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?

Expand All add_circle_outline

UnitedHealthcare Provider Portal resources (5)

Verify member eligibility and confirm benefits

expand_more

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

expand_more

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

expand_more

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

expand_more

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

expand_more

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

expand_more

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

expand_more

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

expand_more

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

expand_more

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

expand_more

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

Is there a class action lawsuit against UnitedHealthcare? ›

A class action lawsuit was filed against UnitedHealth Group, Inc. (NYSE:UNH) on May 14, 2024. The plaintiffs (shareholders) alleged that they bought UNH stock at artificially inflated prices between March 14, 2022, and February 27, 2024 (Class Period) and are now seeking compensation for their financial losses.

What is the disadvantage of UnitedHealthcare? ›

AARP/UnitedHealthcare is a poor choice for PFFS plans. PFFS plans aren't a popular choice since they are usually expensive and can limit your choice of doctors. For these plans, UnitedHealthcare has high prices, low ratings and limited availability.

Does UnitedHealthcare use CaQH? ›

UnitedHealthcare utilizes the Council for Affordable Quality Healthcare (CAQH) Universal Provider DataSource™ (UPD) for gathering credentialing data for physicians and other health care professionals.

What is the UnitedHealth controversy? ›

UnitedHealth is currently being sued by a nonprofit group of hospitals and doctors in California over allegedly using its market power to try and force them to agree not to compete for primary care physicians.

Does UnitedHealthcare deny a lot of claims? ›

UnitedHealth has caught the eyes of attorneys across the nation for its bleak reputation. UnitedHealthcare has a background abundance of unjustified claim denials to those it ensures.

Does UnitedHealthcare have a good reputation? ›

What's good about UnitedHealthcare? Members generally like their health insurance plans. UnitedHealthcare has 4.6 out of five stars for member experience, according to a HealthCare.gov survey that asked people to rank their medical care, doctors and ability to get appointments.

Is UnitedHealthcare a good carrier? ›

UnitedHealthcare is one of the largest health insurance companies and offers marketplace plans in 26 states. The insurer has a large provider network of 1.5 million medical providers. The company has a better-than-average annual deductible for silver plans, but higher premiums than some competitors.

Why does AARP recommend UnitedHealthcare? ›

UHC offers insurance plans in all 50 states and around the world. The two companies began collaborating over 20 years ago. AARP does not necessarily argue that UnitedHealthcare is the right choice for every Medicare beneficiary, but it does proclaim it as a trusted healthcare partner and resource.

Can I buy shampoo with my UnitedHealthcare card? ›

OTC items are not eligible for reimbursement if they are normally used for general health, are not used to treat a medical condition (e.g. toothpaste, mouthwash, lotion, shampoo) or are cosmetic in nature (e.g. teeth whitening products, wrinkle reducers). See additional examples in the OTC Chart.

Can I buy water with my UnitedHealthcare card? ›

Get answers about the monthly food, OTC, and utilities benefit. What can you buy with your monthly credit? If you had a UnitedHealthcare Dual Complete® plan, you could: Buy healthy foods like fruits and vegetables, meat, seafood, dairy products and water.

Does UnitedHealthcare pay for food? ›

A credit will be loaded to your UnitedHealthcare UCard® every month to help pay for healthy food, over-the-counter (OTC) products, and utility bills. Shop in-store or online to buy covered groceries, pain relievers, cold remedies and more.

Who pays for CAQH? ›

Worth noting is that physicians and health care providers do not have to pay anything to take advantage of CAQH. It is a time-consuming process but CAQH does not charge anything to providers for access to the system. Payers and healthcare organizations pay for access but the providers do not pay anything.

What does CAQH stand for in insurance? ›

CAQH stands for the Council for Affordable Quality Healthcare.

Is CAQH mandatory? ›

Are all physicians and other healthcare professionals required to use the Provider Data Portal? No, participation in the CAQH Provider Data Portal is voluntary.

Can I still join the class action lawsuit? ›

Generally, you need to join before the court makes a final decision. Asking, "Can you join a class action after settlement?" is important. Often, the answer is no. There's usually a deadline to join, and missing it might mean you lose the chance to participate and receive any compensation.

How do I know if I am part of a class action lawsuit? ›

You will receive a notice in the mail or email if you are an eligible class member. The notice will provide a detailed description of the lawsuit and all your available options. In most cases, eligible class members join the litigation automatically and do not have to take any action.

What is the class action settlement for the healthcare data breach? ›

The Seattle, WA-based software company, MCG Health, has proposed a $8.8 million settlement to resolve a consolidated class action lawsuit stemming from a February 2020 data breach that involved the protected health information of 793,283 individuals.

Should I participate in a class action lawsuit? ›

Yes, You (Probably) Should Be in the Class

The main reason someone should refuse class membership is if they intend on filing their own lawsuit and they believe they can get a larger amount on their own. In some large, complex cases, that is possible.

Top Articles
Latest Posts
Recommended Articles
Article information

Author: Kerri Lueilwitz

Last Updated:

Views: 5916

Rating: 4.7 / 5 (47 voted)

Reviews: 94% of readers found this page helpful

Author information

Name: Kerri Lueilwitz

Birthday: 1992-10-31

Address: Suite 878 3699 Chantelle Roads, Colebury, NC 68599

Phone: +6111989609516

Job: Chief Farming Manager

Hobby: Mycology, Stone skipping, Dowsing, Whittling, Taxidermy, Sand art, Roller skating

Introduction: My name is Kerri Lueilwitz, I am a courageous, gentle, quaint, thankful, outstanding, brave, vast person who loves writing and wants to share my knowledge and understanding with you.