UnitedHealthcare Provider Portal resources (2024)

Health care professionals get help with the UnitedHealthcare Provider Portal including login, registration, and training. Save time and learn about our provider portal tools today.

Health care professionals like you can access patient- and practice-specific information 24/7 within the UnitedHealthcare Provider Portal. You can complete tasks online, get updates on claims, reconsiderations and appeals, submit prior authorization requests and check eligibility — all at no cost without calling.

UnitedHealthcare Provider Portal resources (1)

Are you a member?

Sign in to myuhc.com.

UnitedHealthcare Provider Portal resources (2)

How do I log in to the portal?

Click the blue Sign In button at the top right of this page.

Plan ahead: New sign-in options coming soon.

UnitedHealthcare Provider Portal resources (3)

How do I register for the portal?

Health care professionals and support staff can register for portal access or view our Access and New Registration guide for step-by-step instructions.

UnitedHealthcare Provider Portal resources (4)

See what’s new

We’re always looking to make the UnitedHealthcare Provider Portal work better for you. Continuous portal enhancements help you work faster, easier and smarter. See the latest portal enhancements and check back frequently for updates.

See enhancements See what’s new

What can I do in the UnitedHealthcare Provider Portal?

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UnitedHealthcare Provider Portal resources (5)

Verify member eligibility and confirm benefits

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Use the Eligibility feature to:

  • View care plans
  • Review benefit information (copays, coinsurance, deductible amounts)
  • Check referral requirements
  • Get a digital copy of member ID cards

Learn more in our Eligibility and Benefits Interactive Guide

UnitedHealthcare Provider Portal resources (6)

Estimate and manage claims and payments

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Use Claims & Payments to:

  • Get an estimate using Claim Estimator to help pre-determine patient benefits, allowable service bundling and claim financials
  • Submit, look up and take action on claims online
  • Search, view and/or print provider remittance advice (PRA) documents
  • Find contracted rates within Fee Schedule Lookup

Learn more by viewing the following resources:

UnitedHealthcare Provider Portal resources (7)

Check prior authorizations

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Use the Prior Authorization and Notification tool to:

  • Check prior authorization requirements
  • Submit new medical prior authorizations and inpatient admission notifications
  • Check the status of a request
  • Make request updates (e.g., uploading required clinical documentation)

For a general overview, please review thequick start guide.

For detailed instructions, please review thePrior Authorization and Notification interactive guide.

UnitedHealthcare Provider Portal resources (8)

Verify, submit and search referral requests

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Use the Referrals tool to:

  • Find referral requirements
  • Submit referral requests
  • See the status of referral requests

Learn more in our Referrals Interactive User Guide.

UnitedHealthcare Provider Portal resources (9)

Manage prescriptions

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Use PreCheck MyScript®to:

  • Check current prescription coverage and price in real time
  • Get information on lower-cost prescription alternatives
  • See which prescriptions need prior authorization, or are non-covered or non-preferred
  • Run a pharmacy trial claim (made easier because it’s integrated directly with your EMR)

Learn more in one of the following resources:

UnitedHealthcare Provider Portal resources (10)

Manage your preferences

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Use Communication Preferences to make updates to:

  • Document Delivery Settings (who receives which Document Library emails)
  • Provider News Notifications
  • TrackIt Notifications

Learn more in our Profile & Settings Overview guide.

UnitedHealthcare Provider Portal resources (11)

Verify, update and attest to provider demographic data

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Use My Practice Profile to:

  • View, verify and attest to your demographic information
  • Make changes to current information

Learn more in our My Practice Profile interactive guide.

UnitedHealthcare Provider Portal resources (12)

View your workflow at a glance and take action

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Use TrackIt to tackle a variety of tasks, such as:

  • View activity on all record types (e.g., prior authorizations, referrals, Smart Edits, reconsiderations and appeals)
  • Add information to a claim
  • Find and access documents
  • Set email preferences and use filters to view your own work and monitor your team’s work

Learn more about TrackIt.

UnitedHealthcare Provider Portal resources (13)

Access letters, reports and UHC Insights

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Use Document Library to:

  • View and print your documents
  • Assign, manage and comment on documents using Teams View
  • Download provider remittance advice (PRAs) for up to 24 months
  • Search any 90-day period, for up to 2 years, using Advanced Search
  • Manage multiple documents at one time through Bulk Action

Learn more in our Document Library Quick Start Guideor in ourDocument Library and Document Library Teams View interactive guides.

Use UHC Insights to:

  • Consolidate data from multiple sources
  • Review, analyze and act on data all in one place

Use Report Center (formerly UnitedHealthcare Reports) to:

  • Search all providers in the tax ID number (TIN)
    • Use suggestive search to start typing in the dropdown to narrow results
  • Search by TIN only for PCP Panel Reports
  • Enjoy auto-selected info, such as:
    • Corporate TIN owner when there’s only one TIN
    • Physician TIN auto selected when corporate TIN is selected
  • Filter reports by product, type or health plan
  • See data more easily with full-screen option
  • View up to 60–70 reports without scrolling

UnitedHealthcare Provider Portal resources (14)

Get help with the credentialing and contracting process

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Use Onboard Pro to:

  • Submit requests for participation with the UnitedHealthcare network
  • Add new health care professionals to your tax ID number (TIN) and group contract

Learn more:

UnitedHealthcare Provider Portal resources (15)

Want to learn more about our tools at your own pace?

Our training and education page organizes tools by task, so you can learn to use our portal tools when it fits in your schedule.

Chat and self-service options

UnitedHealthcare Provider Portal resources (16)

Questions? Chat with us.

Health care professionals can get real time answers to questions about a wide range of topics including:

  • Claims
  • Eligibility and prior authorization
  • Credentialing and onboarding
  • Technical support

Connect with us 24/7. To get started, sign in to the portal with your One Healthcare ID. Then, select the chat icon at the bottom-right corner of the page.

Chat now Questions? Chat with us.

UnitedHealthcare Provider Portal resources (17)

Check out these other resources that make it easier to work with UnitedHealthcare.

  • Payment tools
  • Clinical tools
  • Documents and Reporting

Sign in Check out these other resources that make it easier to work with UnitedHealthcare.

UnitedHealthcare Provider Portal resources (2024)

FAQs

How do I check my UHC benefits online? ›

Members can view and manage their benefits and rewards online in the UCard Hub section of the member site and the UnitedHealthcare app to do things like: Check benefit balances and available rewards.

What is the timely filing limit for UnitedHealthcare? ›

What are the timely filing requirements? Timely filing requirements are generally 90 days from the date of service. Non-network provider and secondary claims filing limit is 6 months from date of discharge or date of service.

Who owns UnitedHealthcare? ›

What is the phone number 877-842-3210? ›

UnitedHealthcare Network

Call the Provider toll-free number: 877-842-3210 2.

What kind of food can I buy with my UnitedHealthcare card? ›

With your healthy food credits, you could buy a wide range of approved groceries, like:
  • Fruit & vegetables.
  • Frozen produce & meals.
  • Dairy products.
  • Meat & seafood.
  • Beans & legumes.
  • Pantry staples – flour, sugar, spices, etc.
  • Healthy grains – bread, cereals, pastas, etc.
  • Nutritional shakes & bars.

What is the name of the app for your UHC benefits? ›

The UnitedHealthcare app connects you to your health plan details anytime, anywhere. View your health plan details anytime, anywhere and get instant access to answers and support.

Does UHC accept paper claims? ›

Submit your claim by mail

After you print and complete the Medical Claims Submission form, mail it with the claim details and receipts to the address on your health plan ID card.

What is timely filing denial? ›

Claims are often denied for timely filing when the claim was actually submitted in a timely fashion but not received by the insurance carrier. There are many reasons this can happen, but the important part of the equation is how the biller responds to the denial.

How long does UnitedHealthcare take to process a claim? ›

UnitedHealthcare Community Plan generally completes the review within 30 calendar days. However, depending on the nature of the review, a decision may take up to 60 days from the receipt of the claim dispute documentation. We'll contact you if we believe it will take longer than 30 days to render a decision.

What did UnitedHealthcare used to be called? ›

United HealthCare Corporation was founded in 1977 to purchase Charter Med and create a network-based health plan for seniors. It became a publicly traded company in 1984 and changed its name to UnitedHealth Group in 1998.

What is the salary of the CEO of UnitedHealthcare? ›

UnitedHealth Group CEO Andrew Witty has climbed to the top of our compensation list in 2023 as the company he oversees also continues to grow. His total compensation of $23.5 million includes a $1.5 million salary. The bulk of his payout comes in stock awards, of which he earned $15 million.

What is another name for UnitedHealthcare? ›

Learn about UnitedHealth Group

UnitedHealthcare is the health benefits business of UnitedHealth Group, a health care and well-being company working to help build a modern, high-performing health system through improved access, affordability, outcomes and experiences.

Is Optum the same as UnitedHealthcare? ›

UnitedHealth Group has two distinct business platforms: Optum and UnitedHealthcare. This cohesive partnership offers an array of health services and health benefits.

Is AARP UnitedHealthcare the same as UnitedHealthcare? ›

UnitedHealthcare Insurance Company (UnitedHealthcare) is the exclusive insurer of AARP Medicare Supplement insurance plans.

Is UMR the same as UnitedHealthcare? ›

UMR is a wholly owned subsidiary of UnitedHealthcare, a part of UnitedHealth Group. UMR is a third-party administrator (TPA) for self-funded plans.

How do I check my healthy benefits balance? ›

Need your benefit balance? Visit HealthyBenefitsPlus.com/HighmarkWholecare or call your program number. Use of Your Card: If prompted, your PIN is that last 4-digits of your card number. Usage restrictions apply.

How do I check my card benefits? ›

You can check your credit card benefits by accessing the summary of benefits document on your card issuer's website or by calling your card's customer service line.

How do I access my UHC rewards? ›

To get in on Earn It Off, go to UHC Rewards in the UnitedHealthcare® app and select Redeem rewards. Then you'll be ready to: With UnitedHealthcare Rewards, you can earn up to $300 for reaching program goals and completing one-time reward activities.

How do I check the status of my UnitedHealthcare claim? ›

  1. Status | Claims.
  2. 1 Sign in at UHCprovider.com.
  3. • If not yet registered, consult.
  4. UHCprovider.com/newuser.
  5. 2 Select Claims & Payments from the.
  6. Provider Portal.
  7. 3 Enter the criteria and Submit Search. 4 Select a claim from the Search Results. 5 Review the claim.
  8. B. C. D. E. F. A.

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