Report Center
The following reports and quality programs are available in the UnitedHealthcare Provider Portal. You can access them in the Documents & Reporting dropdown under Report Center (formerly UnitedHealthcare Reports).
Benefits
Report Center offers the following enhanced search, filter and viewing capabilities:
- Search all providers in the tax ID number (TIN)
- Suggestive search feature allows users to start typing in the dropdown to narrow results
- Users can now search by TIN only for PCP Panel Reports
- If there’s only one TIN, the corporate TIN owner will auto select
- The physician TIN will auto select once the corporate TIN is selected
- Reports can be filtered by product, type or health plan
- See data more easily with full-screen option
Need help using Report Center? Check out our Accessing Reports guide.
Reports
Capitation Reports
- Capitation Roster for Medicaid/Community Plan Providers
- Capitation for UnitedHealthcare Commercial Providers
- Capitation for UnitedHealthcare Medicare Solutions
ECap Capitation Report resources
- Capitation Detail File User Guide
- EC7810 CDF Excel Headers
- EC7810 Capitation Detail File enhancements and new EC7815 Capitation Summary File and PDF reports
- EC7815 CSF Excel Headers
- EC7815 Capitation Summary File User Guide
- EC915F and EC7810 Reconciliation Guide
- EC915 Eligibility Reference Guide (must be signed in to view)
- Medicare Advantage Percentage of Premium Calculation
UCap Capitation Report resources
Report resources will be available on November 1, 2024.
Claim Reports
- Claim Recoveries for Medicaid/Community Plan Providers
- Claim Trends by Product for Medicaid/Community Plan Providers
- Claim Trends – Top Reasons for Denial for Medicaid/Community Plan Providers
- Claim Trends – Top Reasons for Denial by Product for Medicaid/Community Plan Providers
Quality Reports
- Early and Periodic Screening, Diagnostic and Treatment (EPSDT) for Medicaid/Community Plan Providers
- ED Utilization Report for Medicaid/Community Plan Providers
- Eligibility for UnitedHealthcare Medicare Solutions
- Encounters for UnitedHealthcare Medicare Solutions
- Hospital Monitoring Reports for UnitedHealthcare Commercial Providers
- Preventive Health Measures for Medicaid/Community Plan Providers
Provider Roster/Profile Reports
- Primary Care Physician (PCP) Panel Roster for UnitedHealthcare Commercial, Medicaid/Community Plan, UnitedHealthcare Medicare Solutions and Gated Product Providers
- Provider Profile – Current Year for Medicaid/Community Plan Providers
- Provider Profile – Previous Year for Medicaid/Community Plan Providers
UnitedHealthcare West Reports
These reports are currently not available in Report Center. Please visit the UnitedHealthcare West Reports page for more information.