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See all the COVID-19 updates and resources


NEW SUREST HEALTH PLANS PAGE IS LIVE

Visit our new Surest page for everything you need to know about the name change
from Bind and to see the new member ID cards.

Explore the page


NEW SUREST HEALTH PLANS PAGE IS LIVE

Visit our new Surest page for everything you need to know about the name change
from Bind and to see the new member ID cards.

Explore the page


NEW SUREST HEALTH PLANS PAGE IS LIVE

Visit our new Surest page for everything you need to know about the name change
from Bind and to see the new member ID cards.

Explore the page


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!

 * 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.

Read the news


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

September 19, 2022


SEPTEMBER MONTHLY OVERVIEW



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

Read Full Update

September 16, 2022


NEW YORK MEDICAID: CHANGES TO PRACTITIONER DISPENSING BILLING PROCESS



Effective Sept. 1, 2022, Medicaid Managed Care plans will deny payment to
pharmacies not enrolled as a pharmacy provider for FFS Medicaid.

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September 16, 2022


HELPING CHILDREN WITH CHALLENGES ADAPT TO SCHOOL



Children in the TennCare program can get additional services they may need while
in a school setting. See how you can help.

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September 16, 2022


PENNSYLVANIA MEDICAID: IMPORTANT MEMBER UPDATES



Find updates to services designed to support patients who are UnitedHealthcare
Community Plan of Pennsylvania members.

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September 16, 2022


MASSACHUSSETTS MEDICAID: GENDER-AFFIRMING CARE RESOURCES



In Sept. 2021, MassHealth launched a webpage offering details about several
important gender-affirming care topics.

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September 16, 2022


MICHIGAN MEDICAID: COVID-19 MITIGATION UPDATES AND TOOLKIT



UnitedHealthcare Community Plan and MDHHS recommend the use of layered COVID-19
mitigation strategies for individuals.

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