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January 1, 2022 at 12:00 AM CT

Applicable to all states except NC.

Medical management - Chapter 7, 2022 UnitedHealthcare Administrative Guide

The purpose of the UnitedHealthcare Medical Management Program is to determine if medical services

  • Covered under the member’s benefit plan.
  • Clinically necessary and appropriate.
  • Performed at the most appropriate setting for the member.