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

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.

How to chat on UHC portal? ›

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.

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.

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.

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.

Why did UnitedHealthcare drop? ›

Shares of UnitedHealth Group Inc. took a dive Friday, after the health insurer reported a big jump in medical costs relative to revenue in the fourth quarter, but also earnings that continued to beat forecasts. , given its relatively high price.

Why did UnitedHealthcare deny my claim? ›

Insurance customers are often denied coverage for their claims for care based on the insurer's claim that the treatment sought is “experimental.” Most health insurance policies have exclusions for treatments that are still considered “experimental” under the logic that such treatments are often costly, without a ...

How to read an EOB for dummies? ›

The explanation of benefits lists the cost of your care, and how much your health insurance company will pay.
  1. “Provider Charges” is the amount your provider bills for your visit.
  2. “Allowed Charges” is the amount your provider will be paid. ...
  3. “Paid by Insurer” is the amount your health plan will pay to your provider.
Jun 22, 2023

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

You'll find a link to the SBC on each plan page when you preview plans and prices before logging in, and when you've finished your application and are comparing plans. You can ask for a copy from your insurance company or group health plan any time.

Is UHC getting rid of prior authorization? ›

Starting in Q3 2023, UnitedHealthcare will eliminate nearly 20% of current prior authorizations for common procedures or prescriptions.

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).

Is UnitedHealthcare good coverage? ›

UnitedHealthcare has an average overall rating compared to other major health insurance companies. UHC received 3.5 out of five stars overall from HealthCare.gov. This middle-of-the-road rating is because of lower scores for customer service and how well UHC's network of doctors provides medical care.

Are people happy with UnitedHealthcare? ›

Average member satisfaction ratings: Despite being a behemoth in the industry, UnitedHealthcare's member experience scores are about average among major providers.

Is UnitedHealthcare a good network? ›

United has a strong PPO network in most of its markets.

California is no exception. With United Health's PPO options, you have traditionally one of the strongest PPO list of doctors and hospitals available. They even navigated the ACA law impacts on networks that we've seen since 2014.

What's the best medicare advantage plan? ›

Bottom line: Our top picks for Medicare Advantage plans
  • Best for size of network: UnitedHealthcare Medicare Advantage.
  • Best for extra perks: Aetna Medicare Advantage.
  • Best for local support: Blue Cross Blue Shield Medicare Advantage.
  • Best for low-cost plan availability: Humana Medicare Advantage.
Jul 11, 2024

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