Jan 1, 2020
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Corrective Action Plans - Chapter 16, 2020 UnitedHealthcare Administrative Guide

Corrective Action Plans

As a part of our payment integrity responsibility we evaluate the appropriateness of paid claims. We may initiate a formal corrective action plan if a provider does not comply with our billing guidelines or performance standards. We will monitor the plan to confirm that it is in place and address any billing/performance problems.