Digital solutions
Work with us electronically
Working with us electronically is the fastest way to find plan-related information, complete tasks, get claim decisions and receive payments — all without calling.
UHC Provider Portal access required
Anyone who does administrative work with us, such as contracting and credentialing, benefits and eligibility checks, prior authorization, and claims status checks and submissions, etc., including all third-party vendors, needs access.
Which digital solution fits your needs?
Enhancements
| UnitedHealthcare Provider Portal |
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Eligibility and benefits
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| API |
Three enhancements have been added to the Claims API suite:
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| EDI |
| SSI joins the list of clearinghouses that now accept unsolicited EDI 275 claim attachments |
Benefits of digital self-service and chat
Get information on UHCprovider.com
Access news, medical policies, training and resources about our digital tools and benefit plans.
Complete tasks in the secure UnitedHealthcare Provider Portal
Find member information, view documents and reports, submit plan-related information and get decisions electronically.
Contact us 24 hours a day, 7 days a week through chat in the portal.
- Complete and track credentialing requests in real time
- Verify benefits and eligibility
- Check gold card status, view status of and submit prior authorizations
- Manage and submit claims, payments and referrals
- View documents in the portal’s Document Library
- Update demographic data
We’re always adding new digital tools and portal enhancements to simplify your workflows.
- Updates ensure online requests and submissions are routed to the right people, right away
- There’s always a digital trail; get decision IDs, documentation and more
- Online attachment capabilities
- Detailed remark codes
- Automation reduces rekeying
- Smart features make verifying your identity easier than phone
- And more
According to the Council for Affordable Quality Healthcare (CAQH), the average time saved per transaction using digital solutions are as follows:
- Claim status inquiry: 18 minutes
- Eligibility and benefits: 12 minutes
- Prior authorization: 14 minutes
- Claim submission: 7 minutes
Source: 2024 CAQH Index Report
If you can’t get answers through self-service, you can chat 24/7 in the portal. Using chat for simpler inquiries is your fastest path to speak with an advocate if needed and reserves the phone for more complex questions.
- Available to network and out-of-network health care professionals
- Reach the same experts using chat as you do by phone
Need help?
Get training
Learn more about our digital solutions and more through our self-paced guides and instructor-led courses.
Chat with us
Connect with us through chat 24/7 in the UnitedHealthcare Provider Portal.