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RECENT SEARCHES

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Resources for health care professionals

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 * Our network expand_more
   Join our network
   
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   List of contracted, high-quality independent lab providers
   
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   Plans, policies, protocols and guides
   
   Policies for most plan types, plus protocols, guidelines and credentialing
   information
   
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   Specifically for Commercial and Medicare Advantage (MA) products
   
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   Education and training
   
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   Resources and support to prepare for and deliver care by telehealth
   
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   Important news updates for you
   
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UNITEDHEALTHCARE PROVIDER PORTAL RESOURCES


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

Visit the portal Comparison guide open_in_new


ARE YOU A NEW USER? REGISTER FOR ACCESS

Register now


LEARN ABOUT OUR PORTAL

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TRAINING, EDUCATION AND USER GUIDES

Access training Portal overview course open_in_new

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. 

Digital Solutions Comparison Guide open_in_new
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MANAGING ACCESS, INFORMATION AND NEW USER REGISTRATION

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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.

Learn how it works


ELIGIBILITY, ID CARDS, BENEFITS AND REFERRALS

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ELIGIBILITY AND BENEFITS

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Learn more about Eligibility and Benefits

REFERRALS

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Learn more about Referrals

CARE CONDUCTOR

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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

Go to Care Conductor

COMMUNITYCARE

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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:
 * CommunityCare Introductionopen_in_new
 * CommunityCare self-paced guideopen_in_new

Go to CommunityCare


PRIOR AUTHORIZATION AND NOTIFICATION

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PRIOR AUTHORIZATION AND NOTIFICATION

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Learn more about Prior Auth and Notification

PRECHECK MYSCRIPT

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Learn more about PreCheck MyScript

GENETIC & MOLECULAR LAB TESTING PRIOR AUTHORIZATION

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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.

Learn more


CLAIMS AND PAYMENTS

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CLAIM ESTIMATOR: GET A CLAIM / PROCEDURE COST ESTIMATE

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 * 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:

 * Quick Reference: Claims Estimatoropen_in_new

 

CLAIMS AND PAYMENTS

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Learn more about Claims and Payments

DIRECT CONNECT: MANAGE OVERPAYMENTS

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 * 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.

CLAIM SUBMISSION

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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:

 * Claim Submission Overviewopen_in_new
 * Claim Submission self-paced guideopen_in_new

Go to the Claims Submission tool open_in_new


GO PAPERLESS

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FACILITY/PRACTICE PROFILE

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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

MY PRACTICE PROFILE AND ATTESTATION

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Learn more about My Practice Profile

DOCUMENT LIBRARY: ACCESS LETTERS AND REPORTS

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Learn more about Document Library

PAPERLESS DELIVERY

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Learn more about Paperless Delivery

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.


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