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HEALTH CARE PROFESSIONALS
 

Welcome to OneNet's Health Care Professionals website, a resource for physicians, health care practitioners, hospitals and facilities that participate in the OneNet PPO Network.

From here, OneNet participating providers can view copies of their claim pricing sheets*, download a copy of our current OneNet administrative manual, search for other OneNet participating providers, and more. Our Frequently Asked Questions (FAQ) page also offers answers to common questions about OneNet PPO and about providing services to OneNet Participants.


Quick Links

OneNet PPO Physician, Health Care Practitioner, Hospital and Facility Manual
Operational standards and administrative guidelines for providing services to OneNet Participants.

OneNet Client Listing (secure login required)
Contact information for verifying benefits, eligibility and pre-certification requirements with OneNet clients.

Other OneNet PPO participating providers
Use our online directory to refer OneNet Participants to other OneNet physicians, health care practitioners, hospitals and facilities.

Join the OneNet PPO Network
Interested in joining the OneNet PPO Network or recommending another health care professional? Complete our online OneNet Provider Nomination Form.

UnitedHealthcare Online
Go to UnitedHealthcare's website for participating physicians and health care professionals.

Help Make Sure Our Participants Can Find You

OneNet Participants rely on our online directory to find OneNet participating providers like you. We appreciate your assistance in making sure the information about you that appears in our online directories is current and correct.

If you haven't done so recently, please take a moment to search for your name to make sure the contact information we are sharing with our OneNet Participants is correct. If a change or update is needed, you can complete the Physician/Provider Demographic Update form and fax it back to us at the number listed on the form.


This form will help you:

  • Share corrections or updates to your current office addresses, phone numbers, specialties or other directory information.

  • Inform us of providers added to or leaving a group.

  • Tell us if you are not accepting any new patients. (If you are closing your practice to new patients, please remember to notify us again when you are once again accepting new patients).

  • Need to have a listing removed from the directory because you are a hospital-based physician, are part of a hospital-based group, or practice in a specialty that patients do not usually contact directly.

If you believe your name needs to be removed because you no longer participate in our network, or if you are unable to find your name in our directory, please contact your UnitedHealthcare Network Account Manager or OneNet Professional Services at 1-800-342-3289.

Additional Resources

Clinical Guidelines
Links to evidence-based clinical guidelines.

Provider's Guide to Quality & Culture
Multi-cultural patient education materials and tools to improve culturally competent services to patients.

Office of Minority Health Resource Center
Multi-cultural patient education materials and tools to improve culturally competent services to patients.

Health Publications and Resources for Patients
Our "Your Health" section offers tips and information for patients on preventive health care and managing chronic conditions.

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* Claim pricing sheets and other select OneNet information require a secure login and are only available at onenetppo.com and cannot be accessed through unitedhealthcareonline.com.

** Currently, onenetppo.com and unitedheatlhcareonline.com require different usernames and passwords. Your OneNet online login will not work at unitedhealthcareonline.com and vice versa.

View Your Claim Pricing Sheets

Remember: OneNet does not adjudicate or pay claims. OneNet claim pricing sheets on this site reflect the application of your OneNet contracted rate for the services provided, and may include services that the payer could determine to be ineligible or the patient’s responsibility. Full details on eligible / ineligible charges, copayments, etc. will be identified on the Payer’s explanation of benefits or workers compensation remittance advice.


OneNet Professional Services:
(Monday through Friday, 8 AM to 8 PM)
1-800-342-3289
maprofessionalservices@uhc.com

To request a secure login username and password for onenetppo.com**:
1-800-342-3289

OneNet Claims Mailing Address
OneNet PPO/MAPSI
PO Box 934
Frederick, MD 21705

Note: Workers compensation claims should be sent directly to the employer or workers compensation carrier.

EDI Codes
52149

If you have feedback on how we can improve our online service to you, please send us your comments.

To view and print these forms, you will need a copy of Adobe Acrobat Reader, which is available free at www.adobe.com.

 

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