United Healthcare Rolls Out Major Claim Submission Enhancements on Provider Portal

UnitedHealthcare has updated its claim submission process on the Provider Portal, with a range of technical improvements and usability enhancements made based on the reported experience of healthcare professionals.

The ‘My Claims’ page has been redesigned to include a more precise definition of claim submission status and a better indicator of where the user’s data is in the processing system. In the address dropdown, a previously known issue of displaying as few as three addresses has been resolved, with the section of the PANN in which the problem was found now showing up to 1,200 addresses.

To provide additional clarification, the definitions of the claim submission statuses were updated, providing detailed descriptions of available tools at each stage of the process. More importantly, each tool can be accessed via direct

hyperlinks, allowing providers to take immediate relevant action with consideration of the status of their claim. There is no need to navigate through many screens or drop-down menus.

Policy links have been updated and expanded to provide more transparency and clarity. Specifically, healthcare providers can access the specific policies and procedures referring to their claims. Thus, they would know what the most current and official rules for claims would be.

UnitedHealthcare notes that these improvements are just “the first chapter in the ongoing story of simplifying claim submission process” their process. The provider is determined to keep receiving feedback and refine the process per the needs and wants of the providers. UnitedHealthcare understands the needs of the healthcare provider, and by continuing its policy of working with the professionals who use the portal on a day-to-day basis, they can provide a claim submittal process that is quick and easy to use while addressing all the needs and issues of the provider network.

Undoubtedly, improved accuracy and speed of claim submission will also have other benefits, such as shortened processing times and reduced likelihood of incidence of errors. However, perhaps the most important advantage is the downplaying of major opportunities for misunderstanding or administrative blunders. As a result, the payer-provider relationship will become more collaborative and mutually beneficial.

 


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