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Referrals - Mid-Atlantic Regional Supplement, 2018 UnitedHealthcare Administrative Guide

For referral process information, check the Mid-Atlantic Health Plans Referral Protocol for :

  • Referral submission requirements
  • Maximum number of referral visits
  • Exceptions for specific specialists or treatments

Referrals are not required when M.D. IPA or Optimum Choice is the secondary carrier.

Forms and specific referral processes for some treatments can be found on UHCprovider.com/protocols > Mid-Atlantic Plans Standard Care Referral Form.

Copays

Please verify the member’s copayments when verifying their eligibility.