Jan. 1: Electronic reconsideration submissions required
Affects Arizona Medicaid
Starting Jan. 1, 2025, you’ll be required to submit claim reconsiderations electronically. This change affects most* network health care professionals (primary and ancillary) and facilities that provide services to UnitedHealthcare Community Plan (Medicaid) members in Arizona.
How to submit claim reconsiderations
Use one of the following options:
1. UnitedHealthcare Provider Portal:
- From any page on UHCprovider.com > Sign In
- Enter your One Healthcare ID
- Users who don’t have a One Healthcare ID: Visit UHCprovider.com/access to get started
- In the menu, click Claims & Payments > Look up a Claim to search by the claim number and click Act on Claim
- Enter your One Healthcare ID
2. Application Programming Interface (API): API is a fully electronic digital solution that allows you to automate administrative transactions. This is a great alternative for organizations with medium-to-high claim volume that have the technical resources to program API or the ability to outsource implementation.
Get started with API.
Questions? We’re here to help
Connect with us through chat 24/7 in the UnitedHealthcare Provider Portal.
For help accessing the portal, technical issues and changing notification preferences, please call UnitedHealthcare Web Support at 866-842-3278, option 1, 7 a.m.–9 p.m. CT, Monday–Friday.
* Exclusions: Behavioral health professionals and facilities and home- and community-based services.
PCA-1-24-02074-POE-NN_09102024
