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.

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.

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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

To start a chat, sign in to the portal with your One Healthcare ID. Then, select the chat icon at the bottom-right corner of the page. Chat is available 7 a.m. 7 p.m. CT, Monday–Friday.

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 request access to UHC provider portal? ›

Access in 4 easy steps
  1. Create One Healthcare ID. Create a One Healthcare ID to register your secure access. Create ID open_in_new.
  2. Sign in. Log in to complete tasks and manage your account. ...
  3. Connect your TIN. Connect organization TIN(s) and adjust settings. ...
  4. Learn to use the portal. Easy-to-use portal self-paced educational tools.

What is the disadvantage of UnitedHealthcare? ›

Medicare Advantage monthly costs

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 do I order OTC items from UnitedHealthcare? ›

The benefit lets you get over-the-counter items by going to any allowed stores. You can also order by phone at 1-888-628-2770 (TTY: 711) Monday to Friday, from 9 AM to 8 PM local time or online at https://www.cvs.com/benefits.

Is there a class action lawsuit against UnitedHealthcare? ›

The United States Court of Appeals for the Ninth Circuit ruled on April 11, 2024, that AGG's class action lawsuit against UnitedHealth Group and its subsidiaries for the wrongful and systematic denial of mental health and substance use disorder treatment claims should be decided on the merits.

What does provider portal mean? ›

Provider Portal means, collectively, the Provider Site and any other web site or property from where Provider promotes the Programming.

What is the difference between Optum and UnitedHealthcare? ›

United Health Group is Made of 2 Main Divisions: United Healthcare Insurance and Optum. On It's Own, Optum Would Be One of the Largest Companies in America. According to United Health Group, Optum is a Technology-Enabled Healthcare Services Company.

Why are people against UHC? ›

Arguments related to America UHC is fundamentally anti-American, because America is a capitalist and individualist society. It is anti-American to perpetuate a system that hurts innocent, hardworking Americans and that puts America at a tremendous economic disadvantage relative to other countries.

Does UnitedHealthcare have a good reputation? ›

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.

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 laundry soap with my OTC card? ›

You can also get everyday items like laundry detergent, soap and toothbrushes.

Can I buy soap and shampoo with my OTC card? ›

OTC items are not eligible for reimbursem*nt 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.

What food 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.

What is the UnitedHealth scandal? ›

The latest trends in telehealth. 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? ›

Health Insurance Giant Exposed in Lawsuits

UnitedHealthcare has a background abundance of unjustified claim denials to those it ensures.

Who owns UnitedHealthcare? ›

How do I get authorization from UMR? ›

prior authorization

Begin by entering the member ID and group number from your patient's UMR ID card and select the name of the patient you are treating. Then continue by entering information about the requesting provider and additional details about your request.

How do I submit a reconsideration to UHC portal? ›

If you have your own secure system, please submit reconsideration requests to: claimdispute@optum.com. If you do not have a secure email in place, please contact our service center at 1-877-370-2845.

How do I check my prior authorization status for UnitedHealthcare? ›

Check the status of your PA by signing into your online account at myuhc.com. If your medication is approved, the PA is entered and coverage will be provided under your benefit. You can continue to fill your prescription at the pharmacy as usual during the approved prior authorization period.

Does UHC require prior authorization? ›

If viewing a printed copy, please visit UHCprovider.com/priorauth > Advance Notification and Plan Requirement Resources > Select a Plan Type for the most current information. Notification/prior authorization is not required for emergency or urgent care. Prior authorization is required for all states.

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