- Check by physician or facility name, enrollee ID number, or by patient name.
-Obtain detailed information on payment status, payment amount, claim amount and charge code detail.
-Submit professional claims online and receive an immediate return of a fully adjudicated claim value and the patient's responsibility based on contracted discounts and plan benefits.
- Prepopulates the claim form with patient and physician information.
-Confirmation of claim receipt sent after each submitted claim.
- UnitedHealthcare Online All-Payer GatewayTM - a low cost connection from UnitedHealthcare Online to a leading clearinghouse, where you can upload and submit batch claim files to most of your commerical and government payers.
Claim Processing Resources
Claim Appeals- Complete the UnitedHealthcare Request for Reconsideration Form before submitting an appeal.
Claim Recovery Vendor List - UnitedHealth Networks, Inc. has contracted with vendors to recover specific overpayments on behalf of itself and any entity controlling, controlled by or under common control with UnitedHealthcare (affiliates).
Electronic Claims Submission (EDI) - An advanced form of electronic business to business communication that instantly links your computer system with those of UnitedHealthcare, other health plans and government payers.
Fee Schedule Look-up
Quickly look-up your fee schedule up to 10 CPT/HCPC codes at a time.
Electronic Payments & Statements (EPS)
Provides capabilities to simplify the reconciliation of Explanation of Benefits (EOBs) and payments, reduce paperwork and manual processes, enhances cash flow.
