We have online tools and resources to help you manage your practice’s claim submissions and payments.
Need to submit a claim, check status or submit a reconsideration request? Use the Claims and Payments tool found within the UnitedHealthcare Provider Portal. For more information, visit our Claims, billing and payments page.
If you are not satisfied with the outcome of a claim reconsideration request, you may submit a formal claim dispute/appeal using the process outlined in your Care Provider Manual.
Additional state requirements may apply. Please consult the applicable state Provider Administrative Guide or Manual for more details or contact the provider services center.
To view up-to-date claim reconsideration information, go to the UnitedHealthcare Provider Portal.
Member dental plan and benefit information can be found at UHCCommunityPlan.com/LA and myuhc.com.
Dental Benefits for enrollees under the age of 21 may be managed by DentaQuest or Managed Care of North America (MCNA). Both providers are premier dental benefits administrators that provide exceptional service to State Agencies and managed care organizations for Medicaid. For benefits, claims, provider enrollment, direct deposit issues, demographic changes, NPI information, etc., contact:
We provide dental benefits for enrollees over 21 through value-added benefits. Enrollees over age 21 get up to $500 per year for routine dental exams, X-rays and cleanings. For benefits, claims, provider enrollment, direct deposit issues, demographic changes, NPI information, etc., contact:
Additional benefits are available through DentaQuest and MCNA. For detailed information, please refer to the dental plan comparison chart.
There are 2 options available for care providers who are enrolled to receive electronic payments from UnitedHealthcare — Automated Clearing House (ACH)/direct deposit and virtual card payment (VCP). Both options are facilitated by Optum Pay, a full-service payment and remittance solution. You can learn more about these options on our Electronic payment options page.
Using Electronic Data Interchange (EDI) for all eligible UnitedHealthcare transactions can help your organization improve efficiency, reduce costs and increase cash flow. We encourage you to use the following tools and resources to help you get started with electronic transactions.
Fee Schedules are available from the State of Louisiana Department of Health & Hospitals.
Member vision plan and benefit information can be found at UHCCommunityPlan.com/LA and myuhc.com.
March Vision Care is the vision vendor for UnitedHealthcare and provides routine vision services including:
For all other vision services, please call UnitedHealthcare Community Plan at 866-675-1607.
March Vision Care is the vision vendor for UnitedHealthcare and provides routine vision services. Additional vision and services will be provided to complement the limited Medicaid vision benefit. Services include:
Note: Vision services performed by an optometrist are reimbursable for routine and non-routine services. Claims must be submitted to March Vision Care for processing. This is due to the expanded scope of the services the Louisiana Board of Optometry now allows optometrists to perform in the office setting.
Phone: 844-52-MARCH or 844-526-2724
Online: marchvisioncare.com/providerreferenceguides.aspx
Claims Processing Center
6701 Center Drive West, Suite 790
Los Angeles, CA 90045
A PRA is generated for every processed claim and includes relevant details about how the claim was processed.