Are you ready for digital-only appeal decision letters?

Starting March 4, appeal decision letters for commercial and Medicare Advantage plans are going fully digital. Instead of mailed copies, you’ll view them exclusively online 24/7 starting on the day they’re generated.

Who this change affects
This change affects most* Medicare Advantage (including Dual Special Needs) and commercial network medical health care professionals (primary and ancillary) and facilities nationwide.

How to view appeal decision letters online
Appeal decision letters can be viewed 1 of 2 ways:

1. View in Document Library: Our secure online repository of claim-related communication and reports within the UnitedHealthcare Provider Portal. We’ll send an email notice to the address on file when new letters are available, and you can also check Document Library at any time.
   
   • Go to UHCprovider.com > Sign In
   • Sign in to the portal with your One Healthcare ID and password
   • Go to Documents and Reporting > Document Library > Appeals and Disputes folder

  Explore Document Library

Note: Document Library notifications are currently limited to 1 email address per tax ID number (TIN) for each type of document. If you have multiple staff members who need to be notified when new letters are available, your Primary Access Administrator may want to consider setting up a group mailbox. That group mailbox can be designated to receive Document Library notifications.

  Paperless Delivery Options for Primary Access Administrators

2. View using API: Consider Application Programming Interface (API) if you have significant claims volume and either automate correspondence intake or prefer an option other than looking up individual items in Document Library. Setup times vary, but can be lengthy. Please plan well in advance to incorporate API into your workflow.

  Learn about API

  Set up API

Need a One Healthcare ID?

Get started here and check out the Access and Registration Guide for step‑by‑step instructions.

Questions?

Please contact UnitedHealthcare Provider Services at 877‑842‑3210, TTY/RTT 711, 7 a.m.‑5 p.m. CT, Monday‑Friday.

*Exclusions: UnitedHealthcare commercial and Medicare Advantage Plans of Colorado; UnitedHealthcare Commercial and Medicare Advantage Plans of Minnesota; Behavioral Health; Medicare supplement products; Sierra Health and Life; All Savers Insurance; Rocky Mountain Health Plan; UnitedHealthcare West; UnitedHealthOne; UMR; UnitedHealthcare Global; Student Resources; Optum VA Community Care Network (CCN); Highly Integrated Dual Eligible Special Needs Plans (HIDE SNP); Fully Integrated Dual Eligible Special Needs Plans (FIDE SNP); Medicare-Medicaid Plans (MMP); Part D Pharmacy Appeals.

Please note: This announcement only applies to Medicare Advantage and commercial health plans. It does not apply to UnitedHealthcare Community Plan (Medicaid) health plans.

The information contained in this transmission may contain privileged and confidential information, including patient information protected by federal and state privacy laws. It is intended only for the use of the person(s) named above. If you are not the intended recipient, you are hereby notified that any review, dissemination, distribution or duplication of this communication is strictly prohibited. If you are not the intended recipient, please contact the sender by reply email and destroy all copies of the original message.

Insurance coverage provided by or through UnitedHealthcare Insurance Company or its affiliates. Health plan coverage provided by UnitedHealthcare of Arizona, Inc., UHC of California DBA UnitedHealthcare of California, UnitedHealthcare Benefits Plan of California, UnitedHealthcare of Colorado, Inc., UnitedHealthcare of the Mid-Atlantic, Inc., MAMSI Life and Health Insurance Company, UnitedHealthcare of New York, Inc., UnitedHealthcare Insurance Company of New York, UnitedHealthcare of Oklahoma, Inc., UnitedHealthcare of Oregon, Inc., UnitedHealthcare of Pennsylvania, Inc., UnitedHealthcare of Texas, Inc., UnitedHealthcare Benefits of Texas, Inc., UnitedHealthcare of Utah, Inc., UnitedHealthcare of Washington, Inc., Optimum Choice, Inc., Oxford Health Insurance, Inc., Oxford Health Plans (NJ), Inc., Oxford Health Plans (CT), Inc., All Savers Insurance Company, or other affiliates. Administrative services provided by OptumHealth Care Solutions, LLC, OptumRx, Oxford Health Plans LLC, United HealthCare Services, Inc., or other affiliates. Behavioral health products provided by U.S. Behavioral Health Plan, California (USBHPC), or its affiliates.

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