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News update

Jul 09, 2025

No More Copays for UnitedHealthcare Community Plan Members in Pennsylvania

UnitedHealthcare Community Plan members in Pennsylvania will not pay copays on medical or pharmacy services, starting July 1, 2025. The change will affect every service provided under the Medicaid coverage.

This revamp will help patients access treatment since out-of-pocket expenses will be eliminated.
To the healthcare providers, this also implies reduced time in collecting payments during the visits.

Get Answers

Providers must refer to the UnitedHealthcare Provider Portal to verify eligibility or details of the patient. New subscribers are able to register online quickly. You can find 24/7 help via the live chat support of the portal.

Services

Credentialing

Credentialing is the rigorous process of verifying a healthcare provider’s qualifications, including their education, training, licenses, and clinical experience. This service ensures that practitioners meet the high standards required by insurance networks and hospitals to provide care and receive reimbursement.

Billing & Collection

Billing and Collection service involves confirming a patient’s insurance coverage, active status, and specific benefits before their appointment. By identifying co-pays, deductibles, and required prior authorizations upfront, staff can prevent claim denials and help patients understand their financial responsibilities.

Eligibility Verification

Eligibility verification is the process of verifying a patient’s health insurance coverage and benefits to determine what services are covered and the level of coverage available. This process is essential for healthcare providers to ensure that they receive proper reimbursement for services rendered and that patients are not left with unexpected medical bills.

Revenue Cycle Management

RCM is the financial process that manages the entire lifecycle of a patient’s account, from the initial appointment scheduling to the final balance payment. It integrates eligibility, coding, billing, and collections into a single, cohesive workflow aimed at maximizing a practice's profitability.

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Testimonials

It has been a wonderful experience working with Sean. He made the credentialing process a breeze with his knowledge and communication skills. I highly recommend Capline.

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Islamorada Dentistry

Rylan is wonderfull representetive, and very quick to complete all his task. We recomend his services, great company and great costumer service. We give him a 5 star.

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Dentricity Dental Berkeley

Myra Claire was exceptionally professional and efficient in ushering me through the credentialing process! She maintained communication and was very responsive when I had questions! Very pleased!

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Doris Dodson

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