Our digital solutions offer you the fastest way to find plan information, manage tasks, check statuses and decisions — all without calling.

Your feedback helps us shape improvements to our digital tools, like the UnitedHealthcare Provider Portal. As we continue to enhance these tools, we’d value your input on what to focus on next.

Use the daily Payment Summary report to complement existing payment and remittance information. For claim-level reconciliation, continue to use the appropriate remittance advice, provider remittance ...

To maintain Medicaid eligibility, members may be required to: Complete at least 80 hours per month of qualifying work, education, training or volunteer activities Renew Medicaid coverage every 6 ...

The New York State Department of Health has updated its provider revalidation process following CMS approval of its improvement plan. What you need to know. As part of the plan, N ...

UnitedHealthcare Community Plan providers in Florida may receive secret shopper calls or on-site visits through the Florida Agency for Health Care Administration’s (AHCA) Enhanced Provider Network ...

Beginning Jan. 1, 2027, we’re making prescription drug list (PDL) updates for UnitedHealthcare Individual Exchange plans, also referred to as UnitedHealthcare Individual and Family ACA Marketplace ...

You can schedule the 2-year well-child visit before the child’s second birthday for UnitedHealthcare Community Plan of North Carolina members. The visit is fully reimbursable and does not need to ...

Review the latest pharmacy, clinical and prior authorization updates.

You can access the Medical Benefit Specialty Drug Update Bulletin for the latest updates on drugs added to review at launch, program requirements and policies. Click through for complete details.

Soon, states will implement requirements that may require some Dual Special Needs Plan (D-SNP) members to have their Medicare and Medicaid coverage with the same health plan. D-SNP alignment is more ...