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 looking for health plan or provider information?

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.

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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.

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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

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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 UnitedHealthcare portal? ›

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.

What is the disadvantage of UnitedHealthcare? ›

Special needs plans can get pricey: While lower-priced plans are available, UnitedHealthcare also offers the highest-priced special needs plan (SNP) in 2024, so it's worth keeping an eye on the cost for plans that fit your needs.

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. The CAQH UPD has been available free to physicians and health care providers since 2004.

Is UMR the same as UnitedHealthcare? ›

UMR, UnitedHealthcare's third-party administrator (TPA) solution, is the nation's largest TPA. As a UnitedHealthcare company, UMR has long been a pioneer in revolutionizing self-funding. We focus on delivering customer solutions that meet their goals and strategies.

What is a medical portal? ›

A patient portal is a website for your personal health care. This online tool helps you to keep track of your health care provider visits, test results, billing, prescriptions, and so on. You can also message your provider questions through the portal. Many providers now offer patient portals.

What does Optum do for UnitedHealthcare? ›

Optum: Technology and data-enabled care delivery

Optum delivers care aided by technology and data, empowering people, partners and providers with the guidance and tools they need to achieve better health.

Is there a class action lawsuit against UnitedHealthcare? ›

INVESTOR ALERT: DiCello Levitt LLP Announces Shareholder Class Action Against UnitedHealth Group Inc. (NYSE: UNH); Investors with Losses Encouraged to Seek Counsel. SAN DIEGO, May 24, 2024 (GLOBE NEWSWIRE) -- A class action lawsuit has been filed on behalf of purchasers or acquirers of UnitedHealth Group Inc.

What is the controversy with UnitedHealthcare? ›

All of the lawsuits claim that Change failed to safeguard patients' personal information, putting them at risk of identity theft and privacy violations. Some also allege that patients have been unable to fill prescriptions because their insurance claims cannot be processed, putting their health at risk.

Does UnitedHealthcare deny a lot of claims? ›

Health Insurance Giant Exposed in Lawsuits

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.

What does CAQH stand for in insurance? ›

The Council for Affordable Quality Healthcare® (CAQH) is a non-profit alliance of health plans and related associations working together to achieve the shared goal of streamlining the business of healthcare.

How important is CAQH? ›

In a nutshell, CAQH is an invaluable resource that makes the credentialing process more efficient and hassle-free. Additionally, CAQH is a trusted approach to validating and accessing healthcare providers' credibility in the United States.

Is there a cost for CAQH? ›

The CAQH application, profile, and Proview database (used for storage and maintenance) are free for healthcare providers and practices. Health plans and other healthcare organizations pay fees to use the CAQH Provider Data for credentialing.

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.

Who owns UnitedHealthcare? ›

Is UnitedHealthcare changing their name? ›

On January 1, 2024, our plan name will change from UnitedHealthcare Dual Complete® (PPO D- SNP) to UHC Dual Complete ME-S001 (PPO D-SNP). We will mail you a new UnitedHealthcare member ID card.

What foods can I buy with my UnitedHealthcare OTC 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 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.

Why does UnitedHealthcare want to come to my house? ›

The goal of our preventive care visits is to help you maintain your independence and continue doing what you love long into the future. We know there's no way to prevent all health emergencies and accidents, but we believe that by taking care of yourself, you may be able to improve your odds of avoiding them.

Is AARP UnitedHealthcare the same as UnitedHealthcare? ›

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

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