Latest UnitedHealthcare Provider News
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New clinical pharmacist-led medication optimization program
Last Modified | 10.27.2021
UnitedHealthcare is excited to introduce our Comprehensive Medication Management (CMM) program, a patient-centered, interactive review of current medications that may include prescription and non-prescription medications, as well as herbal supplements.
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09/2021: Texas: Maternal level-of-care reimbursement
Last Modified | 10.22.2021
Effective Dec. 1, 2021, we will reimburse maternal services for Medicaid members to hospitals that align with the level-of-care designations assigned by the Texas Health and Human Services Commission (HHSC).
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09/2021: Tufts Freedom Health Plan policy update
Last Modified | 10.22.2021
Tufts Health Freedom Plan policy update for Massachusetts, Maine, New Hampshire, Vermont and Rhode Island.
Read Full Article -
09/2021: Southeast and Central: Medical PRAs won’t be mailed after November
Last Modified | 10.22.2021
Starting Dec. 10, 2021, UnitedHealthcare provider remittance advice (PRAs) for medical claims will no longer be mailed to in-network providers and facilities in the following states: ND, SD, NE, KS, OK, TX, MN, IA, MO, AR, LA, WI, IL, MI, IN, OH, KY, TN, NC, SC, MS, AL, GA, FL. View in the portal, through Optum Pay or EDI.
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09/2021: States Added to Medical Review for Self-administered Drugs
Last Modified | 10.22.2021
UnitedHealthcare® Commercial plans add eleven states to medical review process for self-administered drugs that should be billed through the member pharmacy benefit.
Read Full Article
New clinical pharmacist-led medication optimization program
Last Modified | 10.27.2021
UnitedHealthcare is excited to introduce our Comprehensive Medication Management (CMM) program, a patient-centered, interactive review of current medications that may include prescription and non-prescription medications, as well as herbal supplements.
Read Full Article09/2021: Texas: Maternal level-of-care reimbursement
Last Modified | 10.22.2021
Effective Dec. 1, 2021, we will reimburse maternal services for Medicaid members to hospitals that align with the level-of-care designations assigned by the Texas Health and Human Services Commission (HHSC).
Read Full Article09/2021: Tufts Freedom Health Plan policy update
Last Modified | 10.22.2021
Tufts Health Freedom Plan policy update for Massachusetts, Maine, New Hampshire, Vermont and Rhode Island.
Read Full Article09/2021: Southeast and Central: Medical PRAs won’t be mailed after November
Last Modified | 10.22.2021
Starting Dec. 10, 2021, UnitedHealthcare provider remittance advice (PRAs) for medical claims will no longer be mailed to in-network providers and facilities in the following states: ND, SD, NE, KS, OK, TX, MN, IA, MO, AR, LA, WI, IL, MI, IN, OH, KY, TN, NC, SC, MS, AL, GA, FL. View in the portal, through Optum Pay or EDI.
Read Full Article09/2021: States Added to Medical Review for Self-administered Drugs
Last Modified | 10.22.2021
UnitedHealthcare® Commercial plans add eleven states to medical review process for self-administered drugs that should be billed through the member pharmacy benefit.
Read Full Article
