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 to get an explanation of benefits from UnitedHealthcare? ›

  1. Click the Claims Summary link.
  2. Search or sort by patient, date of service, provider, processed date or status.
  3. Once you find your claim, click on More Details.
  4. To print the Explanation of Benefits, simply click Download Explanation.

How do I check my UnitedHealthcare 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 turnaround time for prior authorization UnitedHealthcare? ›

We typically decide on requests for prior authorization for medical services within 72 hours of receiving an urgent request or within 15 days for non-urgent requests.

What is the timely filing limit for UHC claims in 2024? ›

For all claims submitted on or after Feb. 21, 2024, UnitedHealthcare will waive timely filing for 60 calendar days.

How do I get a summary of benefits and coverage? ›

You can ask for a copy from your insurance company or group health plan any time. All health plans must provide the SBC at important points in the enrollment process, like when you apply for or renew your policy.

How do I get an explanation of benefits? ›

EOBs are usually mailed once per month. Some plans give you the option of accessing your EOB online. Your EOB is a summary of the services and items you have received and how much you may owe for them.

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.

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.

How do I know what my UnitedHealthcare plan is? ›

Download the UnitedHealthcare® app

The UnitedHealthcare app makes it easier to check your plan details and view your member ID card from your mobile device. Depending on your plan, you may be able to use the app to take care of tasks like these: Find nearby care options in your network. Video chat with a doctor 24/7.

Is UHC getting rid of prior authorization? ›

The removal of prior authorization requirements for a range of procedure codes will be phased in beginning Sept. 1, with additional changes implemented Nov. 1.

Why do prior authorizations get denied? ›

Prior authorization requests can be denied or delayed because of seemingly mundane mistakes. A simple mistake could be having the request submitted for a patient named John Appleseed when the health plan member's health insurance card lists the member's name as Jonathan Q.

How can I speed up my prior authorization? ›

16 Tips That Speed Up The Prior Authorization Process
  1. Create a master list of procedures that require authorizations.
  2. Document denial reasons.
  3. Sign up for payor newsletters.
  4. Stay informed of changing industry standards.
  5. Designate prior authorization responsibilities to the same staff member(s).

What is the guidance for Unitedhealth in 2024? ›

In April, the company projected full year 2024 net earnings outlook in a range of $17.60 to $18.20 per share. The company affirmed the adjusted net earnings outlook of $27.50 to $28.00 per share established at November 2023 Investor Conference.

How long does UHC have 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.

Is a patient responsible for timely filing? ›

Payers set their timely filing limit based on the date of service rendered. If a claim is received after the specified date, the carrier will deny the claim with no patient responsibility.

Does UnitedHealthcare send out EOB? ›

After your claim is processed, you'll receive an EOB. This explains the charges applied to your deductible (the amount you pay for covered services before your plan begins to pay), plus any charges you may owe the provider. Keep your EOB on file in case you need it in the future.

Who sends an explanation of benefits? ›

Usually, the insurer sends the EOB to the primary person on the health plan. If an employer provides the insurance, the employee usually receives the EOB, including EOBs for a spouse and dependents on the plan.

Where do I find my Medicare explanation of benefits? ›

Your plan will mail you an EOB each month you fill a prescription, visit a health care provider, or file a claim. This notice gives you a summary of your claims and costs. For more up-to-date claims information, contact your plan.

What is a health benefit statement? ›

An EOB is a statement from your health insurance plan describing what costs it will cover for medical care or products you've received.

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