Get to know the basics of electronic submissions
Now that claim reconsiderations and appeals must be submitted electronically, we want to help make sure you have the how-to information you need to manage them with ease.
How to submit electronically
You have 2 electronic submission options — through the UnitedHealthcare Provider Portal or Application Programming Interface (API). See the Online Reconsiderations and Appeals interactive guide for step-by-step instructions on how to submit reconsiderations and appeals electronically.
Tips
- Check the TrackIt Action Required bar regularly to see the status of claims, reconsideration requests and more
- To take action on a specific claim in the portal, go to Claims & Payments and search for a claim. Once you’ve searched for a claim and selected Act on a Claim, a list of actions will appear (e.g., View Claim Reconsideration, File Appeal/Dispute). Based upon the current status of the claim or previously taken actions, the buttons will either be blue or grayed out. If grayed out, that specific action is unavailable.
- Please note: Available actions may vary based on the member’s plan type, provider’s participation status and regulations
- If a claim(s) from your claim search results shows an “Acknowledgement” status, it hasn’t been processed. You’ll be unable to submit requests related to this claim.
- Reminder: Appeal response letters are no longer mailed, but you can view and print them through the portal using Document Library
Questions?
Please contact UnitedHealthcare Provider Services at 877-842-3210, TTY/RTT 711, 7 a.m.–5 p.m. CT, Monday–Friday.
For help accessing the portal and technical issues, please contact UnitedHealthcare Web Support at providertechsupport@uhc.com or 866-842-3278, option 1, 7 a.m.–9 p.m. CT, Monday–Friday. Primary Access Administrators may also contact Web Support for help updating notification emails.