Be sure to have a PDF version of your W-9 tax form and documentation to prove your primary practice location address.

Because code removals vary by state and UnitedHealthcare plan, you can use the Prior Authorization and Notification tool on the UnitedHealthcare Provider Portal to quickly verify whether a service is ...

Effective January 1, 2026, the UHC West Plan Codes Report will be available for Commercial plans only. Medicare and Retirement will no longer use plan codes. For Medicare Advantage (MA), benefit plan ...

Please note: The portal's digital tools are designed to be used for members who have a plan that requires a referral to see a specialist. You can learn more about referrals in our user guide. Health ...

UnitedHealthcare community plan policies and guidelines for healthcare professionals. Find medical, drug, and reimbursement policy information.

Listing of requirements for Clinical Pharmacy /Drugs Prior Authorization, Notification, and Medical Necessity for Commercial Members.

In accordance with state laws requiring posting of utilization review statistics for transparency and disclosure purposes, UnitedHealthcare publishes its quarterly utilization review statistics and ...

UnitedHealthcare Dual Special Needs Plans (D-SNP) offer benefits for people with both Medicare and Medicaid. D-SNP plans provide benefits beyond Original Medicare, such as transportation to medical ...

You have 2 options for receiving payments from UnitedHealthcare. Both are facilitated by Optum Pay, a full-service payment and remittance solution used by all sizes and types of health care ...

UnitedHealthcare Dual Special Needs Plans (D-SNP) offer benefits for people with both Medicare and Medicaid. D-SNP plans provide benefits beyond Original Medicare, such as transportation to medical ...

If you need an older version of an Administrative Guide or Care Provider Manual, please contact your Provider Advocate. To find the contact information for your Provider Advocate, go to Find a Network ...

UnitedHealthcare Medicare Solutions & UnitedHealthcare Community Plan (Dual Special Needs Plan) Prior Authorization Requirements View UnitedHealthcare Medicare Solutions & UnitedHealthcare Community ...