Digital Solutions

Learn how you can save time, get better documentation and reduce paper by using our online self-service tools.  

Featured: Improved Access and New User Registration

Easily complete your registration and start using UnitedHealthcare’s self-service tools. This guide will walk you through the process step-by-step.

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3rd Party Access Guide for Primary Access Administrators

See how to request or manage 3rd Party Access for the UnitedHealthcare Provider Portal, allowing users to have a single One Healthcare ID for all the tax ID numbers they need to access.

Care Conductor and Notification of Pregnancy

See how to improve outcomes by submitting an Obstetrical Risk Assessment Form (OBRAF) to notify UnitedHealthcare Community Plan of pregnant members.

Claim Follow Up Self-Paced User Guide

View claim status, take action if needed and check the status of tickets using Claims on our provider portal.  This guide will walk you through all you need to know.  

Claims Research Project

See how to search and submit a reconsideration request for multiple claims with the same reason for review.

Claim Submission

See how to enter claims electronically using the same information as the CMS-1500 paper form.  This tool is ideal for practices that don’t work with an EDI clearinghouse. 

CommunityCare Provider Portal User Guide

Discover how to access and use the CommunityCare provider portal.

Document Library Interactive Guide

As we transition from paper delivery to digital solutions, here’s the support and information you need to make the process as seamless and smooth as possible, including how to use Document Library.

EDI Connectivity

Learn more about Electronic Data Interchange (EDI)  and the specific types of transactions you’ll be able to access when you establish an EDI connection. 

Eligibility and Benefits Self-Paced User Guide

Verify member eligibility, determine benefits, view care plans and get a digital copy of the member ID card using Eligibility and Benefits on our provider portal.  This guide will show you how to find all the details.  

Emergency Department Claim (EDC) Analyzer

Access the UnitedHealthcare Emergency Department Facility Evaluation and Management Coding Reimbursement policy and how to use the Optum Emergency Department Claim Analyzer.  

Improved Access and New User Registration

Easily complete your registration and start using UnitedHealthcare’s self-service tools. Our Improved Registration and Access Management guide will walk you through the process step-by-step.  

Integrated Population Care Assistant (iPCA) Interactive Guide

Learn more about Integrated Population Care Assistant (iPCA), which automates access and improves efficiency in retrieving and viewing data to support population analysis for Accountable Care Organization (ACO) users.

Interactive Guide for Prior Authorization and Notification

See how to check prior authorization and notification requirements, submit requests, upload medical notes, check status and update cases – without faxing or calling using our Prior Authorization and Notification solution on our provider portal.

Introduction to Application Programming Interface (API)

Discover how API can fill in the gaps for information you may not be getting with your current data streams.

Onboard Pro Interactive Guide

Faster and easier credentialing: Onboard Pro allows participating medical groups and clinics to easily submit requests to credential and add new physicians to their tax ID number (TIN) and group contract.

My Practice Profile

Keeping your demographic data up to date has never been easier. Learn how My Practice Profile allows you to make quick and accurate changes online.  

Paperless Delivery Options for Primary Access Administrators

Learn how to turn off paper delivery of letters that can already be found in Document Library and manage notifications of new available letters to the appropriate staff. This is only available for the Primary Access Administrators.

Point of Care Assist

Discover Point of Care Assist. Point of Care Assist, adds real-time patient information —including clinical, pharmacy, labs, prior authorization, and cost transparency — to your existing electronic medical records (EMRs) to make it easier for you to understand what patients need at the point of care.

Practice Assist Overview

Learn more about Practice Assist, a workflow management tool that enables providers to manage patient care opportunities and suspect medical conditions across multiple health plans.

PreCheck MyScript® - Provider Portal Access

The PreCheck MyScript solution helps make it easy to run a pharmacy trial claim and get real-time prescription coverage detail for your patients who are UnitedHealthcare benefit plan members. This guide will provide directions on how to access PreCheck MyScript through the UnitedHealthcare Provider Portal.

Referrals Self-Paced User Guide

Use the UnitedHealthcare provider portal to check referral requirements, submit requests and see the status of referrals.  This guide will get you started using our Referrals solution.

Specialty Guidance Program – User Guide for Authorization Request Submissions

Learn more about the UnitedHealthcare Specialty Guidance Program (SGP) tool, MBMNow. This is an evidence-based prior authorization tool for non-cancer specialty drugs that require prior authorization under the medical benefit.

Track-It Self-Paced User Guide

Easily follow up on your claim, prior authorization or referral workflows and take action, if needed. You can address time-sensitive Smart Edits and even view some letters in TrackIt to save time.

UnitedHealthcare Digital Solutions Guide for Revenue Cycle Management Companies and Business Vendors

Revenue cycle management companies, billing services and business vendors can explore this self-paced guide to learn about the benefits of using digital solutions for greater efficiency and documentation.

User Management Guide

Administrators will see how to create and manage users for the UnitedHealthcare Provider Portal.

What is Electronic Data Interchange (EDI)?

Get an in-depth look at what Electronic Data Interchange (EDI) is and how it can help your practice or facility.