Dashboard

Eligibility Search

Search By:

Subscriber ID Name

*Service Date:

*Member Date of Birth:

*Subscriber ID:

*First Name:

*Last Name:

*Search For:

Individual

Family

* Indicates a required field.

Duplicate records have been found. Please refine your search by providing the following additional information:

*SubscriberId

*First Name

*Last Name

Claim Search by Member

Search By:

Subscriber ID Name

*From Date:

*To Date:

*Member Date of Birth:

*First Name:

*Last Name:

*Subscriber ID:

Show Pre Treatment Estimate

* Indicates a required field.

Duplicate records have been found. Please refine your search by providing the following additional information:

*SubscriberId

*ZipCode

*First Name

*Last Name

Subscriber ID	Plan Description	Product ID	Eligible	Effective Date	End Date	Eligibility Through Date	Essential Health Benefit	Transaction Type
{{subscriberId \| maskNumber}}	{{onePlan.plan.codeDesc}}	{{onePlan.product.codeValue}}	{{onePlan.eligibilityIndicator}}	{{onePlan.memberEligibilityEffectiveDate \| date :'MM/dd/yyyy'}}	{{onePlan.eligibilityTermDate \| date :'MM/dd/yyyy'}}	{{onePlan.eligibilityPaidThroughDate \| date :'MM/dd/yyyy'}}	{{onePlan.ehbIndicator}}	Select

Quick Links

Provider Training via UHC On Air
Provider Self Service
User Profile Update
Electronic Payments and Statements
DHMO / DC Member Copayment Schedules
Join Our Network
Provider Resources
Specialty Referral Forms
Appeal and Grievances
Claim Form
Dental XChange
Dental Network Transition Notice

Recent Claims

Subscriber ID	Amount Claimed	Claim Status	View
{{item.member.memberId \| maskNumber}}	$ {{item.totalCharge}}	{{item.claimStatusCode.codeDesc}}	EOB/ Details

More >

Message Board

COVID-19
Enroll in the Enhanced Payment Program to receive additional reimbursements on qualified claims. Learn more about program eligibility and how to sign up.

We are pleased to announce that we are immediately expanding access to care through provider consultations via teledentistry. To learn more, click Access to Care via Teledentistry.

UnitedHealthcare Dental is partnering with Optum® Electronic Payments and Statements (EPS) to deliver payment and reconciliation processes that are 5-7 days faster than paper checks. Learn More.

DHMO / DC Member Copayment Schedules:
The most current DHMO / DC Member Copayment Schedules are now available for California & Nevada (also available under "Quick Links").

American Dental Association (ADA) and CAQH ProView team-up to simplify the credentialing process for dentists. Learn More.

Peer to Peer Request Timeline:
Effective Jan 1, 2017, UHC dental providers will have 30 calendar days from the date of the denial letter to request a peer to peer call.

Q2 2019 Provider Newsflash is Available:
Click here to view the Q2 Provider Newsflash.

Georgia Provider Attestation Requirement:
Due to recent state and federal regulations within the State of Georgia, beginning 1/1/2017, we are required to review & confirm the accuracy of our directory information, as well as indicate continuation/cancellation of participation in our commercial PPO network plans. We ask our providers to review their directory information for accuracy and make any necessary changes to insure that our information is current. Please click here for more information.

Utilization Management Decision Making:
Utilization management decision making is based only on appropriateness of care and service and existence of coverage. The organization does not specifically reward practitioners or other individuals for issuing denials of coverage. Financial incentives for Utilization management decision makers do not encourage decisions that result in underutilization.

For Efficient PTE & Prior Auth turnaround time:
Please mail your PTE and Prior Authorization claims to:

PTE and Prior Authorizations
PO Box 30552
Salt Lake City UT 84130-0552

Demographic Updates - Update to Provider Manual
As a Participating provider / office, when there are demographic changes within your office, it is important to notify us so that we may update our records. Please click here.

October 2019 UnitedHealthcare Dental Policy Update Bulletin Now Available.
As noted in the September 2019 United Healthcare Policy Update Bulletin currently available at UHCProvider.com > Menu > Policies and Protocols > Dental Clinical Policies and Coverage Guidelines > Dental Policy Update Bulletins, there are no updated to be announced for the month of October 2019.

Limited benefit availability for Leased Network Providers, DHMO, Fixed INO, Fixed EPO, Direct Compensation and Referral Plans
At this time, you will not be able to retrieve procedure code pricing (i.e fee schedule) for these plans.