UnitedHealthcare will make every effort to meet the needs of members including contracting with providers who may be currently Out of Network. UnitedHealthcare will continue benefits for enrollees who are seeing Out of Network providers during the continuity of care period.
If you have an active authorization for a member through THFP, it is not necessary to complete a new authorization through UnitedHealthcare. When that authorization expires, you will need to request a new authorization through the UnitedHealthcare Provider Portal.
Radiology and cardiology prior authorizations
Radiology and Cardiology Prior Authorizations that were managed via NIA (National Imaging Associates) are now managed by EviCore.
Sleep Study prior authorizations
Sleep Studies that were previously managed by EviCore will now be managed by UnitedHealthcare and can be requested through the UnitedHealthcare Provider Portal.
To determine if referrals are required for the member, please use the Eligibility & Benefits solution onUHCprovider.com.
As members transition to UnitedHealthcare Freedom Plans they will be issued a new ID card. Please remember to ask your patient for their most recent card. If they do not have it with them you may check their status on the UnitedHealthcare Provider Portal.
Members who have not transitioned
If a member has not transitioned to UnitedHealthcare at the time of their appointment, please use the Tufts Freedom Health Plan portal to manage your patient’s needs.
Use the UnitedHealthcare Provider Portal
Beginning Oct. 1, please log into UHCprovider.com for any activity associated with your patients who are members of UnitedHealthcare Freedom Plans.