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Audit Failure Denials - Chapter 10, 2020 UnitedHealthcare Administrative Guide

Audit Failure Denials

You are required to submit, or provide access to, medical records upon our request. Failure to do so in a timely manner may result in an audit failure denial, resulting in an overpayment. Medical record requests that do not comply with the guidelines in the Overpayments section of Chapter 9: Our Claims Process follow the auto failure denial process.