united healthcare navigate balanced patient portal

by Mallie Klein Sr. 7 min read

UnitedHealthcare Provider Portal Resources

15 hours ago UnitedHealthcare Navigate plan overview. Navigate plans provide well-rounded coverage for many services including: Preventive care. PCP and specialty office visits. Lab, X-ray and diagnostic services. Urgent care. Emergency services. Inpatient hospital services. Rehabilitation and skilled nursing facility services. >> Go To The Portal


What are the UnitedHealthcare navigate products?

UnitedHealthcare Navigate Products Frequently Asked Questions. Navigate, UnitedHealthcare Navigate Balanced® and UnitedHealthcare Navigate Plus® are plan designs with their own national network that require the selection of a primary care physician to help simplify and coordinate care.

Does UnitedHealthcare navigate require a referral?

With UnitedHealthcare Navigate® health plans, you access your coverage and benefits with the guidance of a primary care provider (PCP). With this plan, your coverage requires that you get a referral from your PCP before you see another physician or specialist in the network. No coverage is provided without a referral.

How do I use the UnitedHealthcare provider portal?

The UnitedHealthcare Provider Portal allows you to quickly get the answers you need so you can save valuable time and get better documentation and visibility. To access the portal, you will need to create or sign in using a One Healthcare ID. Access claims information like status updates, reconsiderations and appeals Are you a new user?

What is UnitedHealthcare Direct Connect and how does it work?

Using Direct Connect, you can track and manage overpayment requests, dispute an overpayment finding and submit refunds – reducing the letters and calls you receive from UnitedHealthcare, or the need to work with third-party vendors. Direct Connect is available on the UnitedHealthcare Provider Portal.

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Arizona Care Network

With UnitedHealthcare Navigate®, members choose a Primary Care Physician (PCP) from Arizona Care Network (ACN), which is comprised of Abrazo Community Health Network, Dignity Health and Phoenix Children’s Care.

Broker and employer resources

Navigate and Navigate Balanced plans offer varying levels of coverage and plan designs to give you choice and flexibility in offering solutions that work for customers and members.

Member resources

Members can get the most out of their plans with the security and guidance of a primary care physician (PCP).

What is dual health plan?

Dual health plans, or Dual Special Needs Plans, are for people who qualify for both Medicare and Medicaid. Dual health plans include extra benefits to help ease the challenges faced by dual-eligible members. Some of these extra benefits cover care and services that go above and beyond Medicaid and Original Medicare.

How can a navigator help you?

Just like the name says, your Navigator can help you: Make a plan to help with questions about your medical, transportation and food needs. Schedule appointments and transportation to your doctor, dentist or pharmacy. Review your benefits to help you get the most out of your plan.

What is a dual eligible special needs plan?

Plans that are low cost or no-cost. Medicare dual eligible special needs plans. Plans that provide special coverage for those who have both Medicaid and Medicare. For Members (Opens in a new tab) Site Language: Currently selected language: English (en) English (en) Español (es)

What to see if you are dual eligible for medicaid?

Many people who are dual-eligible for Medicaid and Medicare have chronic health issues. They may need to see a number of different care providers on a regular basis. They may also see mental health counselors for depression or anxiety. And therapists to help with pain and mobility.

What is a navigator?

A Navigator is your go-to person for support. For dual health plan members, a Navigator serves as your single point of contact. Your Navigator is a trusted advisor. Someone who’ll learn about your specific health challenges.

Can a navigator help with dual health?

A Navigator can help make life easier for dual health plan members. Life isn’t easy for those who have both Medicare and Medicaid. Many people who are dual-eligible for Medicaid and Medicare have chronic health issues. They may need to see a number of different care providers on a regular basis.

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