UnitedHealthcare
for the most recent notifications.
Important updates from United Healthcare and links to www.unitedhealthcareonline.com are posted here by MedNet. To receive important updates directly from United Healthcare, sign up for their Network Bulletins.
Important Updates
- United Healthcare releases new Administrative Guide (2/2011)
Links
Below are direct links to web-pages on www.unitedhealthcareonline.com. This is not an exhaustive directory. The list of United Healthcare links below is designed to save you time, allowing you to quickly access important information.
*Please note that when calling into UnitedHealthcare phone lines you will need your Tax Identification Number (TIN) to proceed and many pages on the UnitedHealthcare.com website require a username and password. If you are uncertain of your username and password please call: (866) 842-3278
When to call UnitedHealthcare vs. using the website.
CONTACT INFORMATION:
For questions about contracting or credentialing please contact MedNet at: (207) 289-1040
For questions about the leased network please contact UnitedHealthcare at: (800) 842-3585
Sign up for United Healthcare’s Network Bulletin . The Network Bulletin is a bimonthly online/email publication featuring important protocol and policy changes, as well as useful administrative information and clinical resources.
Commercial
Referrals:
- Referral Submissions (submit referrals)
- Referral Status (check on the status of submitted referrals)
Notifications:
- Notification Submission (submit general notifications)
- Notification Status (check on the status of submitted general notifications)
- Radiology – Notification Authorization Submission & Status
- Radiology – CPT Code List and Crosswalk Table
- Cardiology – Notification Authorization Submission & Status
- Cardiology – CPT Code Classification Table/Crosswalk Table
Medicare Advantage (Secure Horizons)
- Radiology – Prior Authorization/Notification Program
- Cardiology – Prior Authorization/Notification Program
ESCALATE A PROBLEM:
Download/Print the Secure Horizons Escalation Process
United Healthcare Claim Reconsideration Request Form
CLAIMS/PAYMENTS:
- United Claims and Payments (Fee schedule look-up, check on claim status, claim submission)
- United Healthcare Claim Reconsideration Request Form
- Electronic Payments and Statements
- Electronic Claims Submission
- Fee Schedule Look-up
PATIENT MANAGEMENT:
If your patient presents an identification card with a product name with which you are not familiar, please contact customer care
- Patient Eligibility & Benefits
- Patient Eligibility (Obtain dates of coverage, copays and deductible amounts accumulated year-to-date. Verify eligibility for up to 10 patients at one time. View benefits information.)
- Patient Personal Health Records (Enter patient’s card number for immediate access to a Personal Health Summary including: personal medical history; claim status; lab results; and, up-to-date personal information)
- Comment on patients’ Health Risk Assessments and Patient Care Plans
- Download Prescription Drug Lists or request a copy of the Prescription Drug List (PDL) by calling: (877) 842-1508.
PRACTICE MANAGERS/ADMINISTRATIVE PAPERWORK:
- Up to date United Healthcare Administrative Guides, Policies and Procedures
- National Provider Identifier (NPI) – update your NPI in the way that is most convenient for you:
- Visit UnitedHealthcare Online (UnitedHealthcareOnline.com) to update your NPI and related information online, login with your User ID and Password. Go to “Practice/Facility Profile” and select your TIN. Click “continue”, then select the “View/Update NPI Information” tab.
- Fax your NPI to the appropriate fax number based on your geographic location/state. Download/Print the fax form.
- Call 877-842-3210, the Enhanced Voice Portal. Select the “Health Care Professional Services” prompt. State “Demographic changes” and your call will be directed to the Service Center to collect your NPI, corresponding NUCC Taxonomy Codes, and other NPI-related information
- Your UnitedHealth premium assessment report
- Training & Education (learn to use the UnitedHealthcare.com website, attend webinars about important topics at United Healthcare, and receive continuing education credits (CEC’s and CME’s) for online classes)
BENEFIT CONTRACT TYPES; BENEFIT PLAN TYPES; PRODUCTS AND SERVICES:
Below is a list of some of the most common UnitedHealthcare products and services:
- Coding Resources
- Consumer Driven Health Care
- Cover Florida Plans
- Diabetes Health Plan
- EDGE Plans
- Individual Policies
- Medicaid
- Medicare
- Preferred Provider Organization (PPO) plans
- Tiered Benefit Plans
- United Behavioral Health
- Valley Series Product Physician Directory