Link Self-Service Tools

With Care Conductor, You Can:

• View a member’s plan of care and health assessment
• Enter plan notes and view notes history for some plans

Learn more about Care Conductor

Notification is required for certain genetic and molecular lab tests for certain UnitedHealthcare Commercial benefit plans. Ordering care providers will complete the notification/prior authorization process online or over the phone.

Labs must register their tests to participate as part of the Genetic and Molecular Lab Testing Notification/Prior Authorization process.

With the Claim Submission Tool, You Can:

• Submit professional claims, including National Drug Code (NDC) claims, for all UnitedHealthcare members
• Easily see which fields are required. The highlighted fields will update based on the information you enter
• View on-screen messages that allow you to correct certain errors before you hit submit
• Eliminate paper, postage and mail time

To learn about other claim submission methods and connections, visit the EDI 837: Electronic Claims page for more information.

• Claim Submission Introduction
• Quick Reference: Claim Submission
• On-Demand Training: Submit a Professional Claim

With Claim Estimator, You Can:

Quickly receive an estimate of a UnitedHealthcare Commercial claim reimbursement and share the estimated cost of a procedure with your patient before treatment. Use claim bundling logic for professional claims and determine how the CPT or HCPCS codes will be paid.

• Quick Reference: Claim Estimator

With Claim Research Project, You Can:

Search for and submit a reconsideration request for multiple claims with the same reason for denial. Multiple claims that have been partially or underpaid can also be submitted as a reconsideration request via the Claim Research Project tool.

• Quick Reference: Claim Research Project

Are you a UHCWest care provider?

At this time, the Claim Research tool on Link does not include support for UHCWest care providers. To submit multiple claims as a UHCWest care provider, please fill out and email both the Claims Project Management Request Form and the Multiple Claims Inquiry Spreadsheet found below to ProjectIntake@uhc.com.

• UHCWest Claims Project Management Request Form
• UHCWest Multiple Claims Inquiry Spreadsheet

With Fee Schedule Lookup, You Can:

Look up contracted rates for CPT and HCPCS codes whose rates are dollar amounts or a percentage of charges for a specific provider and name. (Available only for Commercial and some Community Plan states.)

• Quick Reference: Fee Schedule Lookup

With the OneNet PPO Pricing Tool, You Can:

Maintain the OneNet PPO Workers’ Compensation Network, a network of physicians, health care practitioners, hospitals and ancillary facilities used for work-related illness and injury. The network serves workers’ compensation programs administered by employers and TPAs contracted with Procura, an Optum Company.

• Quick Reference: OneNet PPO Pricing

For information about OneNet PPO and OneNet workers’ compensation claim pricing sheets for Procura, access the OneNet PPO Pricing on Link.

With UnitedHealthcare West Electronic Funds Transfer Enrollment Tool, You Can:

• Enroll to have your claims payments deposited electronically into your designated bank account.
• Make changes to an existing enrollment
• Receive reports through your clearinghouse

The UnitedHealthcare West Electronic Funds Transfer (EFT) Enrollment tool allows you to enroll or make changes to EFT and 835s from the Link dashboard for your UnitedHealthcare West claims.

Enrollment in UnitedHealthcare West EFT currently applies to payments from SignatureValue HMO and Medicare Advantage HMO plans.*

You will continue to receive checks by mail until you complete your enrollment using the UnitedHealthcare West EFT tool.

• UnitedHealthcare West EFT Enrollment Tool Introduction

The Single Explanation of Benefit (EOB) Search is available to all care providers, including those not enrolled in Electronic Payments and Statements (EPS).

• Quick Reference: Single Explanation of Benefit (EOB)

The accuracy of care provider practice demographic data can play an important part in the success of a medical practice. It can help connect you with members searching for a care provider, and it supports claims processing and compliance with regulatory requirements. 

Learn More