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Eligibility Search
Claim Search By Tax ID
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DHMO Member Roster (If Applicable)

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Subscriber ID Name

*Service Date

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Individual

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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.

Duplicate records have been found.

	Name	Group	Address
	{{a.demographics.memberName.firstName}} {{a.demographics.memberName.lastName}}	{{a.groupInfo.groupID}}	{{a.postalAddress.line1}}

Claim Search By Tax ID

*From Date

*To Date

Show Pre Treatment Estimate

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Claim Search by Tax ID

The information being searched will be for the Tax ID you supplied when registering for the site. If this Tax ID is no longer valid, please contact our customer service team so that we can better assist you.

{{claim.errortaxid}}..

Search By:

Subscriber ID Name

*From Date

*To Date

*Date Of Birth

*First Name

*Last Name

*Subscriber ID

Show Pre Treatment Estimate

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Duplicate records have been found. Please refine your search by providing the following additional information:

*SubscriberId

*ZipCode

*First Name

*Last Name

Subscriber ID	Plan Description	Product ID	Eligible	Effective Date	End Date	Eligibility Through Date	Essential Health Benefit	Transaction Type
{{subscriberId \| maskNumber}}	{{onePlan.plan.codeDesc}}	{{onePlan.product.codeValue}}	{{onePlan.eligibilityIndicator}}	{{onePlan.memberEligibilityEffectiveDate \| date :'MM/dd/yyyy'}}	{{onePlan.eligibilityTermDate \| date :'MM/dd/yyyy'}}	{{onePlan.eligibilityPaidThroughDate \| date :'MM/dd/yyyy'}}	{{onePlan.ehbIndicator}}	Select

Claim Search by Member Information

Roster Info
Applicable to DHMO provider groups with assigned members

Published Date	View
{{item.creationTimestamp.toDateString()}}	View

Recent Treatment Plans

Date Last Edited	Treatment Plan Name	Member Name	View Plan
{{item.lastUpdateDate \| date: "MM/dd/yyyy" }}	{{item.treatmentName}}	{{item.memberName}}	Details

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Recent Claims

Subscriber ID	Amount Claimed	Claim Status	View
{{item.member.memberId \| maskNumber}}	$ {{item.totalCharge}}	{{item.claimStatusCode.codeDesc}}	EOB/ Details

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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

Quick Links

Provider Online Academy
Provider Self Service
Manuals/Other Supporting Documents
National Standardized Claim Utilization Review Criteria
Manage One Healthcare ID
Quick Reference Card
Demographic Change Form
Electronic Payments and Statements
DHMO / DC Member Copayment Schedules
Appeal and Grievances
Dental XChange

Message Board

Important Change Healthcare Information

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.

Use UHCdental.com to verify eligibility, plan coverage, online claim/pre-treatment/pre-authorization submission, and more. Please review the UHCdental.com user guide and training course.

Client Reference Guide

Call Center Wait Time

Current wait time estimate within our call center is 3-5 minutes. We understand the importance of your time and encourage you to continue to self-service on our portal.

Updates and information to help practices thrive:
UHC Dental News

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.

The most current DHMO / DC Member Copayment Schedules are now available for California & Nevada (also available under "Quick Links").

April 2024 UnitedHealthcare Dental Policy Update Bulletin Now Available.

American Dental Association (ADA) and CAQH ProView credentialing process for dentists.

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.