UnitedHealthcare Community Plan of Oklahoma Homepage (2024)

We know you don't have time to spare, so we put all the UnitedHealthcare Community Plan resources you need in one place. Use the navigation on the left to quickly find what you're looking for. Be sure to check back frequently for updates.

COVID-19 Resources for Providers

  • Important Information from UnitedHealthcare onCOVID-19

Prior Authorization and Notification Resources

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Current Policies and Clinical Guidelines

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Provider Administrative Manual and Guides

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UnitedHealthcare Community Plan of Oklahoma SoonerSelect ContentComing Soon

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Contact Us


Provider Services Call Center:
Phone: 800-301-5547
Hours of Operation: 8 a.m. – 5 p.m. CT, Monday - Friday,

Provider Advocate Team:
To check the status of your credentialing application,Sign Inwithyour One Healthcare ID. This allows you to access self-servicetools or connect to a chat advocate for support.​Please have the care provider’s full name, Tax ID, and National Provider Identifier (NPI) available.

Behavioral Health Services:
Phone: 800-888-2998
Online: Providerexpress.com

Pharmacy Services:
Phone: 800-813-4713 (OptumRx)
Online: Professionals.optumrx.com
Prior Auth Phone: 800-310-6826

Non-Emergent Transportation Services:
Phone: 877-718-4215
MARCH Vision Care:
Phone: 844-796-2724
Online Reference Guides: marchvisioncare.com
Online: providers.eyesynergy.com

Nurseline (available anytime):
Phone: 866-744-6341

Claims Address:
UnitedHealthcare Claims
P.O. Box 5290
Kingston, NY 12402-5290
Multilingual/Telecommunication Device for the Deaf (TDD) Services:
Phone: 888-265-1078 (members)
Phone: 800-301-5547 (providers)
TDD 711

Technical Support:
Phone: 866-209-9320

Credentialing and Attestation


For Credentialing and Attestation updates, contact the National Credentialing Center at 1-877-842-3210.

Join Our Network


For more Information on the Oklahoma Health Care Authority Enrollment Requirements for enrolling in SoonerCare, please visit -https://oklahoma.gov/ohca/providers/provider-enrollment.html

We appreciate your interest in Joining our network. - We have 4 easy steps to join our network

Get Started

Member Information: Current Medical Plans, ID Cards, Provider Directories, Dental & Vision Plans


For more information about the SoonerSelect program, please visit:https://oklahoma.gov/ohca/soonerselect.html

UnitedHealthcare Community Plan website will have more information available by 7/1/2021

Visit UHCCommunityPlan.com/OKfor current member plan information including sample member ID cards, provider directories, dental plans, vision plans and more.

Member plan and benefit information can also be found atUHCCommunityPlan.com/OKandmyuhc.com/communityplan.

Medicaid Managed Care Rule


The Centers for Medicare & Medicaid Services (CMS) established the Medicaid Managed Care Rule to:

  • Promote quality of care
  • Strengthen efforts to reform the delivery of care to individuals covered under Medicaid and Children’s Health Insurance Plans (CHIP)
  • Strengthen program integrity by improving accountability and transparency

Enhance policies related to program integrity With the Medicaid Managed Care Rule, CMS updated the type of information managed care organizations are required to include in their care provider directories.

Reporting Health Care Fraud, Waste and Abuse


When you report a situation that could be considered fraud, you’re doing your part to help save money for the health care system and prevent personal loss for others.Ifyou suspect another provider or member has committed fraud, waste or abuse, you have a responsibility and a right to report it.

Taking action and making a report is an important first step.After your report is made, we will work to detect, correct and prevent fraud, waste, and abuse in the health care system.

Call us at1-844-359-7736or visituhc.com/fraud to report any issues or concerns.

PCP Membership Reports



The best way for primary care providers (PCPs) to view and export thefull member roster is using the CommunityCare feature on the UnitedHealthcare Provider Portal, which allows you to:

  • Identify Medicaid recipients who need to have their Medicaid recertification completed and approved by the state in order to remain eligible to receive Medicaid benefits
  • See a complete list of all members, or just members added in the last 30 days
  • Export the roster to Microsoft Excel
  • View most Medicaid and MedicareSpecial Needs Plans (SNP) members’ plans of care and health assessments
  • Enter plan notes and view notes history (for some plans)
  • Obtain HEDIS information for your member population
  • Access information about members admitted to or discharged from an inpatient facility
  • Access information about members seen in an emergency department

For help using CommunityCare feature on the UnitedHealthcare Provider Portal, please see ourQuick Reference Guide.If you’re not familiar with UnitedHealthcare Provider Portal, go toUHCprovider.com/portal.

CommunityCare Overview

UnitedHealthcare Dual Complete® Special Needs Plan

UnitedHealthcare Dual Complete Special Needs Plans (SNP) offer benefits for people with both Medicare and Medicaid. These SNP plans provide benefits beyond Original Medicare, and may include transportation to medical appointments and vision exams. Members must have Medicaid to enroll.

Learn more about the Dual Special Needs Program

Health Insurance Portability and Accountability Act (HIPAA) Information

HIPAA standardized both medical and non-medical codes across the health care industry and under this federal regulation, local medical service codes must now be replaced with the appropriate Healthcare Common Procedure Coding System (HCPCS) and CPT-4 codes.

Integrity of Claims, Reports, and Representations to the Government

UnitedHealth Group requires compliance with the requirements of federal and state laws that prohibit the submission of false claims in connection with federal health care programs, including Medicare and Medicaid.


If UHG policies conflict with provisions of a state contract or with state or federal law, the contractual / statutory / regulatory provisions shall prevail. To see updated policy changes, select the Bulletin section at left.

UnitedHealthcare Community Plan of Oklahoma Homepage (2024)


What foods can I buy with my UnitedHealthcare OTC card? ›

You can use your Healthy Food Card to buy some of the following:
  • Frozen Meals or Produce.
  • Fresh Salad Kits.
  • Dairy Products.
  • Fresh and Canned Vegetables and Fruits.
  • Meat and Seafood.
  • Kitchen Staples such as sugar, spices, and flour.
  • Soups.
  • Bottled Water.
Sep 5, 2023

Is UnitedHealthcare accepted in Oklahoma? ›

UnitedHealthcare Individual & Family ACA Marketplace plans offer affordable, reliable coverage options from UnitedHealthcare of Oklahoma, Inc.

Does UnitedHealthcare ever call you? ›

A UnitedHealthcare nurse may call you and suggest you participate in a clinical management program, or call to simply check in if: ► You have a chronic medical condition. ► You or a family member were recently hospitalized. ► You are pregnant.

Is UnitedHealthcare legit? ›

Reviews & Ratings for UnitedHealthcare

The company's complaint ratio is better than that of other major competitors analyzed. Other ratings for UnitedHealthcare include: Average National Committee for Quality Assurance: 3.5 out of 5 stars. AM Best financial strength: A+ (Superior)

Can I buy laundry soap with my OTC card? ›

You can also get everyday items like laundry detergent, soap and toothbrushes. If you previously ordered OTC items through Acaria or through the Envolve OTC mobile app, you will need to create a new account with CVS .

Can I buy soap and shampoo with my OTC card? ›

OTC items are not eligible for reimbursem*nt if they are normally used for general health, are not used to treat a medical condition (e.g. toothpaste, mouthwash, lotion, shampoo) or are cosmetic in nature (e.g. teeth whitening products, wrinkle reducers). See additional examples in the OTC Chart.

Can I use UnitedHealthcare at Walmart? ›

With your UnitedHealthcare UCard, it's easy to use your credit to: Shop at thousands of participating stores, including Walmart, Walgreens, Kroger, and CVS, or at neighborhood stores near you.

What is the best health insurance in Oklahoma? ›

UnitedHealthcare and Blue Cross Blue Shield are the best health insurance companies in Oklahoma. But Blue Cross Blue Shield is the most popular. Almost 8 in 10 active health insurance plans in Oklahoma are from BCBS.

What is the largest health insurance provider in Oklahoma? ›

CommunityCare HMO

CommunityCare is one of the largest health insurance companies in Oklahoma and is locally owned and operated by Saint Francis Health System and Ascension St.

Why does UnitedHealthcare want to come to my house? ›

The goal of our preventive care visits is to help you maintain your independence and continue doing what you love long into the future. We know there's no way to prevent all health emergencies and accidents, but we believe that by taking care of yourself, you may be able to improve your odds of avoiding them.

Does UnitedHealthcare ask for a social security number? ›

We keep your Social Security number confidential and limit the number of people who can see it. UnitedHealthcare will not call you to ask for your Social Security number.

Why did UnitedHealthcare send me a check? ›

UnitedHealthcare intends to include its self-funded (ASO) plans in the virtual card payment program. ASO customers can elect to opt out of participation in the program. In those circ*mstances, you may receive a paper check for claims for members of ASO plans that have opted out.

What is the disadvantage of UnitedHealthcare? ›

Medicare Advantage monthly costs

AARP/UnitedHealthcare is a poor choice for PFFS plans. PFFS plans aren't a popular choice since they are usually expensive and can limit your choice of doctors. For these plans, UnitedHealthcare has high prices, low ratings and limited availability.

Is UnitedHealthcare owned by China? ›

UnitedHealth Group Incorporated is an American multinational health insurance and services company based in Minnetonka, Minnesota.

Is there a class action lawsuit against UnitedHealthcare? ›

UnitedHealthcare failed to secure the personal identifiable information and protected health information of consumers during a data breach caused by a ransomware attack against its subsidiary Change Healthcare in February, a new UnitedHealthcare data breach class action lawsuit alleges.

Can you buy potato chips with an OTC card? ›

"You can use your benefits to purchase OTC products including allergy medication, cough drops, first aid supplies, oral care, pain relievers, vitamins, and more," reads the Health Benefits website. Certain items such as soda, candy, chips, and other junk foods are usually not eligible for purchase with the card.

Can I buy paper towels with my OTC card? ›

You can use your card to buy things like: Food and fresh groceries, like meat, vegetables, and canned goods. Everyday items, like toothpaste, shampoo, deodorant and shaving cream. Household goods, like laundry detergent, paper towels and tissues.

Can I buy meat with my OTC card at Walmart? ›

Approved items include fruits & vegetables, meats, dairy & more.

What foods can I get on my healthy Benefits card? ›

These include:
  • Fresh or canned fruits and vegetables.
  • Frozen produce and meals.
  • Fresh salad kits.
  • Dairy products.
  • Meat and seafood.
  • Beans and legumes.
  • Pantry staples, like flour, sugar, and spices.
  • Healthy grains, like bread, cereals and pasta.


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