Provider Data Information
The Choice of Provider is Yours
We will provide you with information to help you make informed choices, such as physicians' and health care professionals' credentials. This information, however, is not an endorsement of a particular physician or health care professional's suitability for your needs. This site only serves as a general educational aid concerning provider listings.
The providers available through this application may not necessarily reflect the full extent of UnitedHealthcare's network of contracted providers. There may be providers or certain specialties that are not included in this application that are part of our network. If you don't find the provider you are searching for, you may contact the provider directly to verify participation status with UnitedHealthcare's network, or call the toll-free member phone number on your health plan ID card. We also recommend that, prior to seeing any physician, including any specialists or behavioral health providers, you call the physician's office to verify their participation status and availability. The information included in the directory is accurate, to the best of the carrier's knowledge, as of the date of updating.
Paper Directory Requests
Paper copies of the network provider directory are available at no cost to members by calling the customer service number on the back of your ID card. Non-members may download and print search results from the online directory.
Behavioral Solutions of California directory requests
Some network providers may have been added or removed from our network after this directory was updated. We do not guarantee that each provider is still accepting new members.
Provider Data
About Provider Data
All practitioners and hospitals who are part of UnitedHealthcare networks must meet credentialing requirements. These requirements comply with National Committee for Quality Assurance credentialing standards. UnitedHealthcare reviews credentialing information provided by practitioners and hospitals before they become part of UnitedHealthcare's network. Every three years, UnitedHealthcare's practitioners and hospitals must supply updated information to UnitedHealthcare, which UnitedHealthcare reviews again. UnitedHealthcare verifies information that is supplied, such as where a physician received training and if the physician has a current license to practice. UnitedHealthcare instructs providers to notify UnitedHealthcare with updates at any time.
If you have any questions about your participating providers, please feel free to contact UnitedHealthcare Member Services or the provider directly.
Acceptance of New Patients
This indicates whether a physician is receiving new patients into his/her practice. Physicians self-report to UnitedHealthcare whether they are accepting new patients.
Board Certification
Board certification provides a trusted credential that is important to patients and relevant to physician practice. Physicians are Board certified if, after completing residency training in a specialty, they pass an exam and meet requirements established by their Board. Board certification is voluntary. UnitedHealthcare verifies this information with the American Board of Medical Specialties or the American Osteopathic Association when the physician first joins UnitedHealthcare's network and at least every three years thereafter. You can see a physician´s current Board status by visiting www.abms.org or http://www.osteopathic.org.
Demographic Information
Except as noted below, physicians and health care professionals self-report and update upon UnitedHealthcare's request the demographic information (name, address, phone number, gender, languages spoken, medical group affiliation, hospital affiliation, accepting current patients) displayed in the directory. UnitedHealthcare reviews all of this information at least every three years at the time of credentialing and recredentialing.
Hospital Affiliation
Hospital affiliation refers to a hospital where a particular physician may treat patients. Hospital affiliation is reported to UnitedHealthcare by the physician at the time of credentialing and recredentialing. A physician may notify UnitedHealthcare of changes at any time.
Hospital Information
UnitedHealthcare collects information about hospital names, locations, phone numbers, and accreditation before contracting with a hospital and at least every three years after recredentialing the hospital. All hospitals in UnitedHealthcare's network must have met UnitedHealthcare's Facility Site Visit Criteria and also must either have accreditation or have met the certification standards from the Centers for Medicare and Medicaid Services (CMS). Accreditation means a hospital has undergone review by an external agency and met established standards. CMS Certification means a hospital has undergone review by CMS and met applicable certification standards. You can check the current accreditation status of hospitals by visiting the following sites:
Language
This refers to the language(s) other than English that a physician or his/her clinical staff can speak to those needing medical care. This information is voluntarily reported by the physician to UnitedHealthcare at the time of the credentialing and recredentialing. A physician may notify UnitedHealthcare of changes at any time.
Medical Group Affiliation
This refers to the name of the physician's practice. It may be a group practice with other doctors.
Specialty
A specialty is the medical field in which a physician has training, such as orthopedics or cardiology. Physicians self-report their specialties, which UnitedHealthcare then verifies with external sources at the time of credentialing, recredentialing, and whenever a physician notifies UnitedHealthcare of a change.
Reporting Inaccurate Information
Members and Potential Members should report possible inaccurate, incomplete or misleading information by using the “Report Incorrect Information” link found on the Provider’s detail page. Additionally, you can email provider_directory_invalid_issues@uhc.com. This email box is for individuals to report potential inaccuracies for demographic (address, phone, etc.) information in the online or paper directories. Reporting issues via this mail box will result in an outreach to the provider’s office to verify all directory demographic data, which can take approximately 30 days. Individuals can also report or submit a complaint, related to potential inaccuracies via phone. UHC Members should call the number on the back of their ID card, and non-UHC members can call 1-888-638-6613. For IL provider demographic inaccuracies, you may also contact the IL Office of Consumer Health Insurance at 1-877-527-9431.
Behavioral health provider information issues, for states other than CA, can also be reported via the "Report Incorrect Information" link on the Provider’s detail page or by calling 1-800-557-5745, or emailing provider_feedback@optum.com. California residents may report possible inaccurate, incomplete or misleading information listed in the Behavioral health provider directory by using the "Report Invalid Info" button found on the Provider's detail page, calling 1-800-999-9585, or emailing provider_feedback@optum.com.
Providers should use the UHC Provider Portal at www.unitedhealthcareonline.comOpens a new window or use the upgraded My Practice Profile on Link. Contractual issues should be addressed through your UHC Network contact.
Information for Medicare Plans
Information for Employer-Sponsored and Individual Plans
Where can I find information on telemedicine services available to me?
Please call the toll-free member phone number on your health plan ID card to talk to a customer care professional. Always verify your health plan coverage before seeking treatment.