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Claims and payments

Here you will find the tools and resources you need to help manage your practice’s claim submissions and payment receipts. 

Need to submit a claim, check status or submit a reconsideration request? Use the Claims and Payments tool found within the UnitedHealthcare Provider Portal.open_in_new For more information, visit our Claims, billing and payments page.

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To view current claim reconsideration information, sign in to the UnitedHealthcare Provider Portal.open_in_new

If you're not satisfied with the outcome of a claim reconsideration request, you may submit a formal claim dispute/appeal using the process outlined in your provider manual.

  • A formal claim dispute/appeal is a comprehensive review of the disputed claim(s), and may involve a review of additional administrative or medical records by a clinician or other personnel
  • We generally complete the review within 30 calendar days. However, depending on the nature of the review, a decision may take up to 60 days from the receipt of the claim dispute documentation. We will contact you if we believe it will take longer than 30 days to render a decision.
  • Please allow 10 business days from the submission date to enable us to begin processing the review before requesting a status update

Additional state requirements may apply. Please consult the applicable state Provider Administrative Guide or Manual for more details or contact the Provider Services Center.

Additional resources

Using EDI for all eligible UnitedHealthcare transactions can help your organization improve efficiency, reduce costs and increase cash flow. You can find more information and resources on our EDI page.

A PRA is generated for every processed claim and includes relevant details about how the claim was processed. You can access them a variety of ways, including Document Library, Electronic Data Interchange (EDI) or Application Programming Interface (API). Learn more in our PRA Overview.open_in_new

Need help?

Connect with us through chat 24/7 in the UnitedHealthcare Provider Portal,open_in_new or contact our call center at 800-445-1638, available 8 a.m.–5 p.m. CT.