Provider data updates and attestation
Want to help secure accurate and timely payments? Verify your data!
If health care professionals are contracted with us, we require them to verify their demographic data every 90 days. They only need to check or confirm the locations where they're currently treating patients.
How do I update and verify my provider data?
Individual practitioner solutions
CAQH Provider Data Portal
The CAQH Provider Data Portal portal allows you to access directory services and update profiles in real time. It’s a multi-payer solution, so any updates and attestations you make are available to all payers you’ve authorized.
My Practice Profile
Available in the UnitedHealthcare Provider Portal, My Practice Profile lets you verify and attest to the accuracy of data for each health care professional covered within a tax ID number (TIN).
Group solutions
NEW: CAQH Provider Data Portal for Groups
CAQH Provider Data Portal for Groups is a new option created for delegated groups to manage demographic roster submissions. Manage a single standardized roster with CAQH, which shares all updates and attestations with participating CAQH health plans.
Roster Management program
If a practice is assigned to the roster management program, they'll need to work with their assigned roster manager to review and verify the accuracy of the practice's data. You can also submit data through CAQH. Reach out to the roster manager to learn more.
Why is data attestation so important?
Keeping your data accurate helps our members find you. Our members make most of their care decisions based on:
- New patient acceptance
- Office location
- Services and treatments provided
Additionally, some members make care decisions based on your cultural competencies, such as:
- Specialized education for cultural understanding
- Caring for the LGBTQ+
- Language
What do I need to keep updated?
- Phone number associated with the specific provider practice location
- Accepting new patients
- Office locations where the provider accepts appointments only
- United States Postal Service (USPS) address at all locations, including suite, building number and handicap accessibility
- Affiliated group name
- Office hours and website
- Specialties and areas of expertise
- Languages spoken and availability of oral interpretation services and written translation services
- Certifications, affiliations and licenses
- Telehealth services
- Hospital affiliations
- Cultural competency training participation
Area of expertise
Area of expertise designates unique experience, training and certifications and helps members identify in-network health care professionals best aligned with their needs. Sample indicators:
- Working with hearing impaired populations
- Caring for patients with HIV/AIDS
- Medication-assisted treatment (MAT) for substance abuse
Review the Area of expertise indicators
Want to view your profile?
1. In the medical directory choose your UnitedHealthcare contracted plan type and follow the instructions.
2. Type your name in the search bar, select your listing, click the “Area of Expertise” tab.
The Area of Expertise tab will NOT display if there are no indicators associated with your profile.
How can I add, change or remove an area of expertise?
- Submit a request through one of the attestation options above
- Area(s) of expertise will be displayed in the directory based on provider TIN. If you are associated with more than one TIN, updates must be made to all profiles.
- Groups, hospitals or facilities must provide areas of expertise using a roster template
Occasionally, we may add an area of expertise indicator to provider profiles based on historical claim data or expertise verification through a primary source.
For assistance, go to My Practice Profile or if you're in the Roster Management Program, reach out to your roster manager.
What do I need for an area of expertise request?
- Full provider name
- The area(s) of expertise you would like UnitedHealthcare to add, remove from or update in your profile
- Refer to the area of expertise indicator document
- Your NPI and TIN
- Reason for request
Need to get re-credentialed as a UnitedHealthcare partner in care?
Get started on the Join Our Network page.