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Providers

Resources for providers in our medical and dental networks.

Redefining health care starts with you—the provider. At UniCare, we know that you play a critical part in providing patients with "A Healthy Dose of InnovationSM." Together, we can improve people's perception of health care, one patient at a time.

AccessPoint

AccessPoint is an online tool that allows Providers who treat UniCare members to connect to UniCare member eligibility, benefits and claims status. The site’s extended hours, displayed on the Provider Home page, make it easy to obtain and print information outside, as well as during, normal office hours.

Click here to request an account.

Network Services

UniCare Network Services supports the provider network through the contracting, credentialing and recontracting process and provides ongoing education and support to providers and their office staffs.

How to Reach Us

  • Midwest Office (Chicago metropolitan area, northwest Indiana, Ohio): 1-800-700-0668
  • Houston Office: 1-888-697-3790
  • Plano Office: 1-888-697-3791

Medical

Interested in joining our network? Start by familiarizing yourself with our medical policies.

Dental

Follow this link to learn about joining our Dental Services PPO network.

Pharmacy

UniCare's prescription drug benefit provides coverage for many outpatient prescription drugs. Refer to the Pharmacy link on this site for information about pharmacy benefits management; the outpatient drug formulary, a list of preferred, cost-effective medications; and prior authorization of non-formulary drugs.

EDI

UniCare encourages electronic claims submission for improved productivity and cost efficiency. .

News & Updates

Find news about preventive health guidelines and UniCare services and programs.

Medical Policy

Find a description of UniCare's Utilization Management program and pre-certification, continued stay review and case management processes.

Operations Manuals

UniCare manuals provide information about policies and procedures, member eligibility, claims submission, reimbursement and utilization management.

HIPAA

Refer to these sites for information about HIPAA policies and news.

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