Nov. 8: Claim-related documents going paperless for Louisiana and Pennsylvania Medicaid

Starting Nov. 8, 2024, we’ll no longer mail a number of claim-related letters and documents for most* medical network health care professionals and facilities that provide services to UnitedHealthcare Community Plan (Medicaid) members in Louisiana and Pennsylvania as follows:

• Louisiana Medicaid: Prior authorization, claim, appeals and disputes letters, payment and overpayment documents
• Pennsylvania Medicaid: Claim letters and virtual card payment (VCP) statements to those who receive them through the mail (this change doesn’t affect those using automated clearinghouse [ACH])

Instead, you’ll be able to access them 24/7 through the UnitedHealthcare Provider Portal or an Application Programming Interface (API).

If you use an outside vendor, such as a revenue cycle management company or lockbox service, please ensure they’re aware of the following changes and digital workflow options.

How to access your claim-related letters and documents

1. Document Library in the UnitedHealthcare Provider Portal:
You can access letters and other documents for up to 24 months in this secure repository.

• From any page on UHCprovider.com > Sign In
• Enter your One Healthcare ID 
  • Users who don’t have a One Healthcare ID: Visit UHCprovider.com/access to get started
• In the portal menu, select Documents & Reporting > Document Library. Then, select one of the following folders:
  • Prior Auth
  • Claim Letters
  • Overpayment Documents – Use Advanced Search and search by Check ID or Claim No.
  • Payment Documents
  • Appeals and Disputes – Use Advanced Search and search by Member Name, Member ID or Case ID
• Notifications: When new documents are available in Document Library, an email notification will be sent to the address on file, which is typically the Primary Access Administrator. However, now they can also give others the ability to edit email notification preferences in the Document Delivery Settings section of the portal. 
• Need to notify multiple staff members? Document Library notifications are limited to 1 email address per letter type. If multiple staff members require notification, the Primary Access Administrator can consider using a group email address.
• There’s no need to wait for a notification. Although we let you know when a new letter is available, we recommend you make it a part of your regular process to check Document Library for new letters and actions needed.
• You can also check out the Profile & Settings Overview for information on updating your email notification preferences

2. Application Programming Interface (API): API is a fully electronic digital solution that allows you to automate administrative transactions. This is a great alternative to Document Library for organizations with medium-to-high claim volume that have the technical resources to program API or the ability to outsource implementation.

Get started with API.

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