In accordance with state laws requiring posting of utilization review statistics for transparency and disclosure purposes, UnitedHealthcare publishes its quarterly utilization review statistics and ...

Please note: The portal's digital tools are designed to be used for members who have a plan that requires a referral to see a specialist. You can learn more about referrals in our user guide. Health ...

Use the Eligibility and Benefit Inquiry (270) transaction to inquire about the health care eligibility and benefits associated with a subscriber or dependent. Use the Eligibility and Benefit Response ...

Support your clinic and patients with evidence-based guidelines specific to your specialty and patient populations. Access resources from nationally recognized organizations, review study results, and ...

Choose a health plan below to review the latest reimbursement policy updates.

Most claim, prior authorization and payment (including overpayment and appeal) letters and reports are available in the Document Library, within the UnitedHealthcare Provider Portal, 24 hours after ...

Listing of requirements for Clinical Pharmacy /Drugs Prior Authorization, Notification, and Medical Necessity for Commercial Members.

The UnitedHealthcare Provider Portal is the secure place where we work together seamlessly 24/7/365 for accessing patient and practice-specific information including: ...

The Cardiology Prior Authorization and Notification program supports the consistent use of evidence-based, professional guidelines for cardiology procedures. They were designed with the help of ...

The All Savers® Alternate Funding Plans are self-funded health plans that can help employees pay everyday health care expenses before they meet their deductible. Employers can also purchase ...

You have 2 options for receiving payments from UnitedHealthcare. Both are facilitated by Optum Pay, a full-service payment and remittance solution used by all sizes and types of health care ...

We know you don't have time to spare, so we put all the UnitedHealthcare Community Plan resources you need in one place. Use the navigation on the left to quickly find what you're looking for. Be sure ...