Overpayment, Appeal Letters Going Paperless on May 5

Overpayment, Appeal Letters Going Paperless on May 5

Beginning May 5, UnitedHealthcare will no longer mail overpayment and appeal decision letters sent directly by UnitedHealthcare* to network health care professionals (primary and ancillary) and facilities in New York

This change applies to UnitedHealthcare Community Plans. Instead, you’ll be able to view them digitally 24/7.

Note: Overpayment and appeal letters will continue to be mailed to behavioral health professionals and facilities and home and community-based services.

Please share the following changes and digital workflow options with those who are affected, including outside vendors such as revenue cycle management companies.

View overpayment and appeal decision letters 1 of 2 ways

1. Document Library in the UnitedHealthcare Provider Portal
2. Application Programming Interface (API)

You can also enroll in Direct Connect to view overpayment letters: This free tool, available in the portal, helps you review and resolve overpaid claims quickly and easily. Use Direct Connect to reduce letters and calls from UnitedHealthcare and additional work with third-party vendors.

Here’s how it works:

All initial overpayment notification letters will post to Document Library

Subsequent communications, including reminder notifications and disagreements with overpayment findings, will be done via Direct Connect. You can also use the tool to submit refunds.

To enroll, email [email protected]. Please include the requestor’s name, as well as the organization’s tax ID number
(TIN), physical address and mailing address