Learn more about the tools and best practices designed for delegated providers.
Access to Care Training – Department of Managed Care Non-Emergency Access Regulations
Delegation Oversight – Preferred vs. In-Network Providers
Delegation Oversight – Reopening in the Appeals Process
Facility Denial Letter – Best Practice
Inpatient concurrent review documentation
Member Initiated Organization Determinations (MIODs) Overview
Mental Health Parity Training for Delegated Providers
New Authorization Log Submission Training
Notice of Medicare Non-Coverage (NOMNC) and QIO
Special Needs Plans (SNP) Annual Face-to-Face Encounters
Special Needs Plan (SNP) Model of Care Training for Providers
UnitedHealthcare Appeals Process – Delegate Responsibilities
2026 Enhanced Authorization Log Training
This training includes Authorization Log file requirements and submission and testing guidelines. It is required for all delegates who were submitting authorization logs prior to Jan. 1, 2026 and will continue to submit authorization logs after Jan. 1, 2026.
Member ID Format, Eligibility Timelines and Crosswalks
This training includes education on changing data elements, member ID card changes, eligibility timelines and member/provider crosswalks for Medicare Advantage.
MOOP, DME and Transplant Reporting Training
This training includes an overview of the Member Out Of Pocket (MOOP), Durable Medical Equipment (DME) and Transplant Reporting.