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Submitting Appeals and Disputes through the Provider Portal

March 23, 2023

Clinical appeals can be submitted thru our provider portal electronically

  • Primarily address utilization management authorization denials in addition to claim denials related to lack of approved authorizations
  • For these appeals, our system will generate a reference number for the submission. You may use this reference number to check on the status of an appeal. Our Customer Service (CS) agents can verify status of your appeal with this reference number via the chat function in the portal or you may call our CS line.

Claim policy appeals or disputes may also be submitted thru our provider portal electronically

  • These primarily address issues with the adjudication of the claim related to under/overpayment, bundling, COB, claim edits etc.
  • Unlike clinical appeals, the system does not generate a reference number for these submissions. This does not mean, however, that you cannot inquire on the status of the submission. You may inquire on status with the respective claim ID via the chat function in the portal or you may call our CS line.
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Y0020_WCM_100876E Last Updated On: 3/23/2023
On April 22, 2024, UnitedHealth Group issued a press release, providing an update on the Change Healthcare cybersecurity incident that occurred on Feb. 21, 2024. Given the size of the data impacted, the investigation to determine whose data is impacted is expected to take several months. UnitedHealth Group believes this situation will impact “a substantial proportion of people in America” and is offering immediate credit monitoring and identity protection services, as well as a dedicated contact center to address questions. Visit Change Healthcare Cyberattack Support and/or reach out to the contact center at 1-866-262-5342 regarding any questions.

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