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Join our network - Ancillary providers and centers

Join the UnitedHealthcare network as an ASC, AIS, Dialysis, DME, Hemophilia Treatment, Home Health and Hospice, Infusion/Specialty Pharmacy, Diagnostic Testing, Radiology or Sleep Facility.

Become part of a network of health care professionals and facilities committed to helping people live healthier lives and making the health care system better for everyone. Select the appropriate service line below for instructions. 

 

What to have ready 

  • Complete contact information
  • NPI and TIN
  • W-9, if applicable
  • Cultural competency details

 

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Ambulatory infusion suites (AIS) are community sites for infusion services. These locations offer high-quality, lower-cost options with personalized care in a comfortable setting for those who are not homebound. 

Required steps

1
Fill out the digital questionnaire
2
Save/download completed questionnaire
3
Email completed questionnaire

Contracting requirements
  • Administration ability of longer-term chronic medications for management of chronic diseases (e.g., rheumatoid arthritis, multiple sclerosis)
  • Nursing services for administration of these medications; this does not mean the AIS is a home health provider
  • Administrative service per diems inclusive of clinical management, supplies, equipment, delivery, medication compounding, hazardous waste disposal and standard additives for nutritional products (not all medications require a per diem)
Required documentation
  • JCAHO, URAC, CHAP, ACHC or TCT accreditation
  • Licensure to do business in participation state(s)
  • Medicare enrollment status
  • Community Plan (Medicaid) participation requires proof of enrollment by state 
Submission instructions

If the application or supporting documentation is incomplete, you will receive an email identifying the missing information. The review will begin upon the receipt of the completed required documentation.

What happens after submission
  • A confirmation email will verify receipt of your participation request
  • We’ll review your application and make a decision within 15 business days
  • If approved, a representative will contact you with next steps 
If your request is declined
If your credentialing is approved, your request will remain on file for a period of 1 year. We will reach out to you if our network needs change. You may submit another request 1 year from the date we declined your request. 

Questions?

Please email ancillarynetwork@uhc.com. You will receive a response within 10 business days.

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Ambulatory surgery centers (ASC) are high-quality, low-cost alternatives to hospitals for approved procedures. 

Required documentation
  • W-9 for each tax ID number (TIN)
  • Insurance face sheet/certificate for facility
  • Organizations license issued by the state
  • CMS letter showing your Medicare provider number
  • Roster of physicians with privileges at the surgery center, including TIN and current hospitals with privileges 
Eligibility requirements 
  • Accreditation by a Centers for Medicare & Medicaid Services (CMS)-approved Accreditation Organization (AO) for ambulatory surgery centers
  • Enrollment in state’s Medicaid plan for participation in UnitedHealthcare Community Plan (Medicaid) plans
  • Completed UnitedHealthcare credentialing through the automated onboarding self-service tool, Onboard Pro
Submission instructions
  1. Complete online credentialing application through the automated onboarding self-service tool, Onboard Pro

If the application or supporting documentation is incomplete, you will receive an email identifying the missing information. The review will begin upon the receipt of the completed required documentation.

What happens after submission
  • You’ll receive a confirmation verifying that your participation request was received
  • If approved, a network contractor will be assigned to assist you with the next steps of the participation process
  • Please allow up to 60 days for your contract to be loaded into our systems once credentialing is approved and a signed contract has been received. This will prevent your claim from being denied or paid at an out-of-network level.

Questions?

If you have questions about the process or need help, please email us at ascnetwork@uhc.com. You will receive a response within 10 business days.

Helpful tips

If UnitedHealthcare is not accepting new applications for participation in our network for your specialty or geographic area, UnitedHealthcare will notify you and close your request.

Credentialing is required for all licensed individual health care professionals to participate in the UnitedHealthcare networks and prior to seeing UnitedHealthcare members. This should be done no more than 30 days before your effective date at your practice. UnitedHealthcare will review your request and let you know if we need any additional information.

If you have questions about your credentialing status, please use your One Healthcare ID to sign in and chat with a live representative. Don’t have a One Healthcare ID? Register now. 

Recredentialing

UnitedHealthcare automatically starts the process when you approach the 3-year credentialing cycle. If you maintain a complete and current data attestation every 120 days, there's nothing more you need to do.

Additional state and federal credentialing requirements

UnitedHealthcare Credentialing Plan 2023–2025

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We are accepting limited dialysis network contracting requests at this time

The dialysis network is currently closed for commercial and Medicare market contracting. The dialysis network is open only to providers that have locations in mandatory contracting states.

Requests for the dialysis network are based partially on credentialing as well as geographical need.

Required steps

1
Submit a credentialing application through Onboard Pro
2
If approved, forward the credentialing approval letter
3
Wait for verification email — usually received within 10 business days

Submission instructions
  • Submit your credentialing application through Onboard Pro, our improved credentialing tool found in the UnitedHealthcare Provider Portal. 
  • To get started, click Sign In at the top-right corner of UHCprovider.com. Then enter your One Healthcare ID. Don’t have a One Healthcare ID? Register now.
  • If approved, you will receive a letter confirming your status 
  • Forward the credentialing approval letter with letter of interest to ancillarynetwork@uhc.com
  • The request will be reviewed with need by geography
  • Provider is notified of our decision by email within 10 business days 

Questions?

If you have questions about the process or need help, please email us at  ancillarynetwork@uhc.com. You will receive a response within 10 business days.

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We are not accepting durable medical equipment, prosthetics, orthotics and supplies (DMEPOS) network contracting requests at this time

The DMEPOS network is currently closed for market contracting. Please check back frequently for updates. 

Required steps

1
Fill out the digital questionnaire
2
Save/download completed questionnaire
3
Email completed questionnaire

Required documentation
  • Proof of accreditation and good standing by the Centers for Medicare & Medicaid Services (CMS)
  • Approval by independent national accreditation organization (AO) for DMEPOS
  • Proof of enrollment in individual state Medicaid plan(s), if applicable 
Submission instructions 

To submit a request to join the UnitedHealthcare DMEPOS network, email completed online questionnaire with required documentation to dmeposnetwork@uhc.com.

If the application or supporting documentation is incomplete, you will receive an email identifying the missing information. The review will begin upon the receipt of the completed required documentation.

What happens after submission
  • You’ll receive a confirmation email verifying that your participation request was received
  • We’ll review your application and make a decision within 15 business days
  • If approved, a representative will contact you with next steps in the participation process

Questions?

If you have questions about the process or need help, please email us at dmeposnetwork@uhc.com. You will receive a response within 10 business days.

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Required steps

1
Fill out the digital questionnaire
2
Save/download completed questionnaire
3
Email completed questionnaire

Required documentation
  • Federally funded covered entity in the 340B Drug Pricing Program
  • Licensure to do business in the state(s)
  • Medicare enrollment status
  • Proof of enrollment in individual state Medicaid plan(s)
Submission instructions 

Email completed online questionnaire with required documentation and required supplemental information to ancillarynetwork@uhc.com.

If the application or supporting documentation is incomplete, you will receive an email identifying the missing information. The review will begin upon the receipt of the completed required documentation.

What happens after submission
  • You’ll receive a confirmation email verifying that your participation request was received
  • We’ll review your application and make a decision within 15 business days
  • If approved, a representative will contact you with next steps in the participation process
If your request is declined
If your credentialing is approved, your request will remain on file for a period of 1 year. We will reach out to you if our network needs change. You may submit another request 1 year from the date we declined your request. 

Questions?

If you have questions about the process or need help, please email us at ancillarynetwork@uhc.com. You will receive a response within 10 business days.

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We are not accepting home- and community-based services (HCBS) commercial and Medicare network contracting requests at this time

The HCBS network is currently closed for commercial or Medicare market contracting. Please check back frequently for updates.

Home and community support services are resources that provide care in individual homes and throughout communities as well as some Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) services, including:

  • AAA and ASAP
  • Adult day care/social day care and adult day health care
  • Adult foster care/developmentally disabled group home
  • Assisted care living facility/home
  • Assistive technology supplier
  • Environmental adaptation company
  • Fiscal intermediary
  • Foster care agency
  • Home-delivered meals agency
  • Licensed home care agencies (attendant care, habilitation, homemaker, in-home supportive care, personal care, private duty nursing and respite)
  • Prescribed pediatric extended care centers (pediatric medical day care)
  • Personal emergency response system
  • Pest control company
  • Respite care facility
  • Transition service agency
  • Vehicle modification
Submission instructions

Veteran’s Community Care Network (VA CCN)

Please contact Optum Serve Provider Services:

Region 1: 888-901-7407

Region 2: 844-839-6108

Region 3: 888-901-6613

UnitedHealthcare Community Plan (Medicaid)

You must be enrolled in the individual state Medicaid plan(s) in which you are requesting participation.

Email letter of interest with the following information to hcbsprovidernetwork@uhc.com.

  • Provider name
  • Provider address (including state)
  • Contact name
  • Contact phone number
  • Contact email
  • Tax ID number (TIN)
  • National Provider Identifier (NPI) number, if applicable
  • Services provided
What happens after submission
  • You’ll receive a confirmation email verifying receipt of your participation request
  • We’ll review your application and make a decision within 15 business days
  • If approved, a representative will contact you regarding next steps
  • If declined, you will receive an email or letter advising of the determination
If your request is declined
If your credentialing is approved, your request will remain on file for a period of 1 year. We will reach out to you if our network needs change. You may submit another request 1 year from the date we declined your request

Questions?

If you have questions about the process or need help, please email hcbsprovidernetwork@uhc.com. You will receive a response within 10 business days.

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Not a Medicare-certified home health or hospice provider?

If you are not a Medicare-certified home health or hospice provider, email your tax ID number (TIN), state and services provided to hcbsprovidernetwork@uhc.com.

You must be credentialed before requesting home health and hospice participation with UnitedHealthcare.

  1. Submit a credentialing application through the automated onboarding self-service tool, Onboard Pro
  2. You will receive a letter confirming your status
If you are credentialed with UnitedHealthcare:
  1. Have your 6-digit Medicare ID and credentialing documentation ready
  2. Fill out the digital questionnaire
  3. Download and save the completed questionnaire
  4. Email completed questionnaire with required documentation to hhcnetwork@uhc.com

Note: If the application or supporting documentation is incomplete, you’ll be notified by email of what’s missing. The review will begin after receipt of the complete required documentation.

Questions?

If you have questions, please email hhcnetwork@uhc.com. You will receive a response within 10 business days.

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Home infusion therapy is the administration of acute and chronic medications using intravenous, subcutaneous, epidural and enteral routes, which allows patients to receive therapy at home.

These therapies are covered under the UnitedHealthcare medical benefit as they require a clinician, such as a nurse, for the administration of the drug. Drugs covered under the pharmacy benefit are self-administered and do not require a clinician (e.g., nurse) for administration of the drug.

UnitedHealthcare contracts for home infusion services include 3 components:

  • Drugs which can include both acute and chronic medications
    • Acute medications are commonly used to support hospital discharges and have a short-term duration (e.g., antibiotics)
    • Chronic medications commonly have longer-term duration and are used to support management of chronic diseases (e.g., Remicade® or immunoglobulin (IVIG))
  • Nursing services for administration of the drug (this does not mean home infusion is a home health provider)
  • Per diems which cover administrative services that are inclusive of clinical management, supplies, equipment, delivery, drug compounding, hazardous waste disposal and standard additives for nutritional products (not all drugs require a per diem)

Required steps

1
Fill out the digital questionnaire
2
Save/download completed questionnaire
3
Email completed questionnaire

Required documentation
  • JCAHO, URAC, CHAP, TCT or ACHC accreditation for home infusion providers
  • URAC accreditation for specialty pharmacy providers
  • Licensure to do business in the state(s)
  • Medicare enrollment status
  • Proof of enrollment in individual state Medicaid plan(s), if applicable 
Submission instructions
Email completed online questionnaire with required documentation and required supplemental information to ancillarynetwork@uhc.com.

If the application or supporting documentation is incomplete, you will receive an email identifying the missing information. The review will begin upon the receipt of the completed required documentation.

What happens after submission
  • You’ll receive a confirmation email verifying that your participation request was received
  • We’ll review your application and make a decision within 15 business days
  • Upon approval, a representative will contact you with next steps in the participation process
  • If the application or supporting documentation is incomplete, you will receive an email identifying the missing information
  • The review will begin upon the receipt of the completed required documentation
If your request is declined
If your credentialing is approved, your request will remain on file for a period of 1 year. We will reach out to you if our network needs change. You may submit another request 1 year from the date we declined your request. 

Questions?

If you have questions about the process or need help, please email us at ancillarynetwork@uhc.com. You will receive a response within 10 business days.

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Please note: If you are a radiologist looking to join our network, please visit our Join our network – Medical providers page.  

Required steps

1
Fill out the digital questionnaire
2
Save/download completed questionnaire
3
Email completed questionnaire

Required documentation
  • Medicaid participation: Please include relevant Medicaid IDs issued by the applicable state
  • Advanced radiology services (e.g., CT, MRI, MRA, PET, nuclear medicine): Please include an independent accreditation certificate or letter from an accreditation agency (e.g., ACR, IAC, etc.), if applicable 
Submission instructions

Imaging/radiology centers/mobile imaging centers: Email completed questionnaire with required documentation and supplemental information to ancillarynetwork@uhc.com.

Portable X-ray: Please start the credentialing process within Onboard Pro.

If the application or supporting documentation is incomplete, you will receive an email identifying the missing information. The review will begin upon the receipt of the completed required documentation.

What happens after submission
  • You’ll receive a confirmation email verifying that your participation request was received
  • We’ll review your application and notify you of the decision in writing
  • If approved, a representative will contact you with next steps in the participation process
If your request is declined
If your credentialing is approved, your request will remain on file for a period of 1 year. We will reach out to you if our network needs change. You may submit another request 1 year from the date we declined your request. 

Questions?

If you have questions about the process or need help, please email us at ancillarynetwork@uhc.com

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Required steps

1
Fill out the digital questionnaire
2
Save/download completed questionnaire
3
Email completed questionnaire

Submission instructions

To submit a request to join the UnitedHealthcare independent diagnostic testing facilities (IDTF) network, please email the completed online questionnaire with required documentation to ancillarynetwork@uhc.com.

If the application or supporting documentation is incomplete, you will receive an email identifying the missing information. The review will begin upon the receipt of the completed required documentation.

Please note: To join our network as a Radiology Center, please see the Radiology section below.

What happens after submission
  • You’ll receive a confirmation email verifying that your participation request was received
  • We’ll review your application and make a decision within 15 business days
  • Upon approval, a representative will contact you with next steps in the participation process
  • If the application or supporting documentation is incomplete, you will receive an email identifying the missing information
If your request is declined
If your credentialing is approved, your request will remain on file for a period of 1 year. We will reach out to you if our network needs change. You may submit another request 1 year from the date we declined your request. 

Questions?

If you have questions about the process or need help, please email us at ancillarynetwork@uhc.com.

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We are accepting limited free-standing lab network contract requests at this time

Laboratory network requests are only being accepted in: Arkansas, Idaho, Illinois, Indiana, Kentucky, North Carolina, Tennessee, Washington and Wyoming. We are not accepting requests in any other states at this time.

Thank you for your interest in joining the UnitedHealthcare laboratory network. This process applies only to independent clinical reference labs, defined as a lab not owned by a hospital or medical group and is accessible to any member enrolled in one of our benefit plans.

Hospitals or facilities requesting a contract for a reference lab, please submit requests using the automated onboarding self-service tool, Onboard Pro.

Required steps

1
Credentialing application using the RFP process
2
Complete questionnaire and disclosure submission
3
Email completed forms

Eligibility requirements

Requirements for participation include, but are not limited to:

  • CLIA accreditation or compliance
    • CLIA waiver is not acceptable
    • Registration is not acceptable
  • College of American Pathologists (CAP)
  • Clinical Laboratory Evaluation Program (CLEP)
  • Medicare certification
  • Medicaid certification
  • Complete and return the Laboratory Services Questionnaire and Ownership Disclosure
  • Be approved by the Laboratory Services Committee
  • Complete the credentialing application and receive approval from the Credentialing Committee 
Additional information to include with your request
  • National Provider Identifier (NPI) number
  • Copies of CLIA, CAP, CLEP and state-specific certifications
  • Medicare number
  • Medicaid numbers by state
  • Professional liability certification
Submission instructions
What happens after submission
  • You’ll receive a determination email within 90 days of submission
  • Your contract manager will send you credentialing documents and begin contract preparation
  • Completing the credentialing process does not guarantee a contract will be offered
  • The effective date of the agreement will be assigned after the contract is accepted
  • You will be sent a fully executed contract 
If your request is declined
If your credentialing is approved, your request will remain on file for a period of 1 year. We will reach out to you if our network needs change. You may submit another request 1 year from the date we declined your request. 

Questions?

If you have questions about the process or need help, please email naspi@uhc.com. Please do not send multiple requests if seeking an application update as this will delay your review.

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Thank you for your interest in enrolling as a pharmacist provider with the UnitedHealthcare Community Plan (Medicaid) provider network. Pharmacist-as-provider legislation has opened new opportunities for pharmacists, which include services that go beyond dispensing medications. Note that these expanded practice opportunities are designated by each state, and some states are not yet enrolling. To enroll as a pharmacist provider under the UnitedHealthcare medical benefit where available, please see the required documentation and submission instructions below to continue through the enrollment process.

Required steps

1
Enroll with the individual state Medicaid program
2
Complete and submit the Pharmacist Provider Enrollment form
3
Register with the UnitedHealthcare Provider Portal
Required documentation
  • Proof of state Medicaid enrollment
  • Completed Pharmacist Provider Enrollment form
  • Pharmacist/pharmacy contact information
  • Individual and/or location National Provider Identifier (NPI) number and/or tax ID number (TIN)
  • W-9
  • Additional documents as required per state Medicaid program
  • Proof of professional liability insurance
Submission instructions
  • All providers must first enroll with the individual state-specific Medicaid program. If you are not currently enrolled, information on how to complete this process may be found through the state Medicaid site or the state’s UnitedHealthcare Community Plan Medicaid Enrollment Resources
  • After enrolling with the state’s Medicaid program, complete and submit the Pharmacist Provider Enrollment form
  • Once you’re enrolled as a UnitedHealthcare Community Plan in-network provider, you’ll need to create a One Healthcare ID, if you don’t already have one, and register for the UnitedHealthcare Provider Portal. You will use this secure portal to work with us, and access patient- and practice-specific information.
What happens after submission
If the application or supporting documentation is incomplete, you will receive an email identifying the missing information within 5-7 business days. The review will begin upon the receipt of the completed documentation required for enrollment.  
If your request is declined
We actively monitor regulatory changes associated with provider enrollment across all Medicaid markets. Your request will remain on file for a period of 1 year. We will reach out to you if we begin enrolling pharmacists in your state. 

Questions?

If you have questions about the process or need assistance, please email uhccs_pharmacy@uhc.com. You will receive a response within 10 business days. 

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We are not accepting sleep studies network contracting requests at this time

The sleep studies network is currently closed for market contracting. Please check back for updates.

Required steps

1
Fill out the digital questionnaire
2
Save/download completed questionnaire
3
Email completed questionnaire

Submission instructions

To submit a request to join the UnitedHealthcare sleep studies network, email the completed online questionnaire with required documentation to ancillarynetwork@uhc.com.

If the application or supporting documentation is incomplete, you will receive an email identifying the missing information. The review will begin upon the receipt of the completed required documentation.

What happens after submission
  • You’ll receive a confirmation email verifying that your participation request was received
  • We’ll review your application and make a decision within 15 business days
  • Upon approval, a representative will contact you with next steps in the participation process
  • If the application or supporting documentation is incomplete, you will receive an email identifying the missing information
If your request is declined
Your request will remain on file for a period of 1 year. We will reach out to you if our network needs change. You may submit another request 1 year from the date we declined your request.

Questions?

If you have questions about the process or need help, please email us at ancillarynetwork@uhc.com

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Looking to contract for Non-Emergent Medical Transportation (NEMT)?

At this time, UnitedHealthcare does not directly contract for these services. Please reach out to the vendor in the market where you are located.

Required steps

1
Fill out the digital questionnaire
2
Save/download completed questionnaire
3
Email completed questionnaire

Required documentation
  • Ground and air ambulance: Please include proof of accreditation and good standing by the Centers for Medicare & Medicaid Services (CMS)
  • Air ambulance: Proof of participation in an independent accreditation organization (CAMTS, EURAMI, etc.), as applicable
  • Medicaid participation: Include relevant Medicaid IDs issued by the applicable state
Submission instructions

To submit a request to join the UnitedHealthcare network, email the completed online questionnaire with required documentation to ancillarynetwork@uhc.com.

If the application or supporting documentation is incomplete, you will receive an email identifying the missing information. The review will begin upon the receipt of the completed required documentation.

What happens after submission
  • You’ll receive a confirmation email verifying that your participation request was received
  • We’ll review your application and make a decision within 15 business days
  • Upon approval, a representative will contact you with next steps in the participation process
  • If the application or supporting documentation is incomplete, you will receive an email identifying the missing information
If your request is declined
If your credentialing is approved, your request will remain on file for a period of 1 year. We will reach out to you if our network needs change. You may submit another request 1 year from the date we declined your request.

Questions?

If you have questions about the process or need help, please email us at ancillarynetwork@uhc.com. You will receive a response within 15 business days.

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To submit a request to join the network, please start a new chat by signing in to the UnitedHealthcare Provider Portal with your One Healthcare ID. Then, select the icon in the lower-right corner. From the chat window, choose the Provider Onboarding option and state you’d like to join the network.

Arizona: If you’d like to join the network as an urgent care center in Arizona, please start the process in Onboard Pro.

Need help with your application status?

To check the status of your credentialing application, sign in with your One Healthcare ID. This allows you to access self-service tools or connect to a chat advocate for support. ​ Please have the care provider’s full name, tax ID number (TIN) and National Provider Identifier (NPI) number available.