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Policies and Protocols for Healthcare Providers

This library includes UnitedHealthcare policies and protocols. The policies and protocols presented here may not apply to all UnitedHealthcare plans.



Policy and Protocol news

New Jersey: Denied claims will no longer be automatically reprocessed

We will stop automatically reprocessing denied claims if you are registered for the 21st Century Cures Act program.

May monthly overview

Review the latest UnitedHealthcare prior authorization, medical policy, pharmacy, reimbursement, laboratory and policy and protocol updates.

March monthly overview

Review the latest UnitedHealthcare prior authorization, medical policy, pharmacy, reimbursement, laboratory and policy and protocol updates.

Explore the Think Cultural Health training by Oct. 1

Medicaid health care professionals need to take the Think Cultural Health training by Oct. 1.

Changes to genetic and molecular testing coverage and prior authorization requirements

Certain CPT codes associated with pharmacogenetic testing will no longer be covered or require prior authorization.

New York Medicaid: Update your data in My Practice Profile or CAQH

Help patients and other health care professionals find your practice faster by updating your demographic data.