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.

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Physical health


North Carolina Medicaid: Pending claims prior to PML determination

North Carolina DHHS requires PHPs to pend SNF claims submitted prior to patient monthly liability determination.

December monthly overview

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

Medical Policy Updates: December 2023

Medical policy updates for December 2023 for the following plans: Medicare Advantage, Medicaid, Exchange and Commercial.

Reimbursement Policy Update Bulletins: December 2023

You can review the details on December's reimbursement policy updates through the Commercial, Medicare Advantage, Medicaid and Exchange plan bulletins.

Specialty Medical Injectable Drug Program updates: December 2023

Specialty Medical Drug Program updates for UnitedHealthcare Commercial, Community Plan, Medicare Advantage, and Exchange plans for December 2023.

Pharmacy and clinical updates: December 2023

Review the latest drug list and pharmacy updates from UnitedHealthcare.