UHC

CLARIFICATION OF TIOPA’s ROLE REGARDING UHC CONTRACT

TIOPA’s Relationship with UHC
  • check_circle TIOPA is delegated for credential verification and ongoing monitoring per regulatory guidelines.
  • check_circle TIOPA has NO Control over obtaining UHC effective dates.
  • check_circle TIOPA is NOT involved in WellMed contracting (enroll via UHC).
How TIOPA Members Can Contract with UHC (after Opt‑In)
Contracting with ANY and ALL United Healthcare Products
TIOPA does NOT hold the health plan agreement with UHC. They contract directly with you. They delegate credential verification/monitoring to TIOPA.
contact_mail
Contact UHC (melissa_boyd@uhc.com) for:
  • mail UHC contract questions.
  • mail
    Network questions ( networkhelp@uhc.com email ).
  • mail Fee schedule requests.
  • mail General contracting (use One Healthcare ID for Network Help).
  • mail Network availability & product participation.
  • mail Provider/contract load status.
  • mail WellMed contracting & enrollment.
  • mail UHC portal, claims, prior auth, eligibility/benefits: sign into UHC Provider Portal to chat with a service advocate.
Demographic Updates
  • arrow_right Step 1: Submit changes via TIOPA Provider Resources (addresses, phone, TIN, etc.).
  • arrow_right Step 2: Update your CAQH profile to match TIOPA submissions.
United Healthcare Links
verified_user Eligibility & Benefits open_in_new
account_circle One Healthcare ID open_in_new
approval Prior Auth open_in_new
receipt Claims & Billing open_in_new
description Provider Forms open_in_new
handshake Contract with WellMed open_in_new
verified CAQH ProView open_in_new
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