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Latest UnitedHealthcare Provider News

Hurricane Florence Updates

Last Modified | 09.12.2018

UnitedHealthcare is taking the following actions to help people who may be affected by Hurricane Florence. These measures apply to all individuals in Maryland, North Carolina, South Carolina and Virginia insured by UnitedHealthcare. Measures and effective dates may vary by state. As we update any dates or measures, we’ll post the new information here.

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09/01/2018 – UnitedHealthcare Commercial Medical Policy Update Bulletin: September 2018

Last Modified | 09.01.2018

This bulletin provides complete details on recently approved, revised, and/or retired UnitedHealthcare Commercial Medical Policies, Medical Benefit Drug Policies, Coverage Determination Guidelines (CDG), Utilization Review Guidelines (URG), and/or Quality of Care Guidelines (QOCG).

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September 2018 Network Bulletin

Last Modified | 08.31.2018

In the September Network Bulletin, you can read about new to therapy short-acting opioid supply and daily dose limits, a quality improvement series on UHC On Air, enhanced prescription functionality in Allscripts, and much more.

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340B Drug Pricing Program Update: Temporary Hold on All Retrospective Recoveries and Prospective Edits

Last Modified | 08.31.2018

Changes that affect how we reimburse for payable drugs and biological agents purchased through the 340B Drug Pricing Program was communicated in a June 2018 letter to care providers as well as an article that appeared in the July 2018 edition of the Network Bulletin.

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Incorrectly Processed UnitedHealthcare Medicare Advantage Claims for Non-Participating Care Providers in Alabama, Georgia and Tennessee

Last Modified | 08.30.2018

On July 1, 2018, UnitedHealthcare updated our Medicare Advantage claims processing system to include the latest locality updates from the Centers for Medicare & Medicaid Services (CMS). When we made this update for Alabama, Georgia and Tennessee, we didn’t apply the proper fee schedule used for claims from non participating care providers.

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