Minnesota:
UnitedHealthcare Medicare Advantage plans
Prior authorization and clinical letters1-2
Provider remittance advice (PRAs)1,3
Appeal decision letters1
Overpayment letters sent directly by UnitedHealthcare1,4
N/A = letters will continue to be printed and mailed
Instead, you’ll be able to view these letters 24/7 through either the UnitedHealthcare Provider Portal or an Application Programming Interface (API) system-to-system data feed.
Please share these changes and new digital workflow options with those who are affected, including outside vendors, such as revenue cycle management companies.
How to view letters digitally
Application Programming Interface (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.
To view the contents of a specific folder, select it from the menu on the left side
For the best results, use Advanced Search to search for letters and information using more specific criteria
Notifications: When new letters are available in Document Library, an email notification will be sent to the address on file, which is typically the Primary Access Administrator
Need to notify multiple staff members? Document Library notifications are limited to 1 email address per letter type. If multiple staff members require notification, the Primary Access Administrator can consider using a group email address. See Paperless Delivery Options for Primary Access Administrators for more information.
TrackIt – Found on the portal home page, TrackIt notifies you of prior authorization requests, claims, reconsiderations and appeals that need attention. It also provides a direct link to view prior authorization decision and appeal letters quickly. If you use tools on our secure portal for claims and prior authorizations, you’ll already have access to those items in TrackIt.
What’s ahead in paperless Letters we mail you aren’t the only communications going digital. Later this year, we’ll begin to introduce digital member ID cards and the ability to submit claim attachments online through an EDI 275 transaction. And, in 2023, we will start requiring contracted health care professionals to submit most claims, reconsideration requests and appeal requests electronically. All transitions will be announced in Network News at least 90 days before mailings end to give you time to prepare for the change.
Prior authorization and clinical decision letters, PRAs, appeal letters and overpayment letters will continue to be mailed to: AARP®/Medicare supplement products, Behavioral Health, Home and Community Based Services, Optum VA Critical Care Network, Student Resources, UnitedHealthcare Global and UMR
Prior authorization and clinical decision letters will also continue to be mailed to Erickson Advantage Plans
Appeal decision and overpayment letters will also continue to be mailed to: Community Health Plan of Minnesota, All Savers and UHOne
2 Prior authorization and clinical decision letters include:
Pre-service/prior authorization decision letters
Inpatient review letters, including concurrent, retrospective, length of stay and level of care
Extension for lack of clinical information letters
Peer-to-peer decision letters
Complex care management and OrthoNet letters available in Document Library
3The change does not impact the payment method for subscribers enrolled in Optum Pay™.
You will continue to receive an electronic remittance advice (ERA)/835, but the paper PRA will no longer be mailed.
4Does not include overpayment letters sent by vendors on behalf of UnitedHealthcare.