CLARIFICATION OF GENESIS ROLE REGARDING UHC CONTRACTS
Does Genesis have UHC Contracts?
Genesis does NOT hold the Health Plan agreement directly with United Healthcare. Per United Healthcare’s policy, they contract directly with you as the Healthcare Provider. They do delegate the credentials verification and ongoing monitoring to Genesis.
What is Genesis’ Relationship with UHC?
Genesis as an NCQA-Certified Credential Verification Organization is Delegated to Perform Credential Verification and Ongoing Monitoring in Accordance to Relevant Regulatory Guidelines.
Genesis Currently Has NO Control Over Obtaining Effective Dates For UHC Products.
Genesis is NOT Involved in Contracting with Wellmed. You Will Have to Go Through UHC To Enroll in Wellmed Plan.
How do Genesis members obtain a contract with UHC?
UHC Contract Questions:
Directly contact UHC’s Network Contract Manager, Latasha Robinson, MBA at Latasha_A_Robinson@UHC.com or call (952)251-4500)
UHC Network Questions:
UHC Network questions may include:
Fee schedule requests
General contracting questions:
Use your One Healthcare ID to access Network Help and Support and chat with an advocate.
Network availability and product participation
Status of provider/contract load
WellMed related contracting and enrollment questions
UHC provider portal, claims, prior authorization or eligibility and benefits Support
Sign into the UnitedHealthcare Provider Portal to chat with a UHC service advocate.
Practice Demographic Updates
It is absolutely essential to follow the below 2 steps:
Step 1: Go to Support Desk (office locations, phone numbers, Tax IDs, credentialing contact)
Step 2: Please sign into your CAQH profile and update your demographics.
How do Genesis members Enroll with Wellmed?
How do I enroll in United Healthcare Exchange Network?
In 2022, UHC introduced the Exchange Network as a new offering. Providers chosen to participate received notification letters along with an Amendment to their contract. UHC selected the providers included in the Exchange network through direct agreements with those providers.
Key Points to Note:
UHC’s selection for this plan was specific and not open to all providers.
If you haven’t received communication about this plan, you are not part of the in-network.
Regrettably, Genesis does not have the capability to enroll you in this plan.
Please note that UHC conducts an annual review of the network and will send out amendments to selected providers for inclusion in this plan.
How Do I Access the United Healthcare Fee Schedules?
Use the following link to sign in and access your UHC Fee Schedule:
UHC Immunization:
Medicare Fee Schedule
