Choose digital first
Digital is your fastest, most cost-effective path to answers. You can find information, complete your work and communicate with us without picking up the phone. This gives you more time to focus on what matters most — caring for your patients.
Going forward, unless there's a system limitation or regulatory exception, we'll no longer mail most plan-related documents to health care professionals and facilities serving UnitedHealthcare UnitedHealthcare commercial, Medicare Advantage and most Community plan members. Instead, you can find most claim-related documents 24/7 in Document Library within the UnitedHealthcare Provider Portal. Your organization will receive an email notification when you have new letters available to view. We encourage you to check Document Library regularly for new notifications. For letters not available digitally, you will continue to receive mail.
Check out what’s recently moved to digital and what’s ahead.
| Upcoming transitions | Timing |
|---|---|
| Arizona UnitedHealthcare Community Plan: Virtual card payment (VCP) statements and claim letters | Nov. 8, 2024 |
| Louisiana and Pennsylvania UnitedHealthcare Community Plan: Claim-related letters and documents | Nov. 8, 2024 |
| Arizona UnitedHealthcare Community Plan: Pre- and post-service appeal/dispute submissions | Dec. 1, 2024 |
| Louisiana and Pennsylvania UnitedHealthcare Community Plan: Reconsideration and appeal submissions | Dec. 1, 2024 |
| Arizona UnitedHealthcare Community Plan: Reconsideration submissions | Jan. 1, 2025 |
| Document type and impacted market(s) | Effective date |
|---|---|
| Virginia UnitedHealthcare Community Plan: Virtual card payment (VCP) statements, and overpayment and claim letters | Sept. 13, 2024 |
| Minnesota and Virginia UnitedHealthcare Community Plan: Claim reconsideration and medical pre- and post-service appeal submissions | Sept. 1, 2024 |
| Massachusetts and Mississippi UnitedHealthcare Community Plan: Medical pre- and post- service appeal submissions | May 1, 2024 |
| Florida and Massachusetts: UnitedHealthcare Community Plan medical claim letters | May 1, 2024 |
| Massachusetts: UnitedHealthcare Community Plan virtual card payment (VCP) statements | Feb. 2, 2024 |
| New Jersey: UnitedHealthcare Community Plan claim letters | Feb. 2, 2024 |
| Washington: UnitedHealthcare Community Plan virtual card payment (VCP) statements and claim letters |
Feb. 2, 2024 |
| UnitedHealthcare Community Plan: Claim reconsideration and medical pre- and post-service appeal submissions | Feb. 1, 2024 |
Important considerations
Each of these transitions may require a change to the way you work today. We encourage you to start sharing this information and review our digital solution options. If you work with an outside vendor for your mail processing, or revenue cycle management company, please discuss how this change may affect your contract or processing arrangements.
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Explore digital solutions
Going digital means less paper and a faster workflow. Our 3 solutions are here to help make that a reality.
Application Programming Interface (API)
Automation technology to access comprehensive real-time data on a timetable you set. Data can be distributed to your practice management system, proprietary software or any application you prefer.
Electronic Data Interchange (EDI)
Electronic connectivity to submit single or batch transactions for multiple members and payers without manual data entry or signing in to multiple payer portals.
UnitedHealthcare Provider Portal
Self-service platform to check eligibility and benefits, manage prior authorization requests, submit claims, request reconsiderations and appeals, and access documents and reports.
Which options best fit your needs?
Our digital solutions comparison guide compares the benefits of each to help you choose which are right for you.
News at a glance
November 14, 2024
Dec. 1: Electronic reconsideration and appeal submissions required
Health care professionals must submit Medicaid medical reconsiderations and appeals electronically in Louisiana and Pennsylvania.
November 13, 2024
Missouri Medicaid: New state communications portal now available
UnitedHealthcare Community Plan and Missouri partner to launch portal, enhancing Medicaid communication.
October 31, 2024
New online utilization management requirement
You will be required to submit utilization management requests online for patients delegated to Optum Health Networks.
October 31, 2024
Now, more Surest support at your fingertips
We’re excited to share new ways to get the answers you need for Surest health plans, including chat and phone support.
October 31, 2024
Your Community Plan medical claim letters are going paperless soon
Starting May 3, 2024, Medicaid claim letters won’t be mailed in Florida and Massachusetts.
October 10, 2024
Dec. 1: Electronic appeal and dispute submissions required for Arizona Medicaid
Health care professionals must submit Medicaid pre- and post-service appeals and disputes electronically in Arizona.