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UnitedHealthcare Small Group Audit Process Update

Jun 20, 2025
Category
Carrier News

Beginning July 1, 2025, an enhanced eligibility verification application will be in place online where uploaded tax documentation will populate the information necessary to complete UnitedHealthcare's eligibility verification for small groups.

What’s Changing

  • The enhanced online eligibility verification application will now auto-populate tax documentation fields based on the supporting documents that customers (or brokers and general agents acting on their behalf) will upload with the online audit response. Groups will be prompted to approve the auto-populated information and will have the opportunity for making any needed corrections online. Previously, information regarding the tax documentation needed to be completed by hand and then uploaded once the manual entries were made.
  • The option for uploading tax documentation will now be a requirement to support an entirely online audit response.

UnitedHealthcare anticipates these new features will help alleviate pended submissions due to incomplete tax documentation information and illegible responses, as well as improve turnaround times.

Visit the Risk Management website for more information, including the job aid, “How to Complete an Eligibility Verification Audit.”

For technical issues, including access or login issues, or for eligibility verification audit specific questions, including questions about the new, online capabilities, contact your Amwins Connect Regional Sales Manager.

 

Tags
UnitedHealthcare
Oxford
Surest Health Plans

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