Payer-Specific Service

UnitedHealthcare Credentialing & Enrollment

Specialized credentialing and enrollment services for UnitedHealthcare commercial, Medicare Advantage, and Medicaid plans. Get in-network with UHC faster and start seeing patients sooner.

1000+ UHC Providers

45 Days Average

99% Approval Rate

Start UHC Enrollment Free UHC Consultation

UnitedHealthcare credentialing specialist

UHC Preferred Partner

Complete UHC Enrollment

Commercial, Medicare Advantage, and Community Plan credentialing

Our Process

UHC Credentialing Made Efficient

Our streamlined 3-step process ensures your UnitedHealthcare enrollment is completed accurately and quickly.

CAQH Profile Preparation

We ensure your CAQH ProView profile is complete, attested, and optimized for UnitedHealthcare credentialing requirements.

UHC Application Submission

We prepare and submit complete credentialing applications through the UnitedHealthcare Provider Portal with all required documentation.

Follow-Up & Contracting

We track application status, respond to UHC requests, and assist with contract review and signature upon approval.

UHC Plans We Cover

All UnitedHealthcare Plan Types

We credential providers for all UnitedHealthcare commercial, Medicare, and Medicaid products.

UHC Commercial

Choice, Choice Plus, Options PPO, and HMO plans

UHC Medicare Advantage

AARP MedicareComplete and Dual Complete plans

UHC Community Plan

Medicaid managed care and CHIP programs

UHC Exchange Plans

ACA Marketplace individual and family plans

UHC Oxford

Northeast region commercial plans

UHC Global

International coverage for traveling members

UHC Student Resources

College and university health plans

UHC All Savers

Level-funded and self-funded employer plans

Core Requirements

UHC Credentialing Essentials

We ensure all UnitedHealthcare credentialing requirements are met with precision.

CAQH Attestation

Current CAQH profile with recent attestation (within 120 days)

State Medical License

Active, unrestricted license in practicing state

DEA Registration

Valid DEA certificate for controlled substances

Board Certification

ABMS or AOA board certification status

Malpractice Insurance

Minimum coverage of $1M/$3M per UHC requirements

Work History

Complete 5-year work history with gap explanations

W-9 Form

Current IRS W-9 for tax identification

Background Screening

OIG, SAM, and NPDB clearances

Why Choose Us

UHC Credentialing Excellence

We understand UnitedHealthcare's specific credentialing requirements and processes.

UHC Portal Expertise

Deep familiarity with the UnitedHealthcare Provider Portal and application workflows.

Error-Free Applications

We ensure applications meet all UHC-specific requirements to prevent processing delays.

Provider Relations Liaison

Direct communication with UHC provider relations to resolve issues and expedite approvals.

Recredentialing Support

Ongoing monitoring and management of UHC's 3-year recredentialing cycle.

FAQ

UHC Credentialing Questions Answered

Clear answers to common questions about UnitedHealthcare credentialing.

How long does UHC credentialing take?

UnitedHealthcare credentialing typically takes 45-90 days from application submission to effective date. Our expedited process helps minimize delays.

Does UHC require CAQH?

Yes, UnitedHealthcare requires providers to maintain a current, attested CAQH ProView profile. Re-attestation is required every 120 days.

Can I join UHC if I'm already credentialed with other payers?

Yes, but UnitedHealthcare conducts its own credentialing process. Your existing credentials may help expedite verification but don't guarantee approval.

What is UHC's recredentialing cycle?

UnitedHealthcare requires recredentialing every 3 years. We track your cycle and manage the complete recredentialing process.

Does UHC require site visits?

Site visits may be required for certain specialties or if your practice location has not been previously credentialed. We help prepare you for any required inspections.

Can I bill UHC while credentialing is pending?

No, you cannot bill UnitedHealthcare until credentialing is complete and you receive your effective date. Retroactive billing is not permitted.

What if my application is denied?

We review applications thoroughly before submission to minimize denials. If issues arise, we work directly with UHC to understand and address any concerns.

Do you handle UHC Medicare Advantage separately?

Yes, UHC Medicare Advantage requires separate credentialing from commercial plans. We manage both processes simultaneously for complete coverage.

Ready to Join UnitedHealthcare's Network?

Let our UHC credentialing experts get you in-network quickly and start seeing UnitedHealthcare patients sooner.

Start UHC Enrollment Free UHC Credentialing Review