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Note: If you want to apply for health insurance and have already been helped by an independent insurance broker, please contact that person directly. Hours Monday – Thursday Friday Saturday Medicare Hours Monday – Friday Call Broker Services if you are a health insurance broker or to get help finding a local health insurance broker. Existing Broker Login New Broker Registration Hours Monday – Thursday Friday Already an Insured?Please note, we are currently experiencing high call volume. Our member website for your plan may be able to help. Select the “Member Portals” button above to find the web site that supports your plan. If you're looking for product support online, the Member Portals page has links to web portals for many of the products available on UHOne.com. Once registered on the member portal, you can
If you still have questions, call 1-800-657-8205 during our customer service hours. Trained customer service professionals are ready to answer your questions and help you meet your needs. Hours Monday – Friday Looking for Faster Service? Our Automated Phone Service may have the answers to your top questions - with no waiting!
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As of March 1, 2022, the Agency for Health Care Administration (AHCA) requires billing and rendering providers to include the following information on your claims. Ensure your information matches the current provider enrollment information on file with AHCA or your claims will deny beginning Oct. 1, 2022. Welcome to the Home for Care Provider ResourcesFor UnitedHealthcare Community Plan of Florida WelcomeFor UnitedHealthcare Community Plan of Florida Welcome to the Home for Care Provider ResourcesFor UnitedHealthcare Community Plan of Florida WelcomeFor UnitedHealthcare Community Plan of Florida We know you don't have time to spare, so we put all the UnitedHealthcare Community Plan resources you need in one place. Use the navigation on the left to quickly find what you're looking for. Be sure to check back frequently for updates. Prior Authorization and Notification ResourcesCurrent Policies and Clinical GuidelinesProvider Administrative Manual and GuidesFind Local COVID-19 Diagnostic Testing LocationsUse these online tools to help find your patients find a COVID-19 diagnostic testing location: Expand All add_circle_outline Behavioral Health ProvidersLearn how to join the Behavioral Health Network, review Community Plan Behavioral Health information, or submit demographic changes at Community Plan Behavioral Health. Facility/Hospital-Based Providers, Group/Practice Providers and Individually-Contracted CliniciansThe state-specific requirements and process on how to join the UnitedHealthcare Community Plan network is found in the UnitedHealthcare Community Plan Care Provider Manuals. OverviewThe Centers for Medicare & Medicaid Services (CMS) established the Medicaid Managed Care Rule to:
Enhance policies related to program integrity With the Medicaid Managed Care Rule, CMS updated the type of information managed care organizations are required to include in their care provider directories. Visit UHCCommunityPlan.com/FL for current plan names, overview of eligibility information, doctor look up and more. Member Health WaiversIf you are a provider of a member whose health was previously cared for under one of the following waivers, please contact Provider Services for extra help understanding your full benefit program:
You can reach our Provider Services team by calling the number on the back of your members ID card, or by referencing the contact numbers below:
The best
way for primary care providers (PCPs) to view and export the full member roster is using the CommunityCare feature on the UnitedHealthcare Provider Portal, which allows you to: For help using CommunityCare feature on the UnitedHealthcare Provider Portal, please see our Quick Reference Guide. If you’re not familiar with UnitedHealthcare Provider Portal, go to UHCprovider.com/portal. Need to make a change to your provider or facility directory information?Reporting Fraud, Waste or Abuse to UsWhen you report a situation that could be considered fraud, you’re doing your part to help save money for the health care system and prevent personal loss for others. If you suspect another provider or member has committed fraud, waste or abuse, you have a responsibility and a right to report it. Taking action and making a report is an important first step. After your report is made, we will
work to detect, correct and prevent fraud, waste, and abuse in the health care system. Call us at 1-844-359-7736 or visit uhc.com/fraud to report any issues or concerns. Current News, Bulletins and AlertsLast Modified | 09.23.2022 As of March 1, 2022, the Agency for Health Care Administration requires billing and rendering providers to include certain identifying information on your claims. Ensure your information matches the current provider enrollment information on file with AHCA or your claims will deny beginning Oct. 1, 2022. Learn More Last Modified | 05.16.2022 Health care professionals who wish to contract with UnitedHealthcare Community Plan may need a site visit as part of the credentialing process. Learn More Last Modified | 04.29.2022 Effective Aug. 1, 2022, Optum will manage prior authorization requests for non-oncology injectable medications that are covered on the medical benefit for UnitedHealthcare Community Plans. Learn More Last Modified | 01.27.2022 Free on-demand CMEs: Buprenorphine and pregnancy Help reduce rates of Neonatal Abstinence Syndrome (NAS) and improve birth outcomes. Learn More Last Modified | 05.21.2021 Use this list of local health departments to learn about availability in your area. Availability may vary by location and time. We encourage you to check back often as information becomes more available. Learn More View More News Resources:
Health Insurance Portability and Accountability Act (HIPAA) InformationHIPAA standardized both medical and
non-medical codes across the health care industry and under this federal regulation, local medical service codes must now be replaced with the appropriate Healthcare Common Procedure Coding System (HCPCS) and CPT-4 codes. Integrity of Claims, Reports, and Representations to the GovernmentUnitedHealth 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. DisclaimerIf 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. What number do I call for Florida Medicaid?If you have questions, please call 1-877-711-3662, TDD 1-866-467-4970, Monday through Thursday from 8 a.m. to 8 p.m.; Friday from 8 a.m. to 7 p.m. The call is free. Text your enrollment or frequently asked questions to 357662. Click here to create a FL Medicaid Member Portal account and send a secure message.
Is UnitedHealthcare Medicare accepted in Florida?UnitedHealthcare Medicare Advantage (Part C) plans—including the only plans with the AARP name—in Florida are designed to give you more for your Medicare dollar by offering all the benefits of Original Medicare as well as coverage for extra benefits like prescription drugs, dental and vision.
Is Florida health Care Plan Medicaid?Looking for low-cost or no-cost health insurance? We offer Medicaid plans. We also offer dual health plans for people with both Medicaid and Medicare.
Does UnitedHealthcare operate in Florida?UnitedHealthcare in Florida is here to serve the needs of employers, employees and their families across the state.
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