The UnitedHealthcare Provider Portal offers healthcare professionals a comprehensive digital platform for managing patient interactions, claims, and administrative tasks for American Postal Workers Union Health Plan (APWUHP) members.
Official Links
- APWU Health Plan: https://apwu.org/apwu-health-plan/
- UnitedHealthcare Provider Portal: UHSS.umr.com
What Providers Can Do
The Provider Portal enables healthcare professionals to:
- Verify member eligibility
- Submit electronic claims
- Access member information
- Coordinate patient care
Accessing the Portal
Login Process
- Visit UHSS.umr.com
- Use appropriate credentials
- Select “Sign In” option
Eligibility Verification
Providers can verify member eligibility through two primary methods:
- Online at UHSS.umr.com
- By calling Provider Services at 866-204-8020
Key Features
Claims Submission
Providers can submit claims electronically:
- Medical claims: Payer ID 39026
- Secondary medical/dental claims: Payer ID 44444
Paper Claims Submission
- Medical claims: P.O. Box 30783, Salt Lake City, UT 84130-0783
- Secondary claims: APWU Health Plan, P.O. Box 1358, Glen Burnie, MD 21060
Network Changes
Starting January 1, 2024, significant changes will impact APWUHP High Option members:
- New UnitedHealthcare network implementation
- Members will receive new ID cards with UnitedHealthcare logo
Patient Care Coordination
- Specialists can see members without referrals
- Nurse and care managers available to coordinate care for qualified members
Support and Assistance
Provider Services
- Phone: 866-204-8020
- Hours: 7 a.m.–6 p.m. CT, Monday–Friday
Member Services
- Phone: 800-222-2798
- Assistance for network and benefit transitions
Privacy and Security
While specific portal security details are not provided in the source documents, providers should:
- Protect login credentials
- Use secure networks
- Follow standard healthcare data protection protocols
Additional Resources
- Visit apwuhp.com for upcoming plan benefit changes
- Consult official documentation for comprehensive details
Unprovided Information
The following details were not specified in the source documents:
- Specific app download instructions
- Detailed security protocol specifics
- Comprehensive portal feature list
Disclaimer
Provider network capabilities may vary depending on member location. Always verify current information directly with UnitedHealthcare or APWU Health Plan.
Note to Providers: Ensure you request and verify member ID cards during visits, particularly with the upcoming network transition.
FAQ
Is APWU UnitedHealthcare?The UnitedHealthcare® Medicare Advantage (PPO) plan for APWU Health Plan’s included prescription drug coverage is considered a Part D plan therefore if you currently have a Part B IRMAA then you may incur an additional Part D IRMAA when enrolling in this plan.
What insurance company is APWU?These comprehensive, affordable benefits, made available through American Family Life Assurance Company of Columbus (Aflac), are being offered exclusively to APWU members and their qualifying family members.
Who is eligible for APWU Health Plan provider portal?Who is eligible to enroll in the APWU Health Plan? Eligibility for the APWU Health Plan includes Postal Service employees and annuitants who are eligible for the PSHB Program. To enroll, you must be or become a member or associate member of the American Postal Workers Union, AFL-CIO.
Where do I mail my APWU provider claims?Paper claims:
Secondary medical/dental claims: APWU Health Plan, P.O. Box 1358, Glen Burnie, MD 21060.
https://apwu.org/apwu-health-plan/
Learn about the differences between the two health plans so you can choose the one that meets your needs. Enroll online.
https://www.uhcprovider.com/en/resource-library/news/2023/network-change-some-apwuhp-members.html
Starting Jan. 1, 2024, American Postal Works Union Health Plan High Option members will use the UnitedHealthcare network.