Nov. 1: Submit post-service appeals electronically

Affects Hawaii, New Mexico, Rhode Island and Wisconsin Medicaid plans

Over the past few years, we’ve shared and implemented our plans to transition to digital transactions. This helps ensure you get the answers you need more quickly. As part of that effort, as of Nov. 1, 2026, you’re required to submit all post-service appeals electronically. We will not review any appeals that are submitted by mail.

This change affects most* network health care professionals (primary and ancillary) and facilities that provide services to UnitedHealthcare Community Plan members in Hawaii, New Mexico, Rhode Island and Wisconsin. 

Please share the following changes and digital workflow options with your team, including outside vendors, such as revenue cycle management companies.

How to submit post-service appeals

Use one of the following options:

1. UnitedHealthcare Provider Portal:

• From any page on UHCprovider.com > Sign in to the portal with your One Healthcare ID
  • If you don’t have a One Healthcare ID, register now
• In the menu, click Claims & Payments > Look up a Claim to search by the claim number and click Act on Claim

2. Application Programming Interface (API): AI is a fully electronic digital solution that allows you to automate administrative transactions. This is a great alternative for  organizations with medium-to-high claim volume that have the technical resources to program API or the ability to outsource implementation.

Get started with API.