We have online tools and resources to help you manage your practice’s claim submission and payment.
You can use Claims to manage claims for all UnitedHealthcare members. Claims allows you to check the status of claims, or initiate online claim reconsideration requests, for up to 24 months.
As a care provider, you can file a complaint with UnitedHealthcare Community Plan regarding any aspect of the health plan by completing the Provider Complaint/Grievance Form.
The form can be delivered in two ways.
Mail:
Complaints and Appeals
UnitedHealthcare Community Plan
Attn: Complaint and Appeals
P.O. Box 31364
Salt Lake City, UT 84131-0364
Fax: 801-994-1082
For assistance, call Customer Service at 888-887-9003.
You also have the right to submit a complaint to the Texas Health and Human Services Commission (HHSC) Provider Resolution Services.
Written complaints can be submitted via regular mail or email to:
The Texas Health and Human Services Commission
Provider Complaints
Health Plan Operations, H320
P. O. Box 85200
Austin, TX 78708
Email: HPM_Complaints@hhsc.state.tx.us
For more information about protocols for provider complaints and appeals, access our Care Provider Manual.
You have multiple options to file a request to have a claim payment reconsidered.
Direct deposit and VCP information is available to EPS-enrolled care providers in the Electronic Payments & Statements (EPS) tool.
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 get started with electronic transactions.
A PRA is generated for every processed claim and includes relevant details about how the claim was processed.