What can we do to make the UnitedHealthcare Provider Manuals better for you? Click here to provide feedback.

진료를 할 주를 선택하십시오.

You don't have time to spare. That's why we put all the documents you need in one place.

Use the navigation items on the left to find what you're looking for fast. 

Provider Call Center

866-815-5334
8 a.m. – 5 p.m. CST (except State designated holidays)

Provider Relations Team

Missouri_PR_Team@uhc.com

 

Network Management Team

866-574-6088
mo_network_mgmt@uhc.com
 
 

Postal Mailing Address

UnitedHealthcare Community Plan of Missouri
13655 Riverport Drive
Maryland Heights, MO 63043
 

Claims Mailing Address

UnitedHealthcare 커뮤니티 플랜
PO Box 5240
Kingston, NY 12402-5240
 

Appeals Address   

UnitedHealthcare Community Plan of Missouri
Attention: Provider Dispute
P.O. Box 31364
Salt Lake City, Utah 84131-0364
 

Additional Information

정신 건강
Optum Behavioral Health
866-815-5334
https://www.providerexpress.com/content/ope-provexpr/us/en.html

치아 관리
UnitedHealthcare Dental
855-934-9818
https://uhcpwp.sciondental.com/PWP/Landing

Member Transportation
Medical Transportation Management
866-292-0359
https://www.mtm-inc.net/

시력 관리
March Vision Care
844-616-2724
https://marchvisioncare.com/


Report Health Care Fraud, Waste and Abuse:
844-359-7736 or uhc.com/fraud

 

Provider Medicaid Enrollment 

Effective January 1, 2018, all providers servicing Missouri Medicaid members must be enrolled with Missouri HealthNet. Use the application form below that best applies to your situation.

Individual Provider Enrollment
Missouri HealthNet Individual Providers Application 

Organizational Provider Enrollment
Missouri HealthNet Large Provider Organization Application


Medicaid Managed Care Rule External Frequently Asked Questions
(PDF 64.57 KB)
Medicaid Managed Care Rule Presentation
(PDF 90.71 KB)

 

Prior Authorization

To request prior authorization for Pediatric Care Network (PCN) members, contact PCN at 1-877-347-9367. 

Prior Authorization Fax Request Form (PDF 72.36 KB)

UnitedHealthcare Medicare Solutions & UnitedHealthcare Community Plan

UnitedHealthcare Medicare Plan Prior Authorization Requirements - Effective 4/1/2018 (PDF 293.21 KB)

UnitedHealthcare 커뮤니티 플랜

UnitedHealthcare Community Plan Prior Authorization MO - Effective 4/1/2018 (PDF 138.08 KB)

 

 

Issue Log

The Provider Issue Log is updated on a weekly basis and provides the status, resolution and timing of global issues impacting multiple providers.

View Current Provider Issue Log (PDF 119.12 KB)

 

Pediatric Care Network (PCN)

Pediatric Care Network will provide delegated medical management services for UHC Community Plan Pediatric Care Network members including case management, utilization management and disease management. Resources are available for providers including reference guides, office forms, frequently asked questions and more.

View Pediatric Care Network Provider Resources

 

 

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. 이러한 정책과 지침은 정보 제공을 목적으로 제공되는 것으로, 의학적인 조언은 아닙니다.
View the guidelines

UnitedHealthcare Medicare Advantage Coverage Summaries

For policy guidance for Medicare Advantage plan members, view the UnitedHealthcare Medicare Advantage Coverage Summaries Manual and corresponding policy update bulletins here

정부에 대한 청구, 보고 및 진술의 무결성

UnitedHealth Group은 메디케어와 메디케이드를 비롯한 연방 건강 보험 프로그램과 관련하여 허위 청구의 제출을 금지하는 연방 법률과 주 법률의 요건을 준수해야 합니다. 

사전 고지 사항

If UHG policies conflict with provisions of a state contract or with state or federal law, the contractual / statutory / regulatory provisions shall prevail. 업데이트된 정책 변경 사항을 확인하려면 왼쪽에서 게시판 섹션을 선택하십시오.