Claims & Payments
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Claim Status, Reconsideration & Estimator

Claim Status - View detailed information on payment status and amount, claim amount, and charge code detail.

Claim Estimator - Receive an estimate on whether the cost of a procedure is covered, at what amount, and what the claim reimbursement will be.

Claim Reconsideration & Claim Research Project - Submit a single claim, or 20 or more claims at a time for reconsideration. View Claim Reconsideration Request instructions here.

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Claim Submission
Submit professional claims and immediately receive a fully adjudicated claim value and the patient's responsibility based on contracted rates and plan benefits.

Claim submission should also be used by National Drug Code (NDC) providers submitting claims using the UnitedHealthcare NDC drug pricer. NDC providers must follow specific claims submission instructions and inquiry procedures when billing services to UnitedHealthcare's NDC drug pricer.


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Fee Schedule Look-up

Quickly look-up your fee schedule up to 10 CPT/HCPC codes at a time.

Also, using the link below, view the Outpatient Procedure Grouper Mapping page for lists of codes.

Outpatient Procedure Grouper Mapping
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Electronic Payments & Statements (EPS)
Provides capabilities to simplify the reconciliation of Explanation of Benefits (EOBs) and payments, reduce paperwork and manual processes, enhances cash flow.
     
EPS Overview