UnitedHealthcare

Active Work / Processes

Cortica enrollments (as of 2026-04-16)

  • Mariah Baldwin — Medallion noted 2026-04-09 that app needs resubmission; not yet resubmitted as of this meeting.
  • Haley Masterson — completed 2026-04-06.
  • Dr Sarabi Koul — revalidation line reopened; app being resubmitted.
  • Mark Barros — no PE (payer enrollment) request exists in Medallion for UHC; needs to be created.

Theoria national contract (in progress)

  • National contract approved for complex cares. Brittany filing appeal on closed-network Medicare/Medicaid LOBs. Svetlana confirmed 2026-04-15 that Theoria wants a national UHC contract.
  • Multiple GD-numbered contracts came in unmapped — for individual providers (Stanley, Sarah Maria Garcia, Dr. Matthew) without state context. Svetlana asked Amy to identify state + roster scope for each:
    • GD45801484 — Midwest H, community health plan = Medicaid
    • GD46079443 — Dr. Matthew
    • GD4673993 — Sarah Maria Garcia, possibly Kansas
    • GD46080831 — Midwest M

Pain Points / Open Issues

  • GD-numbered contracts arrive without state/roster context — requires manual research to assign each to the correct entity + LOB scope before they can be acted on.

Decisions & Commitments

  • 2026-04-15 — Theoria wants national UHC contract (Svetlana confirmed). Source: 15 weekly sync.
  • Cortica — provider-by-provider weekly tracking
  • Theoria Medical — national contract ask + 4 unmapped GD-numbered contracts

Source History

  • 2026-04-15 — Complex weekly sync — national-contract ask, 4 GD-numbered contracts surfaced
  • 2026-04-16 — A — Cortica provider-by-provider status
  • 2026-04-17 — Theoria weekly sync — UHC items revisited in Theoria context