6 Steps to become a United Healthcare provider

See the steps involved in becoming a UnitedHealthcare provider.

UnitedHealth Group is a leading healthcare company that offers a wide range of services and products to its customers. One of the most important aspects of UnitedHealth Group’s operations is its network of healthcare providers. Becoming a UnitedHealthcare provider can be a rewarding experience, both professionally and financially.

How to become a United Healthcare provider

Check Your Eligibility

Before you can become a UnitedHealthcare provider, you need to check your eligibility. This involves ensuring that you meet the necessary qualifications, credentials, and other requirements. UnitedHealthcare has specific requirements for providers, depending on the type of service you want to offer.Early Finder

For example, if you want to become a physician or other healthcare professional, you must have a valid license and meet other state-specific requirements. If you want to provide services as a healthcare facility, you must have the necessary accreditation and licensing.

Complete the Application

Once you have checked your eligibility, the next step is to complete the UnitedHealthcare provider application. You can access the application on UnitedHealthcare’s website, and it is important to provide accurate and detailed information. Incomplete or inaccurate applications may delay the approval process or result in rejection.

The application will require you to provide basic information about your practice or facility, including your contact information, areas of specialization, and the services you offer. You may also need to provide information about your staff and other providers who will be working with you.

Credentialing and Contracting

After submitting your application, UnitedHealthcare will initiate the credentialing process. This involves verifying your qualifications and credentials, including your education, experience, licenses, and certifications. This process can take several weeks or even months, depending on the complexity of your application and the volume of applications UnitedHealthcare receives.How to become a United Healthcare provider

Once you are credentialed, UnitedHealthcare will initiate the contracting process. This involves negotiating the terms and conditions of your participation in the UnitedHealthcare network, including fees, reimbursement rates, and other terms. The contracting process can take several weeks or months, depending on the complexity of the negotiations.

Training and Orientation

After completing the credentialing and contracting process, UnitedHealthcare will provide you with training and orientation. This is to ensure that you are familiar with the UnitedHealthcare system, policies, and procedures. The training may include online modules, webinars, or in-person sessions.

The orientation may also include information on how to submit claims, obtain prior authorization, and use UnitedHealthcare’s online tools and resources. This training is essential to ensure that you can provide high-quality care to UnitedHealthcare members and optimize your reimbursement.

Participate in Quality Programs

UnitedHealthcare is committed to providing high-quality care to its members, and it encourages its providers to participate in quality programs. These programs are designed to improve the quality of care and patient outcomes while reducing costs.

Some of the quality programs you can participate in include the Physician Quality Reporting System (PQRS), the Value-Based Payment Modifier (VBM), and the Medicare Shared Savings Program (MSSP). These programs can provide incentives and bonuses for providers who meet certain quality and performance measures.

Utilize UnitedHealthcare’s Resources

As a UnitedHealthcare provider, you will have access to a wide range of resources and tools that can help you manage your practice more efficiently. These resources include online tools for claims submission and tracking, prior authorization requests, and patient eligibility verification.

You can also access clinical guidelines, medical policies, and other resources that can help you make informed decisions about patient care. UnitedHealthcare also offers resources for billing and coding, as well as training and education programs for staff and other providers.

Conclusion

Becoming a UnitedHealthcare provider can be a rewarding and lucrative opportunity for healthcare professionals and facilities. By following these steps, you can become a UnitedHealthcare provider and be a part of a network that is committed to providing high-quality care to its members.

It is important to note that the process of becoming a UnitedHealthcare provider can be complex and time-consuming. It is essential to ensure that you meet the necessary qualifications and requirements, complete the application accurately and thoroughly, and participate in the credentialing and contracting process.