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UnitedHealthcare Capitation, Claim, Quality, Roster and Profile Reports

View list below for available reports and quality programs through the UnitedHealthcare Reports tool. You can access the tool through Document Vault in Link. 

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Capitation Reports

  • Capitation Roster for Medicaid / Community Plan Providers
  • Capitation for UnitedHealthcare Commercial Providers
  • Capitation for UnitedHealthcare Medicare Solutions

ECap Capitation Report Resources

Claim Reports

  • Claim Recoveries for Medicaid / Community Plan Providers
  • Claim Trends by Product for Medicaid / Community Plan Providers
  • Claim Trends – Top reasons for denial for Medicaid / Community Plan Providers
  • Claim Trends – Top reasons for denial by product for Medicaid / Community Plan Providers

Quality Reports

  • Early Preventative Screenings Diagnostic Tests (EPSDT) for Medicaid / Community Plan Providers
  • ED Utilization Report for Medicaid / Community Plan Providers
  • Eligibility for UnitedHealthcare Medicare Solutions
  • Encounters for UnitedHealthcare Medicare Solutions
  • Hospital Monitoring Reports for UnitedHealthcare Commercial Providers
  • Preventive Health Measures for Medicaid / Community Plan Providers

Provider Roster / Profile Reports

  • Primary Care Physician (PCP) Panel Roster for UnitedHealthcare Commercial, Medicaid / Community Plan, UnitedHealthcare Medicare Solutions and Gated Product Providers
  • Provider Profile – Current Year for Medicaid / Community Plan Providers
  • Provider Profile – Previous Year for Medicaid / Community Plan Providers

UnitedHealthcare West Reports

Looking for UnitedHealthcare West Reports? Learn More