How to Submit a Superbill to UnitedHealthcare for Therapy Reimbursement

UHC Out-of-Network Process

UnitedHealthcare members submit OON claims through the myuhc.com member portal or by mailing a paper claim form with the attached superbill. Members must download the OON claim form from the UHC website, complete the member information sections, and attach the superbill from their provider. UHC typically reimburses members directly, and most reimbursements are processed within 30 days of receipt.

Common Denial Reasons

• ✗Timely filing deadline exceeded — UHC typically requires claims within 90 days of service
• ✗CPT code is not covered under the member's behavioral health benefit
• ✗Provider NPI not entered correctly or is missing from the superbill
• ✗Claim lacks a valid ICD-10 mental health diagnosis code

Tips for Getting Reimbursed by UHC

• ✓UHC uses Optum to administer behavioral health benefits — members may need to call Optum directly
• ✓Clients should request their Optum member ID in addition to their UHC member ID for behavioral health claims
• ✓Use the most specific ICD-10 code available — unspecified codes are frequently flagged for review
• ✓If reimbursement is lower than expected, clients can request a UCR fee schedule review