Eligibility Search Information
There are two ways to which you can search for a member. We encourage using Subscriber ID as the primary way to search. However, we also allow you the ability to search by the member's name and date of birth. If more than one record is found, you will be asked to enter in additional information.
Applicable to DHMO provider groups with assigned members
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Provider Services: Claims Submission Addresses:
1-800-822-5353 United Healthcare Dental Claims Unit
P.O. Box 30567 Salt Lake City, UT 84130-0567
Click here for Healthplex claims submission addresses
Electronic Payer ID:
521337971
The coverage and benefits section has been enhanced to improve your user experience with new features:
- Streamlined provider network status box
- Updated Benefit Details table
- New date of service calendar
- New ADA code or procedure category search
Review the training course and user guide to learn more about all new features.
Resources for those impacted by the Southern California fires. Read more at uhcprovider.com/disaster.
IMPORTANT MESSAGE TO HEALTHPLEX PROVIDERS:
Healthplex continues to serve as the administrator for Commercial and Government dental plans.
Effective Jan. 1, 2024, Healthplex has changed the systems used to administer dental plans. Please review the Client reference guide for the updated information about the provider portal, provider services phone number, and claims addresses.
MVP Health Care to End Partnership with Healthplex
Effective June 1, 2025, MVP Health Care® (MVP) will discontinue its partnership with Healthplex as its dental network provider. After May 31, 2025, services for members enrolled in MVP Medicaid, D-SNP, CHP, HARP, and EP plans will no longer be processed through Healthplex. Consequently, Healthplex providers will be considered out-of-network for these MVP members.
MVP sincerely appreciates the care and service you have provided to our members.
Updates and information to help practices thrive:
The Hawaii General Excise Tax (GET) is tax that is charged on business activity in Hawaii. The Fee Amounts listed in our Preferred Provider Organization (PPO)/Medicare and Medicaid Fee Schedules are all inclusive, including, without limitation, reimbursement for any/all applicable state and federal taxes. Providers may not seek payment from enrollees for General Excise taxes. If you have any further questions, please contact UnitedHealthcare Provider Services at 1-800-822-5353
Please read this important announcement regarding PPE for New York Providers.
May 2025 UnitedHealthcare Dental Policy Update Bulletin Now Available.
Utilization Management Decision Making:
Utilization management decision making is based only on appropriateness of care and service and existence of coverage. The organization does not specifically reward practitioners or other individuals for issuing denials of coverage. Financial incentives for Utilization management decision makers do not encourage decisions that result in underutilization.
Limited benefit availability for Leased Network Providers, DHMO, Fixed INO, Fixed EPO, Direct Compensation and Referral Plans
At this time, you will not be able to retrieve procedure code pricing (i.e fee schedule) for these plans.