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Submission: On September 07 via manual from US — Scanned from DE
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close Close MENU SIGN IN * Sign in to the UnitedHealthcare Provider Portal * New User & User Access Need access to the UnitedHealthcare Provider Portal? MAIN MENU Eligibility Prior Authorization Claims and Payments Referrals OUR NETWORK Join our network Contact us Preferred lab network Demographics and profiles Find a provider RESOURCES Plans, policies, protocols and guides Care provider administrative guides and manuals Drug lists and pharmacy Health plans Education and training Reports and quality programs Telehealth News Resource library The UnitedHealthcare Provider Portal resources * Membersopen_in_new * New User & User Access Skip to main content * Membersopen_in_new * New User & User Access SEARCH close Search search RECENT SEARCHES * Forms * Doctor * claims * payments * Eligibility * Hello * eye menu MENU SEARCH close Search search RECENT SEARCHES * Forms * Doctor * claims * payments * Eligibility * Hello * eye Resources for health care professionals * * Eligibility * * Prior Authorization * * Claims and Payments * * Referrals * * Our network expand_more Join our network Steps to getting contracted plus plan information Contact us Phone numbers and links for connecting with us Preferred lab network List of contracted, high-quality independent lab providers Demographics and profiles Update, verify and attest to your practice's demographic data Find a provider Provider search for doctors, clinics and facilities, plus dental and mental health * * Resources expand_more Plans, policies, protocols and guides Policies for most plan types, plus protocols, guidelines and credentialing information Care provider administrative guides and manuals Specifically for Commercial and Medicare Advantage (MA) products Drug lists and pharmacy Pharmacy resources, tools, and references Health plans View health plans available by state Choose a Location: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Education and training Updates and getting started with our range of tools and programs Reports and quality programs Reports and programs for operational efficiency and member support Telehealth Resources and support to prepare for and deliver care by telehealth News Important news updates for you Resource library Tools, references and guides for supporting your practice The UnitedHealthcare Provider Portal resources Log in for our suite of tools to assist you in caring for your patients * Sign Inexpand_more * Sign in to the UnitedHealthcare Provider Portal * Need access to the UnitedHealthcare Provider Portal? New User & User Access search 1. Home 2. Resource Library 3. UnitedHealthcare Provider Portal Resources print Print Skip secondary navigation View more about * UnitedHealthcare Provider Portal Resources expand_more * New User & User Access * Claims * Eligibility and Benefits * Document Library * My Practice Profile * Optum Pay™ * Paperless Delivery Options * PreCheck MyScript * Prior Authorization and Notification * Referrals * TrackIt 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 Overview flyer open_in_new Tools location open_in_new 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 Expand All add_circle_outline MANAGING ACCESS, INFORMATION AND NEW USER REGISTRATION expand_less 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 Expand All add_circle_outline ELIGIBILITY AND BENEFITS expand_more Learn more about Eligibility and Benefits REFERRALS expand_more Learn more about Referrals CARE CONDUCTOR expand_more 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 expand_more 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 Expand All add_circle_outline PRIOR AUTHORIZATION AND NOTIFICATION expand_more Learn more about Prior Auth and Notification PRECHECK MYSCRIPT expand_more Learn more about PreCheck MyScript GENETIC & MOLECULAR LAB TESTING PRIOR AUTHORIZATION expand_more 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 Expand All add_circle_outline CLAIM ESTIMATOR: GET A CLAIM / PROCEDURE COST ESTIMATE expand_more * 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 expand_more Learn more about Claims and Payments DIRECT CONNECT: MANAGE OVERPAYMENTS expand_more * 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 expand_more 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 Expand All add_circle_outline FACILITY/PRACTICE PROFILE expand_more 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 expand_more Learn more about My Practice Profile DOCUMENT LIBRARY: ACCESS LETTERS AND REPORTS expand_more Learn more about Document Library PAPERLESS DELIVERY expand_more 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. Did you find what you were looking for? YesNo * About usopen_in_new * Contact us * Careersopen_in_new * Find a provider © 2022 UnitedHealthcare | All Rights Reserved Fraud, waste and abuse Language assistanceopen_in_new Privacyopen_in_new Sitemap Terms of use