Review these payment policy updates to help code and submit your claims correctly. To receive email notifications of payment policy updates, please sign up for Network News.
We have compiled a list of evidence-based clinical guidelines and where they can be found for our quality and health management programs.
We respect the expertise of the physicians and other health care professionals in our network and appreciate your help as we work together to offer our members better quality, better health outcomes and better cost.
If you have questions, please contact your Physician Advocate or call the number on the back of the member’s ID card.
07..11.2025 - UHC Clinical Practice Guidelines 2025 Quarter 2 for C&S Ohio had the following changes this Quarter:
We have developed Medical Policies and Medical Benefit Drug Policies to assist us in administering health benefits. These policies are provided for informational purposes and do not constitute medical advice.
For policy guidance for Medicare Advantage plan members, view the UnitedHealthcare Medicare Advantage Coverage Summaries and corresponding Policy Update Bulletins.
For medical policies, medical benefit drug policies, coverage determination guidelines, utilization review guidelines and corresponding update bulletins for UnitedHealthcare Community Plan, visit the policies and protocols section.