Help lower your patient’s out-of-pocket costs

Refer your patients to a Designated Diagnostic Provider for Major Imaging services

Help lower your patient’s out-of-pocket costs

Refer your patients to a Designated Diagnostic Provider for Major Imaging services

Help lower your patient’s out-of-pocket costs

Refer your patients to a Designated Diagnostic Provider for Major Imaging services

UnitedHealthcare Provider Portal

The UnitedHealthcare Provider Portal has more than 40 tools that allow you to take action on claims and get the answers you need quickly. It’s available 24/7 – and at no cost to you. All without having to pick up the phone.

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Eligibility and Benefits

Verify member eligibility, determine benefits, view care plans and get a digital copy of the member ID card.

Prior Authorization and Notification

Check prior authorization and notification requirements, submit requests, upload medical notes, check status and update cases.

Claims and Payments

Submit claims, look up fee schedules, check status, view payment information, and submit reconsideration and appeal requests.

Referrals

Check referral requirements, submit requests, review referral history and monitor the number of remaining visits.

Go Digital!

  • less paper
  • more automation
  • faster workflow 

All designed to support faster payments.

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Network News

Find the latest announcements, updates and reminders – prior authorization requirements, policy and protocol changes, reimbursement updates and other important information to guide how your practice works with UnitedHealthcare and our members.

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No Surprises Act open negotiations

Learn more about the requirements of the No Surprises Act of 2020 and the out-of-network claims covered under the Act. Step-by-step instructions guide you through submitting a negotiation request through the UnitedHealthcare Provider Portal.

Review the process

News

Delay for Tennessee: Home health review process

Please be aware of a change to the prior authorization requirement announced in April for home health services.

Hodgkin lymphoma and renal cell carcinoma added to Cancer Therapy Pathways Program

As of July 1, 2022, Hodgkin lymphoma and renal cell carcinoma will be added to our Cancer Therapy Pathways Program.

Medical Policy Update Bulletins: July 2022

Medical policy updates for July 2022 for the following plans: Medicare, Medicaid, Exchanges, and Commercial.

Metabolic screening for children and adolescents prescribed antipsychotic medications

Antipsychotic medications prescribed for child or adolescent patients can have adverse effects on their metabolism. We’ve listed suggested considerations for monitoring and follow-up care, and compiled a list of helpful UnitedHealthcare resources.

Antidepressant medication management: Behavioral health resources for medical providers

You may be caring for a UnitedHealthcare Commercial member who has been prescribed antidepressant medication. We’ll be encouraging these members to keep their scheduled appointments and work with you to create a treatment plan.

2022–2023 Preferred Lab Network expansion

We are excited to announce a list of labs selected to be part of the Preferred Lab Network, effective July 1, 2022.