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Resources and tools for providers and health care professionals

We invite you to use this website, created especially for health care professionals, to find resources that can help you as you care for your patients. Here you can find our medical policies, stay up to date on the latest news or get training on our many tools and benefit plans. This website is there for what matters to health care professionals like you.

Provider Portal resources

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Digital solutions

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News

Updated requirements for gastroenterology services

On June 1, 2023, UnitedHealthcare will require advance notification for non-screening gastroenterology procedures.

Explore the new gastroenterology prior authorization web page

On the new gastroenterology prior authorization and notification page you will find updated guidelines for UnitedHealthcare commercial plans and UnitedHealthcare Oxford plans, a prior authorization for gastroenterology services FAQ, a prior authorization CPT® code list and crosswalk table.

Virginia: Transition to Cardinal Care Medicaid program

UnitedHealthcare Community Plan of Virginia will complete its transition to Virginia’s rebranded Medicaid program, called Cardinal Care, later in 2023.

June monthly overview

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

Medical Policy Updates: June 2023

Medical policy updates for June 2023 for the following plans: Medicare, Medicaid, Exchanges, and Commercial.

New clinical pharmacist-led medication optimization program

This pharmacist-led program evaluates medication therapy for indication, effectiveness, safety and the patient’s ability to take their medications as prescribed. We use data obtained through pharmacy claims, medical claims and self-reporting.