How to Get Credentialed with UnitedHealthcare in Tennessee
Quick Overview
Timeline
45 - 90 days
CAQH
Required
Re-credentialing
Every 3 year(s)
Delegated
Yes
Tennessee-Specific Requirements
Step-by-Step Enrollment Process
Gather Required Documents
Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and any state-specific requirements for Tennessee.
Complete Your CAQH ProView Profile
UnitedHealthcare requires a current CAQH ProView profile. Create or update your profile at proview.caqh.org and attest within 90 days.
Submit Your Application
Submit your completed enrollment package to UnitedHealthcare. You can start the process at their enrollment portal.
Track & Follow Up
Credentialing typically takes 45-90 days. Monitor your application status and respond promptly to requests for additional information.
Free Consultation
Need help enrolling with UnitedHealthcare?
Our specialists handle the entire UnitedHealthcare enrollment process: applications, follow-ups, and approvals in Tennessee.
Required Documents Checklist
Board Certification
ConditionalRequired if board certified; highly recommended
CV/Resume
5-year work history minimum; gaps > 6 months must be explained
DEA License
ConditionalRequired if prescribing controlled substances
DISCLOSURE_FORM
UHC provider release/authorization form
Malpractice Insurance
Medical Degree
Medical License
NPI Certificate
Professional Reference
3 peer references required
W9_FORM
Required for EFT/tax reporting setup
Enrollment Forms
Free Tools for Your UnitedHealthcare Enrollment
Related Articles
Can You Bill Retroactively After Credentialing? Medicare, Medicaid, and Commercial Payer Rules Explained
Can you bill retroactively? Medicare: 30 days back. Medicaid: varies by state. Most commercial payers: no. Payer-by-paye...
10 Credentialing Mistakes That Are Costing Your Practice $122K+ (And How to Fix Them)
85% of credentialing applications contain errors. These 10 mistakes cost providers $122K+ in delayed revenue. Real-world...
Which Insurance Panels Should You Join First? A Data-Driven Prioritization Guide for New Practices
Do not credential with 12 payers at once. Prioritize by market share, reimbursement rate, and processing speed. Specialt...
Key Credentialing Terms
- CAQH
- The Council for Affordable Quality Health Care, an organization that maintains a universal provider database (CAQH ProVi...
- Credentialing
- The process of verifying a healthcare provider's qualifications, training, licensure, and professional background to ens...
- Effective Date
- The date on which a provider's enrollment or network participation becomes active, allowing them to begin billing a paye...
- NPI
- The National Provider Identifier is a unique 10-digit identification number issued by CMS to healthcare providers, requi...
- Primary Source Verification
- The process of verifying a provider's credentials directly from the original issuing source, such as medical schools, li...
- Provider Enrollment
- The process by which a healthcare provider applies to participate in an insurance payer's network, allowing the provider...
- Re-credentialing
- The periodic process, typically occurring every three years, in which a provider's credentials are re-verified to ensure...
Credentialing Checklist
Make sure you have everything ready before applying to UnitedHealthcare.
View Physician Credentialing Checklist →Contact Information
Onboard Pro Portal
National1-866-842-3278
EDI Support (Optum)
National1-866-678-8646
SupportEDI@UHC.com
Optum Pay (EFT)
National1-866-842-3278
Credentialing Status
National1-866-842-3278
Claims Inquiry
National1-877-842-3210
Provider Appeals
National1-888-936-7246
Provider Relations
National1-866-842-3278
Quick Links
UnitedHealthcare in Other States
Reviewed by the PayerReady Credentialing Team
Our credentialing specialists verify every article against current CMS regulations, NCQA standards, and payer-specific enrollment requirements. See our editorial process.