UnitedHealthcare Community Plan
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UnitedHealthcare Community Plan Iowa Providers

Welcome

We are committed to working with you and your staff to achieve the best possible health outcomes for our members. 

This website is dedicated to information specific to our health plan. Look here for policies, processes, news and alerts.

Our interactive provider portal is designed to streamline your business transactions with us.

888-650-3462

One Call to Provider Services Can Help With:
Member Eligibility
Prior Authorization
Language Interpreter
Getting Member a Ride
Referrals to specialists
Behavioral Health Referral
Claims Corrections
Reach a Community - based Case Manager
More

Link: Your Gateway to UnitedHealthcare's Online Tools
  • Eligibility and Benefits Center
  • Claims Management
  • Claims Reconsideration
  • CommunityCare
  • Provider Data Management

To access Link, sign in to UnitedHealthcareOnline.com using your Optum ID. You will be redirected to Link after sign-in. If you don’t have an Optum ID or need help remembering your ID or password, don’t worry – the Link sign-in screens will guide you through the process.

 

  • Eligibility and Benefits Center
  • Claims Management
  • Claims Reconsideration
  • CommunityCare
  • Provider Data Management

To access Link, sign in to UnitedHealthcareOnline.com using your Optum ID. You will be redirected to Link after sign-in. If you don’t have an Optum ID or need help remembering your ID or password, don’t worry – the Link sign-in screens will guide you through the process.

Join Our Network

We’ve got a lot to offer and invite you to join our network of quality service providers, whether you are:

*Already serving UnitedHealthcare commercial and/or Medicare members and ready to add our network

*New to UnitedHealthcare and UnitedHealthcare Community Plan

*New to managed care

To reach a contracting representative, please call 888-650-3462.

We’re Helping People live Healthier Lives

Clinical Practice Consultant (CPC) Lookup

The Clinical Practice Consultant program supports provider’s efforts to help members overcome barriers to health care. As part of this initiative, the dedicated Clinical Practice Consultant (CPC) will work with providers to help manage the clinical requirements involved with meeting Healthcare Effectiveness Data and Information Set (HEDIS) and other quality measures.

 

Visit the Iowa Department of Human Services

 

UnitedHealthcare Community Plan Medical & Drug Policies and Coverage Determination Guidelines

UnitedHealthcare has developed Medical Policies, Medical Benefit Drug Policies and Coverage Determination Guidelines to assist us in administering health benefits. These policies and guidelines are provided for informational purposes, and do not constitute medical advice.
View the guidelines

Integrity of Claims, Reports, and Representations to the Government

UnitedHealth Group requires compliance with the requirements of federal and state laws that prohibit the submission of false claims in connection with federal health care programs, including Medicare and Medicaid. 
View our policy (PDF 38.15 KB).

Disclaimer

If UHG policies conflict with provisions of a state contract or with state or federal law, the contractual / statutory / regulatory provisions shall prevail. To see updated policy changes, select the Bulletin section at left.

 

NCQA Accredited HealthPlan