Going digital means less paper and more automation, faster workflow between applications and quicker claims submission process to get you paid faster. Our three digital solutions help to make that a reality, and it’s not a one-size-fits-all approach. There’s flexibility to choose the best approach for your practice, and there’s the ability to integrate with the practice management systems you use today.
Application Programming Interface (API)
With API, you can 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.
Our portal allows you to quickly get the answers you need to claims information like status updates, reconsiderations and appeals. You can also submit prior authorization requests, check eligibility and beneﬁts information and access items in Document Library. All at no cost to you and without having to make a phone call.
Real-time data sharing and automation using new technology in health care
Obtaining detailed information on claim status and payments, member eligibility and benefits
Submitting reconsiderations and appeals with attachments and accessing paper correspondence
Offering flexibility with distributing data in various format for viewing, including, but not limited to, practice management systems, proprietary software, portals and spreadsheets
Replacing manual or partial electronic methods for obtaining information
Practices with high claim volume
Electronic connectivity to help you work better with us
Submitting claims and other EDI transactions to multiple payers from your practice management system or hospital information system through a clearinghouse
Automating electronic transactions, such as eligibility, which enables you to have current coinsurance, deductible and benefit information readily available while the patient is present, and before filing the claim
Helping to increase your cash flow, due to the expediency and accuracy of information exchanged and lowering costs on paper forms, supplies and postage
UnitedHealthcare Provider Portal
Self-service capabilities to save time and easily access documentation
Accessing information digitally at no cost to you and your practice
Checking eligibility and benefits details like copay, coinsurance and deductible amounts
Reviewing and downloading prior authorization letters, provider remittance advice and reports