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OPTUM PAY® QUICK PAY — THE NEW WAY TO FASTER PAYMENTS

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OPTUM PAY® QUICK PAY — THE NEW WAY TO FASTER PAYMENTS

Available at no cost for Optum Pay Premium subscribers

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OPTUM PAY® QUICK PAY — THE NEW WAY TO FASTER PAYMENTS

Available at no cost for Optum Pay Premium subscribers

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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.

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GO DIGITAL!

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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.

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NEWS

November 17, 2022


NOVEMBER MONTHLY OVERVIEW



Review the latest UnitedHealthcare prior authorization, medical policy,
pharmacy, reimbursement, laboratory and policy and protocol updates.

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November 16, 2022


NEW ORAL ONCOLOGY PRIOR AUTHORIZATION PROCESS



A new oral oncology prior authorization process for commercial and Individual
Exchange plans will be effective Dec. 1, 2022.

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November 16, 2022


MEDICAID: UPDATES FROM LOUISIANA DEPARTMENT OF HEALTH



LDH has recently released several bulletins announcing updates to various
policies and programs.

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November 16, 2022


OXFORD PRIOR AUTHORIZATION REQUIREMENT CHANGES



On Jan. 1, 2023, we will make significant changes to the UnitedHealthcare Oxford
plan prior authorization requirements.

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November 15, 2022


COLORADO ROCKY MOUNTAIN HEALTH PLANS TRANSITION UPDATE



Credentialing information for Colorado Rocky Mountain Health Plan providers

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November 14, 2022


TEXAS MEDICAID: STAR+PLUS BILLING UNIT CHANGE



As of Sept. 1, 2022, you should bill Financial Management Services Agency (FMSA)
units for STAR+PLUS as 1 unit per month.

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