Small independent health care provider resources
Managing a small practice means balancing patient care with administrative responsibilities. That’s why we put the resources you use most in one place. Whether you need help with claims, payment status, prior authorization, filing requirements or data maintenance, you can quickly find what you need to keep your practice running smoothly.
Use digital tools first
Get the information you need faster with our digital tools:
- Access resources 24/7 through our website, portal and chat tools
- Use self-service tools to complete commons tasks fast
- Check claim status
- Catch claim errors before submission
- Verify benefits and eligibility
- Submit prior authorizations
- View ID cards
- Update practice information to help prevent payment delays
- Verify and attest to your demographic data accuracy
Get started
Anyone who does administrative work with us, such as contracting and credentialing, benefits and eligibility checks, prior authorization, and claims status checks and submissions, etc., including all third-party vendors, needs to register for the UnitedHealthcare Provider Portal.
Explore our digital solutions to find the tools that work best for your practice.
Verify eligibility and benefits
Before providing services, use the Eligibility tool in the portal to:
- Verify member eligibility
- View benefit and plan details
- Check or manage health care provider referrals
- Get a digital copy of member ID cards
Submit prior authorization
Before submitting a prior authorization, verify the member's plan information and include all required documentation. Then, use the Prior Authorization and Notification tool in the portal to:
- Submit prior authorization requests
- Upload documents
- View an existing request status
Claim submission: Reduce claim denials, returns and rework
Most denied or returned claims are caused by missing or incorrect information. To help prevent a delay in payment and additional work:
- Submit claims in the portal
- Review Smart Edits to detect claims with potential errors so you can correct any areas that would deny or suspend your claim
- See the most common return codes
Check claim or payment status
Use the Claims tool in the portal to check claim and payment status when you need to take action.
- Search by member and claim number
- Explore available actions (submit corrected claim, reconsideration or appeal or act on a pending claim)
Integrate the Optum Real Claim Inquiry API into your workflow.
Timely filing and accurate practice information
Meeting filing deadlines and keeping practice information up to date can help prevent claim issues and payment delays. Use My Practice Profile in the portal to:
- Review, verify and attest that your practice information is current — or make updates
- Review your contract requirements for filing deadlines
View attestation overview and best practices
Additional resources
Explore additional tools and training to help you manage administrative tasks, reduce errors and stay informed about UnitedHealthcare processes and requirements.
- UnitedHealthcare Provider Portal resources: Learn more about portal tools, training and guidance to help you manage claims, prior authorizations, payments and provider information more efficiently
- Education and training: Find self-paced training, courses and webinars created specifically for you
Questions? We’re here to help
Connect with us through chat 24/7 in the UnitedHealthcare Provider Portal.