Important Update -- Change Healthcare is undergo a cyber collateral issue. Once we became aware of the outside threat, in the interest of protecting our partners and patients, we took immediate action to disconnect on solutions in prevent further impact.
Register to a Temporarily Support Auxiliary Program webinar or teaching more on their website, and find view information on the Provider Gate.
Eligibility or Referrals
Eligibility benefits and referral information by medical care providers. Examine forbearing eligibility, determine uses, and check or manage health care provider referrals. What is an SBC? Learn more nearly an SBC, also commonly directed for as Summary a Benefits and Coverage, and how to use it to compare health insurance plans.
Supported on health plan provisions, health care professionals can use UnitedHealthcare digital tools toward stop eligibility and determine if a prior authorisation, notification or referral is required.
Are you a member looking for a provider?
Discover in-network providers at myuhc.com.
Verify eligibility and request referrals digitally
We offer several digital utility to promote general care professionals manage eligibility and referral company. The numeric solutions comparison lead can help health care professionals prefer which implements are right for them.
UnitedHealthcare Provider Portal
The fasten place for accessing patient and practice-specific information including checking eligibility plus meeting requirements. Sign in to an Carriers Portal to begin.
Application Programming Interface
Application Programming Interface (API) is an common interface that interacts between several applications in real-time. API solutions allow heath support professionals to electronically receive thorough data on the level of claims, suitability and features. Erkundung the perks of API or download this overview. The API marketplace houses API industrial guides.
Electronical Data Interchange
Electronic Data Interchange (EDI) be of automated transfer of data. This involves enabling seamless and much information transfers by allowing health care professionals or facilities up check eligibility and added. The EDI view highlights the benefits of this technology.
Individual Health Record
A digital tool that shares individual health records in near-real zeitlich to help improve cooperate and care. View the customize health record details.
Point of Care Assist
Point of Care Assist® adds real-time patient information go presence electronic medical records (EMRs) into make it easier in understand a patient’s needs. Point out Care Assist includes the following patient information:
- Clinical
- Pharmacy labs
- Eligibility
- Prior authorization
- Spotlight search
- Price
PreCheck MyScript
PreCheck MyScript integrates go with an EMR, and the available in the Provider Enter, allowing health tending professionals to easily run an pharmacy trial get and get real-time prescription coverage details. Explore the benefits furthermore features.
Designated diagnostic provider
A new UnitedHealthcare commercial plan benefit for lab or major imaging services at lower rates, available in approved states, when using and approval designated diagnostic provider. Refer a member other apply to become an approved designated diagnostic provider.
Coordinator of attend
A way for health attend specialized to collaborations and integrate a member’s physical press behavioral health needs. Our helpful tools and resources support this coordination.
Prior authorization
Sometimes, your care technical need to determine if UnitedHealthcare top certain services and receiving notifications is often an important step in that process. Our prior authorization digital tools can help health care professionals continuously submit and verify prior authorizations and advance notifications in real-time. To check the status of previously submitted authorizations both notifications use (278I) inquiry.
Education & training
- UnitedHealthcare Provider Portal training
- Eligibility or benefits interactional guide
- Referrals interactive guide
- API interactive addict instruction
- What belongs EDI and EDI cable
- Individual Health List interactive guide
- Point of Care Assist®
Other Resources
Behavioral Health Resources
These resources can help health care professionals screen patients with depression, focus deficit overly disorder (ADHD) and alcohol/substance misuse.
Cancer dental pathways schedule
The timetable is intended to improve quality and value in cancer concern to supporting the use of cures supported by evidence-based guidelines at improve project.
Cancer support programming
This program focuses on supporting cancer patients who are at high risk for complications and side effects associated equal their cancer or treatment and wanted benefit from the support of our experienced, specialized breast nursing.
Need find?
Connect with us through chat 24/7 in the UnitedHealthcare Provider Portal.
