UnitedHealthcare Provider Portal resources

Use the Eligibility feature to:

• View care plans
• Review benefit information (copays, coinsurance, deductible amounts)
• Check referral requirements
• Get a digital copy of member ID cards 

Learn more in our Eligibility and Benefits interactive guide.

Use Claims & Payments to:

• Get an estimate using Claim Estimator to help pre-determine patient benefits, allowable service bundling and claim financials
• Submit, look up and take action on claims online
• Search, view and/or print provider remittance advice (PRA) documents
• Find contracted rates within Fee Schedule Lookup
• Submit a post-service reconsideration or appeal online 

Learn more by viewing the following guides:

• Submitting a Predetermination of Benefits (Claim Estimator)
• Claims
• Electronically submit reconsiderations and post-service appeals/disputes
• Submit multiple claim reconsiderations with the same reason together
• Claim Submissions

Use the Prior Authorization and Notification tool to:

• Check prior authorization requirements
• Electronically submit new medical prior authorizations and inpatient admission notifications
• Check the status of a request
• Make request updates (e.g., uploading required clinical documentation)
• Submit a pre-service appeal online

Learn more by viewing the following guides:

• Prior authorization overview quick start guide
• Prior authorization and notification interactive guide
• How to submit a pre-service appeal

Use the Referrals tool to:

• Find referral requirements
• Submit referral requests
• See the status of referral requests

Learn more in our Referrals interactive guide.

Use PreCheck MyScript® to:

• Check current prescription coverage and price in real time
• Get information on lower-cost prescription alternatives
• See which prescriptions need prior authorization, or are non-covered or non-preferred
• Run a pharmacy trial claim (made easier because it’s integrated directly with your EMR)

Learn more in one of the following resources:

• PreCheck MyScript Frequently Asked Questions
• UnitedHealthcare Provider Portal Access for PreCheck MyScript interactive guide

Use Communication Preferences to make updates to:

• Document Delivery Settings (who receives which Document Library emails)
• Provider News Notifications
• TrackIt Notifications

Learn more in our Profile & Settings Overview guide.

Use My Practice Profile to:

• View, verify and attest to your demographic information
• Make changes to current information

Learn more in our My Practice Profile interactive guide.

Use TrackIt to tackle a variety of tasks, such as:

• View activity on all record types (e.g., prior authorizations, referrals, Smart Edits, reconsiderations and appeals)
• Add information to a claim
• Find and access documents
• Set email preferences and use filters to view your own work and monitor your team’s work

Learn more about TrackIt.

Use Document Library to:

• View and print your documents
• Assign, manage and comment on documents using Teams View
• Download provider remittance advice (PRAs) for up to 24 months
• Search any 90-day period, for up to 2 years, using Advanced Search
• Manage multiple documents at one time through Bulk Action

Learn more in our Document Library and Document Library Teams View interactive guides.

Use UHC Insights to:

• Consolidate data from multiple sources
• Review, analyze and act on data all in one place

Use Report Center to:

• Search all providers in the tax ID number (TIN) 
  • Use suggestive search to start typing in the dropdown to narrow results 
• Search by TIN only for PCP Panel Reports 
• Enjoy auto-selected info, such as:
  • Corporate TIN owner when there’s only one TIN
  • Physician TIN auto selected when corporate TIN is selected 
• Filter reports by product, type or health plan 
• See data more easily with full-screen option 
• View up to 60–70 reports without scrolling 

Use Onboard Pro to: 

• Submit requests for participation with the UnitedHealthcare network
• Add new health care professionals to your tax ID number (TIN) and group contract

Learn more:

• Onboard Pro interactive guide