Digital solutions

UnitedHealthcare offers you digital solutions designed to reduce the time it takes for you to perform claim activities, help you get paid faster and make it easier for you to work with us.

Designed for what matters most to you

What matters most to you? Managing time? Saving money? Simplifying workflow? Whatever your priority, we offer a variety of digital solutions that can help you complete your tasks quicker and more efficiently.

Average time and costs saved per transaction using digital solutions:

  • Claim Status: 15 minutes and $9.15
  • Eligibility & Benefits: 14 minutes and $7.32
  • Prior Authorization: 11 minutes and $5.93
Source: 2022 CAQH Index, pages 50 and 62 

Which option best fits your needs? 

Our Digital Solutions comparison guide can help you choose which solutions are right for you. 

Application Programming Interface (API)

  • Ideal for medium-to-high claim volume
  • Free of charge
  • Batch or single transactions with automation
  • Submit reconsiderations and appeals
  • Technical resources are required

Electronic Data Interchange (EDI)

  • Ideal for medium-to-high claim volume
  • No charge by UnitedHealthcare; you may incur a fee with clearinghouse services
  • Batch or single transactions with automation
  • Technical resources are required

UnitedHealthcare Provider Portal

  • Ideal for low claim volume
  • Free of charge
  • Single transactions or limited batch transactions for eligibility
  • Technical resources are not required