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 |
|---|---|
| Virginia UnitedHealthcare Community Plan: Virtual card payment (VCP) statements, and overpayment and claim letters | Sept. 13, 2024 |
| Arizona UnitedHealthcare Community Plan: Virtual card payment (VCP) statements and claim letters | Nov. 8, 2024 |
| Louisiana and Pennsylvania UnitedHealthcare Community Plan: Claim-related letters and documents | Nov. 8, 2024 |
| Arizona UnitedHealthcare Community Plan: Pre- and post-service appeal submissions | Dec. 1, 2024 |
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.
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.
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.
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
August 30, 2024
Dec. 1: Electronic appeal submissions required for Arizona Medicaid
Health care professionals must submit Medicaid pre- and post-service appeals electronically in Arizona.
August 30, 2024
Take charge of your time
Learn how and when to contact us and use our digital tools for maximum efficiency.
August 30, 2024
New online utilization management requirement
You will be required to submit utilization management requests online for patients delegated to Optum Health Networks.
August 30, 2024
New Jersey: NJPMP checks required
UnitedHealthcare Community Plan of New Jersey health care professionals are urged to check the NJPMP database before prescribing medication.
August 15, 2024
Explore the Think Cultural Health training by Oct. 1
Medicaid health care professionals need to take the Think Cultural Health training by Oct. 1.
August 14, 2024
Changes to your demographic data submission process
We’re removing email as an intake option to maintain your demographic data on Oct. 1.