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Uhc Provider Participation Agreement


You must submit your application via the RFP portal or Onboard Pro. Even if you join a practice that has a UnitedHealthcare agreement, you still need to complete the registration process before you can see patients as a networked provider. Thank you for your interest in becoming a UnitedHealthcare provider. The first step is to let us know that you would like to join our network – known as the Request to Participate (RFP). Just follow the steps below. As a reminder: flexibilities outside the network for non-participating suppliers will be lost on 30.11.2021. Please read the government guidelines at the following link to make sure you understand the impact on you or your practice: Expanding off-grid deployment | NC Medicaid (ncdhhs.gov) Unless otherwise authorized by government regulation, you must be approved through the enrollment and contract processes — and receive confirmation from us that each step is complete — before you can see patients as an approved network provider. Remember that if you receive a participation agreement from us, it does not mean that your application has been approved. To shorten the onboarding schedule, we will send you the agreement for review while your application is being reviewed.

You will receive a separate decision on your application if you have any questions about our process or if you need help, your local network contact is at your disposal. To find a contact, go to UHCprovider.com/contactus > Network Contact > Select the status > Network Management. Please return your signed agreement as soon as possible. We then have it on hand so that once your application is approved, we can set up your contract in our system. Setup can take up to four weeks. To get started, visit providerexpress.com (see “Our Network” for specific instructions) or call 800-817-4705. DocuSign is an easy-to-use application that speeds up the contracting process by allowing you to view and sign contracts via email – it replaces the need to print, sign and return agreements to us. You must have been approved by the enrollment process and have a countersigned agreement before you can see patients as an approved network provider. If you work in one of these specialties, contact a partner who will handle certification and contracting on behalf of UnitedHealthcare: Optum Physical Health. (Note that alternative medicine (CAM) providers include acupuncturists, naturopaths, and massage therapists.) You can check the status of your connection request by sending an email request to [email protected]

Please provide the full name, tax number and national supplier identifier (NPI) of the service provider. As soon as we receive your application for CAQH certification or approved by the state, we will send you a contract – called your participation agreement. This usually happens within 10 business days. If you have given us an email address, we will send you the contract for the DocuSign secure application. (Learn more about DocuSign below.) If not, we will send it to you by US mail. We will notify you once your agreement is fully established and you are ready to see patients as a UnitedHealthcare network provider. If you join a medical group that already has a participation agreement with UnitedHealthcare, you will not receive a contract directly. Instead, you will be added to the group agreement once your enrollment request is approved. (This can take up to three weeks after the credentials are approved.) To get started, visit Spectera.com or call 800-638-3120.

If you have any questions about any of the required items, please read UnitedHealthcare`s Accreditation and Re-Accreditation and Re-Enactment Plan for 2019-2021, specifically: For chiropractors, physiotherapists, occupational therapists, speech-language pathologists, speech-language pathologists and speech-language pathologists, please contact myoptumhealthphysicalhealth.com or call 1-800-873-4575. If you have a CAQH Vendor IDENTIFICATION Number and are registered with CAQH ProView, here`s what you need to do: Contracting is a separate process from credentials – but to get things done, we`ll start the contracting process with you while you work on the credentials. For more information, see the Delegated Registration Requirements section of the UnitedHealthcare Administrative Guide (Capitation of the Delegated Enrollment Program and/or Delegation Supplement for the UnitedHealthcare Administration Guide). Many states require you to complete a state-mandated request for credentials. In most cases, you can do this through CAQH – the information you submit will be converted into the appropriate application format. To find out if your state needs its own enforcement, see the Federal and State Regulatory Addendum to the UnitedHealthcare Accreditation Plan. The following contractual documents are provided for information purposes only and cannot be printed and signed. Please contact our North Carolina Medicaid contract team in [email protected] for a specific contract at your doctor`s office.

Submit your application to our network through the UnitedHealthcare tender portal. Check the following points to stay up to date with forms, reference manuals, and other important elements for your practice. We offer a wide range of health plans – Medicare, Commercial and Medicaid (community plans). The Patient Protection and Affordable Care Act (ACA) introduced a new option for consumers to access health insurance through a health insurance marketplace, also known as an exchange. These online marketplaces allow consumers to search, compare, and purchase health insurance offered by health insurers. If you have any questions about behavioral health contracts, please call 877-614-0484. . Each facility must meet the following criteria to be considered for certification: If you work in this field, contact a partner who will handle certification and contracting on behalf of UnitedHealthcare: Spectera Eyecare Networks. Once we have received your complete CAQH application, we will review your application and verify your login information.

Specifically: NOTE: Federal Qualified Health Centers (FQHC) and Rural Health Centers (RHC) must use the registration form for each practitioner, not the institution`s tender portal. To get started, visit MyOptumHealthPhysicalHealth.com or call 800-873-4575. Set up your online tools and paperless options, then complete your training. UnitedHealthcare offers plans both inside and outside the health insurance (Exchange) market. This chapter applies to the plans we offer in the health insurance market for the states listed in the table below. Individual exchange schemes are also called individual and family schemes. Additional plans may be offered in Nevada (managed by Sierra/Health Plan of Nevada) and Colorado (managed by Rocky Mountain Health Plans). These plans follow a separate administrative guide, as outlined in the Non-Compliant Performance Plans section of Chapter 1: Introduction. Individual Exchange plans offered in New York (Compass) and Massachusetts (Navigate) follow the guidelines for business plans in this administrative guide. We are moving participating groups from the RFP portal to Onboard Pro, our enhanced accreditation tool to Link. Open the tender portal and enter your TIN. You will either be redirected to Onboard Pro or you will complete your application in RFP.

Learn more about Onboard Pro. Read the contract and discuss it with other members of your team as needed. If you have any questions about the contract, contact your local network management team. Watch this short video to learn what to expect as you prepare to join the UnitedHealthcare network. View the text of the video transcript. UnitedHealthcare`s certification standards are fully compliant with the National Committee on Quality Assurance (NCQA) as well as specific state and federal government requirements. .

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