Access to care and appointment availability standards for Community and State Plan Missouri
Avoid claim errors by ensuring you’re following Exchange plan referral requirements
Avoid claim errors for annual wellness visits by using the correct diagnoses and codes.
Effective April 1, 2021, naviHealth will manage post-acute care for Medicare Advantage members in additional markets.
You’ll follow a new process for submitting claims, prior authorization requests and more for some UnitedHealthcare Medicare Advantage HMO members.
Credentialing requirements, non-delegated providers, submitting request for participation form
As of Feb. 2, 2021, UnitedHealthcare West health care professionals can now update and manage direct deposit (ACH) and payment information through Optum Pay.
In response to feedback from health care professionals, Optum Pay now includes additional payment information that you can access at no cost.
Your state’s health department has information about local COVID-19 vaccine availability.
Get ready for Practice Assist. Make the transition easy. Join live training to learn the new management tool.
Including the correct information when requesting prior authorization for outpatient injectable chemotherapy will help ensure timely care for your patient.
New options can help you manage myVACCN access and your VA CCN claims for Veteran care.
New UnitedHealthcare provider portal offers integrated self-service workflow.
We updated our policy to exempt Nebraska Community Plan health care professionals from the Physical Medicine & Rehabilitation: Multiple Therapy Procedure Reduction Policy.
Updated care provider demographic information form
July 1st name change for UnitedHealthcare West Prior Authorization to UnitedHealthcare Commercial West Prior Authorization Requirements
Begin your free trial with Optum Pay, new features and functionality available.
Prenatal Risk Assessment forms (PRAF) are important for the care and referral of patients. They also help ensure that moms receive the best support for a healthy pregnancy. When you fill out the form, we’re notified of the member’s pregnancy, so we can enroll the mom-to-be in our Maternity Management programs as soon as possible.
New prior authorization enhancements and prior authorizations are going digital
Providers may be contacted by Optum to schedule VA CCN appointments.
Providers may be contacted by Optum to schedule VA CCN appointments.
PRAs can be at your fingertips — at no cost — with just a few clicks
Add Bind to registration and claim system today.
UnitedHealthcare will reprocess claims previously paid at $0 to be reimbursed at 100% of the Medicare fee schedule. No action is required from affected SNFs for these adjustments.
See the updates to the TennCare Regulatory Appendix.
Online resources to help PCPs screen patients for behavioral health conditions.
Check out these resources to learn more about UnitedHealthcare NexusACO.
The manual will be updated quarterly, and off-cycle updates will be made as determined by Optum.
The manual will be updated quarterly, and off-cycle updates will be made as determined by Optum.
Beginning Feb. 1, 2021, provider remittance advices (PRAs) for medical claims will no longer be printed and mailed to contracted (in-network) health care professionals in Utah.