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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

Jan. 1: Submit post-service appeals electronically

Health care professionals are required to submit Medicaid post-service appeals electronically in Colorado and Missouri.

Ohio Medicaid: Include an NPI to avoid denials and delays

Starting Jan. 1, 2027, federal ORP regulation requires claims for items and services to include an NPI.

Dec. 1: Submit post-service appeals electronically

Health care professionals are required to submit Medicaid post-service appeals electronically in Michigan.

Nov. 1: Submit post-service appeals electronically

Health care professionals are required to submit Medicaid post-service appeals electronically in HI, NM, RI and WI.

New Mexico Medicaid: Retroactive GRT reimbursements

Starting in October, providers whose claims were underpaid will begin to receive retroactive GRT reimbursements.

Massachusetts providers: Avoid denials for incorrect taxonomy

Claims submitted with a missing or incorrect taxonomy code and/or ZIP code will be rejected or denied.

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