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To learn more about UnitedHealthcare Community Plan, please contact your Provider Advocate or view our On Demand programs on UHC On Air. 

To access UHC On Air:

  1. Sign in to UnitedHealthcareOnline.com using your Optum ID.
  2. Click on the UHC On Air app on your Link dashboard.
  3. Select the UHC News Now channel on UHC On Air, then select one of the DSNP programs to view.

For help with Link self-service tools, including access support and quick reference guides, please visit unitedhealthcareonline.com.

Vui lòng chọn tiểu bang hành nghề của quý vị.
UnitedHealthcare Community Plan Michigan Providers

Welcome to the UnitedHealthcare Community Plan Health Professionals area for Michigan providers!

Ở đây quý vị sẽ tìm thấy mọi thông tin, biểu mẫu, sách hướng dẫn và đường dẫn cần thiết để thực hiện công việc với Chương Trình Cộng Đồng UnitedHealthcare.

Please choose your topic of interest, by selecting one of the navigation buttons on the left-hand side of the page, or select one of the topics or products below to reveal our Contact Information.

 

Liên Hệ

Trung Tâm Dịch Vụ Nhà Cung Cấp

 

800-903-5253
Monday-Friday  8:30 a.m. – 5:30 p.m. EST

 

Địa Chỉ Gửi Thư Yêu Cầu

 

Chương Trình Cộng Đồng UnitedHealthcare
P.O. Box 30991
Salt Lake City, UT 84130-0991

Payer ID: 95467
 

Member and Provider Complaints and Appeals Address

 

Chương Trình Cộng Đồng UnitedHealthcare
Attn: Complaint and Appeals 
P.O. Box 30991
Salt Lake City, UT 84130-0991

 

Overbilling and Refund Address

 

Chương Trình Cộng Đồng UnitedHealthcare
P.O. Box 740804
Atlanta, GA 30374

 

UHC Dental Provider Services

To verify eligibility, benefits, obtain claim and prior authorization status
855-918-2265

 

 

Interactive Voice Response (IVR)

Hoạt động 24 giờ một ngày, 7 ngày một tuần

 

 

 

Địa Chỉ Gửi Thư Yêu Cầu

 

UnitedHealthcare MI Dental
P.O. Box 1317
Milwaukee, WI 53201

 

Prior Authorizations

 

UnitedHealthcare MI Dental
P.O. Box 1484
Milwaukee, WI 53201

 

Claims Dispute for Providers

 

UnitedHealthcare MI Dental
Attn_ Appeals Department
P.O. Box 1337
Milwaukee, WI 53201

 

Correspondence regarding your participation, contractual issues, dentist changes or office changes

 

UnitedHealthcare Dental
Provider Relations
6220 Old Dobbin Lane
Columbia, MD 20045

 

Overbilling and Refund Address

 

Chương Trình Cộng Đồng UnitedHealthcare
P.O. Box 740804
Atlanta, GA 30374

 

Trung Tâm Dịch Vụ Nhà Cung Cấp

 

800-903-5253
Monday-Friday  8:30 a.m. – 5:30 p.m. EST

 

Địa Chỉ Gửi Thư Yêu Cầu

 

Chương Trình Cộng Đồng UnitedHealthcare
P.O. Box 30991
Salt Lake City, UT 84130-0991

Payer ID: 95467
 

Member and Provider Complaints and Appeals Address

 

Chương Trình Cộng Đồng UnitedHealthcare
Attn: Complaint and Appeals 
P.O. Box 30991
Salt Lake City, UT 84130-0991

 

Overbilling and Refund Address

 

Chương Trình Cộng Đồng UnitedHealthcare
P.O. Box 740804
Atlanta, GA 30374

 

 

Report Health Care Fraud, Waste and Abuse: 844-359-7736 or uhc.com/fraud


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

Medicaid Managed Care Rule Presentation
(PDF 90,71 KB)

 

Provider Credentialing Information

Join Our Network

UnitedHealthcare Community Plan encourages qualified physicians and health care professionals to consider applying to join our participating provider network. Call 1-877-842-3210 to learn more. 

 

Prior Authorization

UnitedHealthcare Outpatient Injectable Chemotherapy Prior Authorization Program Overview (PDF 72,39 KB)

UnitedHealthcare Medicare Solutions & UnitedHealthcare Community Plan

UnitedHealthcare Medicare Prior Authorization Requirements - Effective 4/1/2018 (PDF 293,21 KB)

Chương Trình Cộng Đồng UnitedHealthcare

UnitedHealthcare Community Plan Prior Authorization MI - Effective 4/1/2018 (PDF 169,2 KB)

 

Looking for a network care provider?

View our online Provider Directory

 

Provider Resources 

Bệnh Suyễn
The Asthma Initiative in Michigan (AIM) Asthma Resource Toolkit

Bệnh Đái Tháo Đường
New York Department of Health Toolkit

Depression in Primary Care
The MacArthur Foundation Initiative on Depression and Primary Care Toolkit 

Immunizations
The Alliance for immunizations in Michigan (AIM) Toolkit 

Tobacco Cessation
Michigan Cancer Consortium (MCC) Michigan Providers Tobacco Cessation Toolkit
View additional Tobacco Cessation resources

 

Well Child Care/EPSDT

To provide clinicians with practical tools to assist in identifying and providing EPSDT well child preventive services, the Institute for Healthcare Studies (IHCS) at Michigan State University (MSU) worked with the Michigan Department of Health and Human Services (MDHHS), Michigan Medicaid managed care plans, local public health departments, and other partners to develop this Well Child Care/EPSDT Toolkit. View the toolkit.


Provider Chlamydia Toolkit
 

There is a national increase in the rate of chlamydia. In an effort to increase the rate at which sexually active women ages 16 to 25 are routinely screened for this sexually transmitted disease, we offer our provider partners a Chlamydia Toolkit. 

The Chlamydia Toolkit provides clinical guidelines for the treatment of chlamydia, links to policies and procedures for adoption by your practice to improve routine screening and many more valuable references. Download the Chlamydia toolkit

Quality Improvement Program

The purpose of the Quality Improvement Program is to achieve desired performance outcomes. UnitedHealthcare Community Plan's Building the Bridge to Excellence QI Program is guided by important objectives. Find out more by clicking here (PDF 20,41 KB).

Social Determinants of Health ICD-10 Codes

As a care provider, you play an important role in helping us identify members who may need additional support. If you are providing services to a UnitedHealthcare member and notice a social determinant of health, please let us know by adding the following codes when submitting your claims. Download a list of codes for social determinants of health (PDF 310,86 KB). 

 

 

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. 

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.