We’ve gone digital

Over the past several years, we’ve transitioned most claim communications we send you from paper to digital. This change makes it easier to do business with us but also helps you focus on what matters most — caring for your patients.

Going forward, unless there’s a system limitation or regulatory exception, we’ll no longer mail most claim-related documents to health care professionals and facilities serving UnitedHealthcare® Medicare Advantage or commercial plan members. Instead, you can find most claim-related documents 24/7 in Document Library within the UnitedHealthcare Provider Portal. Your organization will receive an email notification when you have new letters available to view. We encourage you to check Document Library regularly for new notifications. For letters not available digitally, you will continue to receive mail.

Check out what’s already moved to digital and what’s ahead. 

Upcoming transitions Timing       
Commercial, Medicare Advantage and Dual Special Needs Plan (D-SNP) plans: Pre-service appeal submissions

Dec. 1, 2023
Arizona: UnitedHealthcare Community Plan overpayment letters Nov. 3, 2023
Michigan, Minnesota, Missouri, North Carolina, Ohio, Rhode Island and Texas: UnitedHealthcare Community Plan virtual card payment (VCP) statements Nov. 3, 2023
Minnesota, New York and North Carolina: UnitedHealthcare Community Plan claim letters Nov. 3, 2023
Tennessee: UnitedHealthcare Community Plan overpayment letters, virtual card payment (VCP) statements Nov. 3, 2023
Wisconsin: UnitedHealthcare Community Plan provider remittance advice (PRAs) and virtual card payment (VCP) statements Oct. 6, 2023
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Document type and impacted market(s) Effective date
Arizona: UnitedHealthcare Community Plan appeal letters Sept. 8, 2023
Michigan, Mississippi, Missouri, Ohio, Rhode Island, Tennessee, Texas and Wisconsin: UnitedHealthcare Community Plan claim letters Sept. 8, 2023
Mississippi: UnitedHealthcare Community Plan medical claim-related letters Sept. 8, 2023
Commercial plans: Claim letters Aug. 4, 2023
Medicare Advantage Plans: Claim letters July 14, 2023

Michigan: UnitedHealthcare Community Plan provider remittance advice (PRAs) and medical claim-related letters

June 2, 2023

Washington: UnitedHealthcare Community Plan appeal decision and overpayment letters

June 2, 2023

Florida, Kentucky, Maryland, Massachusetts, Minnesota, Missouri, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Rhode Island, Texas and Washington, D.C.: UnitedHealthcare Community Plan appeal decision and overpayment letters

May 12, 2023
Commercial and Medicare Advantage Plans: Reconsideration and appeal submissions Feb. 1, 2023
Commercial and Medicare Advantage Plans: Virtual card payment (VCP) statements Feb. 3, 2023
Medicare Advantage, UnitedHealthcare Community Plan and Dual Special Needs Plan (D-SNP) plans: Pre-service appeal submissions November 2022
Hawaii and Wisconsin: UnitedHealthcare Community Plan overpayment letters Nov. 4, 2022
Tennessee, Virginia and Wisconsin: UnitedHealthcare Community Plan appeal decision letters Nov. 4, 2022
Oxford Health Plan medical provider remittance advice (PRAs) Sept. 29, 2022
Commercial and Medicare Advantage Plans: Overpayment notification letters Sept. 23, 2022
Arizona, Missouri and Washington: UnitedHealthcare Community Plan prior authorization and clinical decision letters Sept. 9, 2022
Kentucky, Missouri, Ohio and Washington, D.C.: UnitedHealthcare Community Plan PRAs  Sept. 9, 2022
Minnesota: Medical claim-related letters for commercial and Medicare Advantage plans Sept. 9, 2022
Colorado: Medical claim-related letters for commercial and Medicare Advantage plans Aug. 5, 2022
Prior authorization and other clinical letters

June 17, 2022 – Central, Northeast and Southeast regions

April 1, 2022 – West region

June 4, 2021 - Utah

Appeal decision letters March 4, 2022
Medical provider remittance advice (PRAs)

Feb. 4, 2022 – Central, Northeast and Southeast regions

Dec. 10, 2021 – West region

Feb. 1, 2021 - Utah

Important considerations

Each of these transitions may require a change to way you work today. We encourage you to start sharing this information and review our digital solution options. If you work with an outside vendor for your mail processing, such as a revenue cycle management company, please discuss how this change may affect your contract or processing arrangements.

Digital updates and workflow changes are announced in Network News at least 90 days prior so you have time to prepare.

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Explore digital solutions

Going digital means less paper and a faster workflow. Our 3 solutions are here to help make that a reality.

Application Programming Interface (API)

Automation technology to access comprehensive real-time data on a timetable you set. Data can be distributed to your practice management system, proprietary software or any application you prefer. 

Get started

Electronic Data Interchange (EDI)

Electronic connectivity to submit single or batch transactions for multiple members and payers without manual data entry or signing in to multiple payer portals.

Discover EDI

UnitedHealthcare Provider Portal

Self-service platform to check eligibility and benefits, manage prior authorization requests, submit claims, request reconsiderations and appeals, and access documents and reports. 

Learn more

Which options best fit your needs?

Our digital solutions comparison guide compares the benefits of each to help you choose which are right for you.  

News at a glance

Oxford Health Plans: 2 fax numbers will retire Nov. 1

Tennessee, Virginia and Wisconsin Medicaid: Appeal decision letters won’t be mailed starting Nov. 4

Medicaid overpayment letters going paperless

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