The Preferred Care Network (PCN) Provider Portal offers healthcare professionals a comprehensive digital platform designed to streamline administrative tasks and enhance patient care management. This secure online portal provides medical providers with efficient tools to manage critical healthcare interactions and administrative processes.
Official Links
- Preferred Care Network: https://www.pcnhealth.com/en/providers/
- My Preferred Provider: https://www.mypreferredprovider.com/
What Healthcare Professionals Can Do
The Provider Portal empowers healthcare professionals with multiple key functionalities:
Key Portal Features
- Verify member eligibility and benefits
- Submit authorization requests
- Check authorization request status (Primary Care Physicians only)
- View hospital admission/discharge information
- Submit claims
- View claims status
- Submit up to 12 diagnosis codes on a single claim submission
Who Can Use the Portal
The portal is specifically designed for:
- Healthcare providers
- Primary Care Physicians (PCPs)
- Medical professionals working with Preferred Care Partners and Preferred Care Networks
Access and Login
While specific login details are not explicitly provided in the source documents, the portal appears to be a secure platform requiring professional credentials.
Privacy and Security
Security Commitments
- 24/7 transaction submissions
- Increased data accuracy
- Duplicate data prevention
- Secure professional access
Customer Support
Contact Information
- Sales: 1-800-507-0544
- TTY: 711 (Toll-Free)
Important Notes
Medicare-Related Information
Starting January 1, 2025, healthcare providers should be aware of potential changes in Medicare Prescription Payment Plan, which allows patients spending over $2,000 on Part D prescription drugs to spread out-of-pocket costs.
Supported Plans
- Medicare Advantage Plans
- Dual Special Needs Plans
- UnitedHealthcare affiliated plans
Unprovided Information
The following details were not explicitly specified in the source documents:
- Exact login process
- Specific app download instructions
- Detailed registration steps for new providers
Disclaimer
Plans are insured through UnitedHealthcare Insurance Company or affiliated companies. Enrollment depends on Medicare contract renewals, and benefits may vary by plan and area.
Additional Resources
Providers can explore additional information through:
- Site Map
- Accessibility Information
- Privacy Policy
- Terms of Use
The Preferred Care Network Provider Portal represents a robust, secure digital platform enabling healthcare professionals to efficiently manage patient-related administrative tasks with enhanced accuracy and convenience.
Copyright and Trademark
© 2025 UnitedHealthcare Services, Inc. All Rights Reserved
Note: This article is based on information available as of October 1, 2024, and is subject to updates and changes.
FAQ
Are preferred care partners part of UnitedHealthcare?Preferred Care Partners is insured through UnitedHealthcare Insurance Company or one of its affiliated companies, a Medicare Advantage organization with a Medicare contract. Enrollment in the plan depends on the plan’s contract renewal with Medicare.
What is a preferred care provider?A provider who has a contract with your health insurer or plan to provide services to you at a discount.
What is the payer ID for Preferred Care Partners?Case and disease management programs are managed by Optum. Electronic Claims: Payer ID: 65088.
What is the timely filing limit for UHC Preferred Care Partners appeal?You may file an appeal within 60 days (65 days beginning in 2025) calendar days of the date of the notice of the first coverage decision.
https://www.mypreferredprovider.com/
Provider Portal. We invite you to use this website, created especially for health care professionals, to find resources.
https://www.pcnhealth.com/en/providers/
You can register for access to our secure provider portal where you can conduct many transactions such as Verification of member eligibility / benefits.