Changes that transform how we work together
Changes that transform how we work together
Changes that transform how we work together
We’re enhancing our digital delivery channels and transitioning paper transactions and communications to electronic, wherever possible. This digital transformation makes it easier to do business with us so you can focus on what matters most: Caring for your patients.
Over the last several years, we gradually transitioned the mail we send you to electronic delivery. In 2023, we’ll begin to eliminate the paper you send us.
Check out what’s already moved to digital and what’s ahead.
Upcoming transitions | Timing |
---|---|
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 5, 2023 |
Document type and impacted market(s) | Effective date |
---|---|
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 |
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 |
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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Going digital means less paper and a faster workflow. Our 3 solutions are here to help make that a reality.
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.
Electronic connectivity to submit single or batch transactions for multiple members and payers without manual data entry or signing in to multiple payer portals.
Self-service platform to check eligibility and benefits, manage prior authorization requests, submit claims, request reconsiderations and appeals, and access documents and reports.
Our digital solutions comparison guide compares the benefits of each to help you choose which are right for you.