Take charge of your time
Choose digital to get answers, support and your work done faster
Digital is your fastest, most cost-effective path to answers.
That’s why beginning Oct. 1, 2024, we’re asking you to skip the phone and go online first.
Find the information you need
Visit our public website UHCprovider.com to learn more about us and our network. Plus, you can access news, medical policies, training, and resources about our digital tools and benefit plans.
How to conduct business with us
Visit the UnitedHealthcare Provider Portal first to do your work. Find member information, view letters and reports, and submit most of your plan-related information to us electronically across most lines of business.
- Access our secure portal 24/7, from any page on UHCprovider.com, by selecting Sign In at the top-right corner and entering your One Healthcare ID
- Not a portal user? Visit our portal registration page to get started.
Need help? Chat with us first.
If you have questions about what you see in the portal, try chat first. Found on nearly every page in the provider portal, chat is the fastest way to speak with an advocate and get answers to even the most complex inquiries.
- Available to network and out-of-network health care professionals
- Access chat 24/7 wherever you see the chat icon. Don’t see the icon? Find chat on the portal Contact Us page.
- Check both prior authorization status and requirements by code
- You can reach the same experts using chat as you would by phone
By going digital to find information, do business and communicate with us, you’ll spend less time on administrative tasks and get back to the work that matters most — caring for your patients.
The benefits of going digital
Our digital tools offer a more direct path to the information you need. This means:
- 24/7 access: Our website, portal and chat windows never close
- Complete common and complex tasks quicker: Self-serve first for everyday tasks. This includes:
- Completing and tracking credentialing requests in real time with Onboard Pro
- Viewing claim status
- Verifying benefits and eligibility
- Submitting prior authorizations
- Viewing ID cards
- Verifying and attesting to your demographic data accuracy
- Reliable routing, faster decisions and better documentation: Online requests and submissions are routed to the right people, right away — all with a digital trail. This includes:
- Prior authorizations
- Reconsiderations
- Pre- and post-service appeals
- Streamlined submissions: We’re always adding new digital capabilities and portal enhancements to simplify your workflow and resolve your claims faster. Added features include:
- Online attachment capabilities
- More detailed remark codes
- Automation to reduce rekeying
- Smart features that make verifying your identity easier than phone
- And more
In addition, it’s important to consider the time savings as outlined by the Council for Affordable Quality Healthcare (CAQH) Annual Report Index. The annual report measures national progress in reducing the administrative costs in the health care industry:
Average time saved per transaction using digital solutions |
|
Claim status inquiry |
17 minutes |
Eligibility & benefits |
16 minutes |
Prior authorization |
11 minutes |
Claim submission |
5 minutes |
Source: 2023 CAQH Index Report
Our other digital solutions
Although all users need to have UnitedHealthcare Provider Portal access, some of our other digital solutions can be added to maximize productivity, including:
- Application Programming Interface (API): API is a free, fully electronic digital solution that automates administrative transactions. As a complement to your portal account, APIs are ideal for larger volume submitters and health care professionals with the technical support to program APIs or outsource implementation. We provide a dedicated consultant to work with you throughout your API onboarding process. Learn more about our growing list of available APIs.
- Electronic Data Interchange (EDI): EDI is an industry standard, secure digital method for you to submit and receive batch transactions for multiple members and payers. No calls necessary for benefit and eligibility checks, claim status requests and more.
What’s ahead
We’re always adding new capabilities and digital tools. Watch for more information in the coming months and check out the latest portal capabilities specifically by role.
Questions?
If you have further questions, please go to UHCprovider.com/contactus.