UnitedHealthcare Provider Portal

Save time, get better documentation and reduce paper by using our online tools.

As we continue to upgrade our digital services, we have introduced a better system to help you do business with us. The UnitedHealthcare Provider Portal allows you to quickly get the answers you need so you can save valuable time and get better documentation and visibility. To access the portal, you will need to create or sign in using a One Healthcare ID.

With the portal, you can:

  • Check eligibility and benefits information
  • Submit prior authorization requests
  • Access items in Document Library
  • Access claims information like status updates, reconsiderations and appeals

Use our portal tools today

Are you a new user? Register for access

Learn about our portal

Training, education and user guides

For information on getting started, including how to register or manage user IDs or passwords, and to learn about all of our tools, open a section below.

Get Started

Our Digital Solutions Comparison Guide allows you to compare our three digital solutions; the UnitedHealthcare Provider Portal, Application Programming Interface (API) and Electronic Data Interchange (EDI). It also allows you to see which solution works best for your practice so you can work with us more efficiently. 

Register, add, change, deactivate users all in the UnitedHealthcare Provider Portal.

  • To access secure content and log in to the portal, click on the Sign In button in the top right corner of the page.
  • New to our online tools? Create a One Healthcare ID and get started.

Eligibility, ID Cards, Benefits and Referrals

With Care Conductor, You Can:

  • View a member’s plan of care and health assessment
  • Enter plan notes and view notes history for some plans

Learn more about Care Conductor

With CommunityCare, You Can:

  • View a member’s plan of care and health assessment for most Medicaid and Medicare SNP populations
  • Enter plan notes and view notes history for some plans
  • Obtain HEDIS information for your member population
  • Access information about member’s admitted to or discharged from an inpatient facility
  • Access information about member’s seen in an Emergency Department
  • View and export the full member roster
Resources:

Prior Authorization and Notification

Notification is required for certain genetic and molecular lab tests for certain UnitedHealthcare Commercial benefit plans. Ordering care providers will complete the notification/prior authorization process online or over the phone.

Labs must register their tests to participate as part of the Genetic and Molecular Lab Testing Notification/Prior Authorization process.

Claims and Payments

  • Quickly receive an estimate of a UnitedHealthcare Commercial claim reimbursement and share the estimated cost of a procedure with your patient before treatment.
  • Use claim bundling logic for professional claims and determine how the CPT or HCPCS codes will be paid.

Resources:

 

  • Direct Connect is a free online tool that helps you review and resolve overpaid claims quickly and easily. Using Direct Connect, you can track and manage overpayment requests, dispute an overpayment finding and submit refunds – reducing the letters and calls you receive from UnitedHealthcare, or the need to work with third-party vendors.
  • Direct Connect is available on the UnitedHealthcare Provider Portal. To get started, simply email directconnectaccess@optum.com. Please include the requestor’s name as well as the organization’s TIN(s), physical address and mailing address.

With Claim Submission, You Can:

  • Submit professional claims, including National Drug Code (NDC) claims, for all UnitedHealthcare members
  • Easily see which fields are required. The highlighted fields will update based on the information you enter
  • View on-screen messages that allow you to correct certain errors before you hit submit
  • Eliminate paper, postage and mail time

Resources:

Go Paperless

The accuracy of care provider practice demographic data can play an important part in the success of a medical practice. It can help connect you with members searching for a care provider, and it supports claims processing and compliance with regulatory requirements. 

Learn More

Need Help?

If you need technical help to access the UnitedHealthcare Provider Portal, please email  ProviderTechSupport@uhc.com or call our UnitedHealthcare Web Support at 866-842-3278, option 1. Representatives are available Monday - Friday 7 a.m. - 9 p.m. Central Time.