Review these policies to help code and submit your claims correctly. To receive email notifications of 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 and health outcomes at a better cost.
If you have questions, please contact your physician advocate or call the number on the back of the member’s ID card.
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 reimbursement guidance for Community Plan members, view the current UnitedHealthcare Community Plan Reimbursement Policies.
For policy guidance for Medicare Advantage plan members, view the UnitedHealthcare Medicare Advantage medical policies, medical benefit drug policies and corresponding policy update bulletins.