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UnitedHealthcare Community Plan Iowa Providers

Welcome to Iowa Providers!

We are committed to working with you and your staff to achieve the best health outcomes for our members.  

On this website, you can find information specific to our health plan. Select the navigational tabs to the left or a link below for our policies, forms, manuals, processes, news and alerts.

Our provider portal is designed to streamline your business transactions with us.

 

Medicaid Managed Care Rule External FAQs (PDF 64,57 KB)
Medicaid Managed Care Rule Presentation
(PDF 90,71 KB)

 

 

Liên Hệ

Provider Services Call Center: 888-650-3462
It takes ONE call to help you with:

  • Member eligibility
  • Prior authorization
  • Language interpreter
  • Scheduling rides for a member
  • Referrals to specialists
  • Behavioral Health referral
  • Claims corrections
  • Reach a Community-based Case Manager

Hours of Operation: 7:30 a.m. – 6 p.m.

Mailing Address

Chương Trình Cộng Đồng UnitedHealthcare
1089 Jordan Creek Parkway, Suite 320
West Des Moines, IA 50266

 

Địa Chỉ Gửi Thư Yêu Cầu

UnitedHealthcare
Attn: YÊU CẦU BẢO HIỂM
P.O. Box 5220
Kingston, NY 12402-5220

 

Claims Appeals and Disputes

Chương Trình Cộng Đồng UnitedHealthcare
P.O. Box 31364
Salt Lake City, UT 84131

 

Pharmacy Contact Information

Prior authorizations, call: 800-310-6826
Fax prior authorizations to: 866-940-7328

 

  • Eligibility and Benefits Center
  • Claims Management
  • Claims Reconsideration
  • Provider Data Management

To access Link, go to UHCprovider.com and select Link in the upper right hand corner. Sign in using your Optum ID. You will be redirected to Link after sign-in.

If you don’t have an Optum ID or need help remembering your ID or password, don’t worry – the Link sign-in screens will guide you through the process.

 

  • Eligibility and Benefits Center
  • Claims Management
  • Claims Reconsideration
  • CommunityCare
  • Provider Data Management

To access Link, sign in to UnitedHealthcareOnline.com using your Optum ID. You will be redirected to Link after sign-in. If you don’t have an Optum ID or need help remembering your ID or password, don’t worry – the Link sign-in screens will guide you through the process.

We’ve got a lot to offer and invite you to join our network of service providers, whether you are:

*Already serving UnitedHealthcare commercial and/or Medicare members and ready to add our network

*New to UnitedHealthcare and UnitedHealthcare Community Plan

*New or already familiar with managed care

To reach a contracting representative, please call 888-650-3462.

The Clinical Practice Consultant program supports provider’s efforts to help members overcome barriers to health care. As part of this initiative, the dedicated Clinical Practice Consultant (CPC) will work with providers to help manage the clinical requirements involved with meeting Healthcare Effectiveness Data and Information Set (HEDIS) and other quality measures.

Clinical Practice Consultant (CPC) Map (PDF 243,5 KB) - 4.20.2018

 

 

Manager of Case Manager (MCM) Regional Map (PDF 145,44 KB) - 5.15.2018 

 

UnitedHealthcare Community Plan Medical & Drug Policies and Coverage Determination Guidelines

UnitedHealthcare has developed Medical Policies, Medical Benefit Drug Policies and Coverage Determination Guidelines to assist us in administering health benefits. Những chính sách và hướng dẫn này được cung cấp nhằm mục đích thông tin, và không thiết lập thành ý kiến tư vấn y khoa.
View the guidelines

UnitedHealthcare Medicare Advantage Coverage Summaries

For policy guidance for Medicare Advantage plan members, view the UnitedHealthcare Medicare Advantage Coverage Summaries Manual and corresponding policy update bulletins here

Yêu cầu khai đúng sự thật của các Yêu Cầu Bảo Hiểm, Báo Cáo, và Trình Bày với Chính Phủ

Tập Đoàn UnitedHealth yêu cầu tuân theo các quy định của luật pháp tiểu bang và liên bang, nghiêm cấm việc nộp các yêu cầu bảo hiểm gian lận có liên quan đến các chương trình chăm sóc sức khoẻ của liên bang, bao gồm Medicare và Medicaid. 
View our policy (PDF 38,15 KB).

Miễn Trách

If UHG policies conflict with provisions of a state contract or with state or federal law, the contractual / statutory / regulatory provisions shall prevail. Để xem các thay đổi chính sách được cập nhật, hãy chọn phần Bản Tin ở bên trái.

 

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