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            • Long-Term Services and Supports (MyCare)
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          • Care Provider Manual | Chapter 6: Value-Added Services | UnitedHealthcare Community Plan of Ohio
          • Care Provider Manual | Chapter 7: Mental Health and Substance Use | UnitedHealthcare Community Plan of Ohio
          • Care Provider Manual | Chapter 8: Member Rights and Responsibilities | UnitedHealthcare Community Plan of Ohio
          • Care Provider Manual | Chapter 9: Medical Records | UnitedHealthcare Community Plan of Ohio
          • Care Provider Manual | Chapter 10: Quality Management (QM) Program and Compliance Information | UnitedHealthcare Community Plan of Ohio
          • Care Provider Manual | Chapter 11: Billing and Submission | UnitedHealthcare Community Plan of Ohio
          • Care Provider Manual | Chapter 12: Claim Reconsiderations, Appeals and Grievances | UnitedHealthcare Community Plan of Ohio
          • Care Provider Manual | Chapter 13: Care Provider Communications & Outreach | UnitedHealthcare Community Plan of Ohio
          • Care Provider Manual | Chapter 14: Glossary | UnitedHealthcare Community Plan of Ohio
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      • Welcome to UnitedHealthcare 2021 Administrative Guide
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      • Introduction - Ch.1, 2021 Administrative Guide
        • Introduction - Ch.1, 2021 Administrative Guide
        • Manuals and benefit plans referenced in the guide - 2021 Administrative Guide
        • Online/interoperability resources and how to contact us
      • Provider responsibilities and standards - Ch.2, 2021 Administrative Guide
        • Provider responsibilities and standards - Ch.2, 2021 Administrative Guide
        • Verifying eligibility, benefits and your network participation status - 2021 Administrative Guide
        • Healthcare plan identification (ID) cards - 2021 Administrative Guide
        • Access standards - 2021 Administrative Guide
        • Network participating care provider responsibilities - 2021 Administrative Guide
        • Civil rights - 2021 Administrative Guide
        • Cooperation with quality improvement and patient safety activities - 2021 Administrative Guide
        • Demographic changes - 2021 Administrative Guide
        • Notification of practice or demographic changes (Applies to Commercial Benefit Plans in California) - 2021 Administrative Guide
        • Administrative terminations for inactivity - 2021 Administrative Guide
        • Member dismissals initiated by a PCP (Medicare Advantage) - 2021 Administrative Guide
        • Medicare opt-out - 2021 Administrative Guide
        • Additional Medicare Advantage requirements - 2021 Administrative Guide
        • Filing a lawsuit by a member - 2021 Administrative Guide
      • Commercial products - Ch.3, 2021 Administrative Guide
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        • Commercial product overview table - 2021 Administrative Guide
        • Benefit plan types - 2021 Administrative Guide
        • PCP selection - 2021 Administrative Guide
        • Consumer-driven health benefit plans - 2021 Administrative Guide
      • Health Insurance Marketplace (Exchanges) - Chapter 4, 2021 Administrative Guides
        • Health Insurance Marketplace (Exchanges) - Chapter 4, 2021 Administrative Guides
        • Individual marketplace vs. small business health options program marketplace - 2021 Administrative Guide
        • UnitedHealthcare’s participation in Exchanges - 2021 Administrative Guide
        • What is the health insurance marketplace? - 2021 Administrative Guide
        • Plan coverage and metal levels - 2021 Administrative Guide
        • UnitedHealthcare benefit plans for exchanges - 2021 Administrative Guide
        • Understanding your network participation - 2021 Administrative Guide
        • Verifying eligibility and benefits - 2021 Administrative Guide
        • Plan requirements/features - 2021 Administrative Guide
        • Patient care coordination and case management - 2021 Administrative Guide
        • Telehealth visits - 2021 Administrative Guide
        • Pharmacy - 2021 Administrative Guide
        • Specialty services (hearing, vision, dental, transplant, behavioral health, chiropractor, skilled nursing facility) - 2021 Administrative Guide
        • Claims process - 2021 Administrative Guide
        • Policies and protocols - 2021 Administrative Guide
        • Quick reference guide - 2021 Administrative Guide
      • Medicare products - Ch.5, 2021 Administrative Guide
        • Medicare products - Ch.5, 2021 Administrative Guide
        • Medicare product overview tables - 2021 Administrative Guide
        • PCP selection - 2021 Administrative Guide
        • Coverage summaries and policy guidelines for MA members - 2021 Administrative Guide
        • Dual special needs plans managed by Optum - 2021 Administrative Guide
        • Medicare supplement benefit plans - 2021 Administrative Guide
        • Free Medicare education for your staff and patients - 2021 Administrative Guide
      • Referrals - Ch.6, 2021 Administrative Guide
        • Referrals - Ch.6, 2021 Administrative Guide
        • Commercial products referrals - 2021 Administrative Guide
        • Non-Participating Care Provider Referrals (All Commercial Plans) - 2021 Administrative Guide
        • Medicare Advantage Referral Required Plans - 2021 Administrative Guide
        • Individual Advantage Referral Required Plans - 2021 Administrative Guide
      • Medical management - Ch.7, 2021 Administrative Guide
        • Medical management - Ch.7, 2021 Administrative Guide
        • Benefit plans not subject to this protocol - 2021 Administrative Guide
        • Advance notification/prior authorization requirements - 2021 Administrative Guide
        • Advance notification/prior authorization list - 2021 Administrative Guide
        • Facilities: Standard notification requirements - 2021 Administrative Guide
        • How to submit advance or admission notifications/ prior authorizations - 2021 Administrative Guide
        • Updating advance notification or prior authorization requests - 2021 Administrative Guide
        • Coverage and utilization management decisions - 2021 Administrative Guide
        • Pre-service appeals - 2021 Administrative Guide
        • Clinical trials, experimental or investigational services - 2021 Administrative Guide
        • Medical management denials/adverse determinations - 2021 Administrative Guide
        • MA Part C reopenings - 2021 Administrative Guide
        • Outpatient cardiology notification/prior authorization protocol - 2021 Administrative Guide
        • Outpatient radiology notification/prior authorization protocol - 2021 Administrative Guide
        • Medication-assisted treatment (MAT) - 2021 Administrative Guide
        • Trauma services - 2021 Administrative Guide
        • Air Ambulance Licensure - 2021 Administrative Guide
      • Specialty pharmacy and Medicare Advantage pharmacy - Ch.8, 2021 Administrative Guide
        • Specialty pharmacy and Medicare Advantage pharmacy - Ch.8, 2021 Administrative Guide
        • Commercial pharmacy - Ch.8, 2021 Administrative Guide
        • Optum specialty medication guidance program (commercial plans – not applicable to UnitedHealthcare West) - Not Applicable to UnitedHealthcare West) - Ch.8, 2021 Administrative Guide
        • Coverage of self-infused/injectable medications under the pharmacy benefit - Ch.8, 2021 Administrative Guide
        • MA pharmacy - Ch.8, 2021 Administrative Guide
        • Drug utilization review program - Ch.8, 2021 Administrative Guide
        • Drug management program (DMP) - Ch.8, 2021 Administrative Guide
        • Medication Therapy Management (MTM) - Ch.8, 2021 Administrative Guide
        • Transition policy - Ch.8, 2021 Administrative Guide
      • Specific protocols - Ch.9, 2021 Administrative Guide
        • Specific protocols - Ch.9, 2021 Administrative Guide
        • Non-Emergent ambulance ground transportation - Ch.9, 2021 Administrative Guide
        • Interoperability protocol - Ch.9, 2021 Administrative Guide
        • Laboratory services protocol - Ch.9, 2021 Administrative Guide
        • Nursing home and assisted living plans - Ch.9, 2021 Administrative Guide
        • Social determinants of health protocol - Ch.9, 2021 Administrative Guide
        • Telehealth services protocol - Ch.9, 2021 Administrative Guide
      • Our claims process - Ch.10, 2021 Administrative Guide
        • Our claims process - Ch.10, 2021 Administrative Guide
        • Optum Pay - Ch.10, 2021 Administrative Guide
        • Virtual card payments - Ch.10, 2021 Administrative Guide
        • Enroll and learn more about Optum Pay - Ch.10, 2021 Administrative Guide
        • Claims and encounter data submissions - Ch.10, 2021 Administrative Guide
        • Risk adjustment data – MA and commercial - Ch.10, 2021 Administrative Guide
        • National Provider Identification (NPI) - Ch.10, 2021 Administrative Guide
        • Medicare Advantage claim processing requirements - Ch.10, 2021 Administrative Guide
        • Claim submission tips - Ch.10, 2021 Administrative Guide
        • Pass-through billing - Ch.10, 2021 Administrative Guide
        • Special reporting requirements for certain claim types - Ch.10, 2021 Administrative Guide
        • Overpayments - Ch.10, 2021 Administrative Guide
        • Subrogation and coordination of benefits - Ch.10, 2021 Administrative Guide
        • Claim correction and resubmission - Ch.10, 2021 Administrative Guide
        • Claim reconsideration, appeals process - Ch.10, 2021 Administrative Guide
        • Resolving concerns or complaints - Ch.10, 2021 Administrative Guide
        • Member appeals, grievances or complaints - Ch.10, 2021 Administrative Guide
        • Medical claim review - Ch.10, 2021 Administrative Guide
      • Compensation - Ch.11, 2021 Administrative Guide
        • Compensation - Ch.11, 2021 Administrative Guide
        • Reimbursement policies - Ch.11, 2021 Administrative Guide
        • Charging members - Ch.11, 2021 Administrative Guide
        • Member financial responsibility - Ch.11, 2021 Administrative Guide
        • Preventive care - Ch.11, 2021 Administrative Guide
        • Extrapolation - Ch.11, 2021 Administrative Guide
        • Audit services - Ch.11, 2021 Administrative Guide
        • Audit failure denials - Ch.11, 2021 Administrative Guide
        • Notice of Medicare Non-Coverage (NOMNC) - Ch.11, 2021 Administrative Guide
      • Medical records standards and requirements - Ch.12, 2021 Administrative Guide
      • Health and disease management - Ch.13, 2021 Administrative Guide
        • Health and disease management - Ch.13, 2021 Administrative Guide
        • Health management programs - Ch.13, 2021 Administrative Guide
        • Case management - Ch.13, 2021 Administrative Guide
        • Commercial health services, wellness and behavioral health programs - Ch.13, 2021 Administrative Guide
        • Commercial consumer transparency tools- Ch.13, 2021 Administrative Guide
        • Medicare Advantage (MA) - Ch.13, 2021 Administrative Guide
        • Commercial and Medicare Advantage behavioral health information - Ch.13, 2021 Administrative Guide
      • Quality Management (QM) program - Ch.14, 2021 Administrative Guide
        • Quality Management (QM) program - Ch.14, 2021 Administrative Guide
        • UnitedHealth Premium® program (commercial plans) - Ch.14, 2021 Administrative Guide
        • Star ratings for MA and prescription drug plans - Ch.14, 2021 Administrative Guide
        • Member satisfaction - Ch.14, 2021 Administrative Guide
        • Imaging accreditation protocol - Ch.14, 2021 Administrative Guide
      • Credentialing and recredentialing - Ch.15, 2021 Administrative Guide
        • Credentialing and recredentialing - Ch.15, 2021 Administrative Guide
        • Credentialing/profile reporting requirements - Ch.15, 2021 Administrative Guide
        • Care provider rights related to the credentialing process - Ch.15, 2021 Administrative Guide
        • Credentialing committee decision-making process (non-delegated) - Ch.15, 2021 Administrative Guide
        • Monitoring of network care providers and health care professionals - Ch.15, 2021 Administrative Guide
      • Member rights and responsibilities - Ch.16, 2021 Administrative Guide
      • Fraud, Waste and Abuse (FWA) - Ch.17, 2021 Administrative Guide
        • Fraud, Waste and Abuse (FWA) - Ch.17, 2021 Administrative Guide
        • Medicare compliance expectations and training - Ch.17, 2021 Administrative Guide
        • Exclusion checks - Ch.17, 2021 Administrative Guide
        • Preclusion list policy - Ch.17, 2021 Administrative Guide
        • Examples of potentially fraudulent, wasteful, or abusive billing (not an inclusive list) - Ch.17, 2021 Administrative Guide
        • Prevention and detection - Ch.17, 2021 Administrative Guide
        • Corrective action plans - Ch.17, 2021 Administrative Guide
        • Beneficiary inducement law - Ch.17, 2021 Administrative Guide
        • Reporting potential fraud, waste or abuse to UnitedHealthcare- Ch.17, 2021 Administrative Guide
      • Provider communication - Ch.18, 2021 Administrative Guide
        • Provider communication - Ch.18, 2021 Administrative Guide
        • Network News: Provider news and updates - Ch.18, 2021 Administrative Guide
        • Network Bulletin: Policy and protocol updates - Ch.18, 2021 Administrative Guide
        • Medical Policy Update Bulletin - Ch.18, 2021 Administrative Guide
        • Other communications - Ch.18, 2021 Administrative Guide
      • All Savers supplement - 2021 Administrative Guide
        • All Savers supplement - 2021 Administrative Guide
        • How to contact All Savers - 2021 Administrative Guide
      • Capitation and/or delegation supplement- 2021 Administrative Guide
        • Capitation and/or delegation supplement- 2021 Administrative Guide
        • What is capitation? - 2021 Administrative Guide
        • What is delegation? - 2021 Administrative Guide
        • How to contact us, Capitation and/or delegation - 2021 Administrative Guide
        • Verifying eligibility and effective dates - 2021 Administrative Guide
        • Commercial eligibility, enrollment, transfers, and disenrollment- 2021 Administrative Guide
        • Medicare Advantage (MA) enrollment, eligibility and transfers, and disenrollment - 2021 Administrative Guide
        • Authorization guarantee (CA Commercial only) - 2021 Administrative Guide
        • Care provider responsibilities - 2021 Administrative Guide
        • Delegated credentialing program- 2021 Administrative Guide
        • Virtual Visits (Commercial HMO plans – CA only) - 2021 Administrative Guide
        • Virtual Visits (Medicare Advantage) - 2021 Administrative Guide
        • Referrals and referral contracting- 2021 Administrative Guide
        • Medical management - 2021 Administrative Guide
        • Pharmacy - 2021 Administrative Guide
        • Facilities - 2021 Administrative Guide
        • Claims processes - 2021 Administrative Guide
        • Claims disputes and appeals - 2021 Administrative Guide
        • Contractual and financial responsibilities - 2021 Administrative Guide
        • Capitation reports and payments - 2021 Administrative Guide
        • CMS premiums and adjustments - 2021 Administrative Guide
        • Delegate performance management program - 2021 Administrative Guide
        • Appeals and grievances - 2021 Administrative Guide
      • Empire Plan supplement - 2021 Administrative Guide
        • Empire Plan supplement - 2021 Administrative Guide
        • Applicability of this supplement - 2021 Administrative Guide
        • Referrals - 2021 Administrative Guide
        • ID cards - 2021 Administrative Guide
        • Prior authorization and notification requirements - 2021 Administrative Guide
        • Online resources and how to contact us - 2021 Administrative Guide
      • Health Insurance Marketplace (Exchanges) Supplement - 2021 Administrative Guide
      • Leased Networks - 2021 Administrative Guide
      • Medica HealthCare supplement - 2021 Administrative Guide
        • Medica HealthCare supplement - 2021 Administrative Guide
        • How to Contact Us - 2021 Administrative Guide
        • Confidentiality of Protected Health Information (PHI) - 2021 Administrative Guide
        • Referrals - 2021 Administrative Guide
        • Prior authorizations - 2021 Administrative Guide
        • Appeal and reconsideration processes - 2021 Administrative Guide
        • Member rights and responsibilities - 2021 Administrative Guide
        • Documentation and confidentiality of medical records - 2021 Administrative Guide
        • Provider reporting responsibilities - 2021 Administrative Guide
      • Mid-Atlantic regional supplement- 2021 Administrative Guide
        • Mid-Atlantic regional supplement- 2021 Administrative Guide
        • Provider responsibilities - 2021 Administrative Guide
        • Referrals - 2021 Administrative Guide
        • Prior authorizations - 2021 Administrative Guide
        • Claims process - 2021 Administrative Guide
        • Capitation - 2021 Administrative Guide
      • Neighborhood Health Partnership supplement - 2021 Administrative Guide
        • Neighborhood Health Partnership supplement - 2021 Administrative Guide
        • How to contact NHP - 2021 Administrative Guide
        • Discharge of a member from participating provider’s care - 2021 Administrative Guide
        • Laboratory services - 2021 Administrative Guide
        • Referrals - 2021 Administrative Guide
        • Utilization Management (UM) - 2021 Administrative Guide
        • Claims reconsiderations and appeals - 2021 Administrative Guide
        • Capitated health care providers - 2021 Administrative Guide
      • OneNet PPO supplement- 2021 Administrative Guide
        • OneNet PPO supplement- 2021 Administrative Guide
        • Who to contact - OneNet PPO - 2021 Administrative Guide
        • Bills process - 2021 Administrative Guide
        • Referrals - 2021 Administrative Guide
        • Provider responsibilities and workflows- 2021 Administrative Guide
        • Medical records standards and requirements - 2021 Administrative Guide
        • Quality management and health management programs- 2021 Administrative Guide
        • Participant rights and responsibilities - 2021 Administrative Guide
      • Oxford Commercial supplement - 2021 Administrative Guide
        • Oxford Commercial supplement - 2021 Administrative Guide
        • Oxford Commercial product overview- 2021 Administrative Guide
        • How to contact Oxford Commercial - 2021 Administrative Guide
        • Care provider responsibilities and standards - 2021 Administrative Guide
        • Referrals - 2021 Administrative Guide
        • Utilization management - 2021 Administrative Guide
        • Using non-participating health care providers or facilities - 2021 Administrative Guide
        • Radiology, cardiology and radiation therapy procedures - 2021 Administrative Guide
        • Emergencies and urgent care - 2021 Administrative Guide
        • Utilization reviews - 2021 Administrative Guide
        • Claims process - 2021 Administrative Guide
        • Member billing - 2021 Administrative Guide
        • Claims recovery, appeals, disputes and grievances - 2021 Administrative Guide
        • Quality assurance - 2021 Administrative Guide
        • Case management and disease management programs - 2021 Administrative Guide
        • Clinical process definitions - 2021 Administrative Guide
        • Member rights and responsibilities - 2021 Administrative Guide
        • Medical and administrative policy updates - 2021 Administrative Guide
      • Oxford Level-Funded plans (NJ and CT) - 2021 Administrative Guide
        • Oxford Level-Funded plans (NJ and CT) - 2021 Administrative Guide
        • How to contact Oxford Level Funded - 2021 Administrative Guide
        • Our claims process - 2021 Administrative Guide
        • How to submit your reconsideration or appeal - 2021 Administrative Guide
      • Preferred Care Partners Supplement - 2021 Administrative Guide
        • Preferred Care Partners Supplement - 2021 Administrative Guide
        • About Preferred Care Partners - 2021 Administrative Guide
        • How to contact us - 2021 Administrative Guide
        • Confidentiality of Protected Health Information (PHI) - 2021 Administrative Guide
        • Prior authorizations and referrals - 2021 Administrative Guide
        • Clinical coverage review - 2021 Administrative Guide
        • Appeal and reconsideration processes - 2021 Administrative Guide
        • Member rights and responsibilities - 2021 Administrative Guide
        • Documentation and confidentiality of medical records - 2021 Administrative Guide
        • Case management and disease management program information - 2021 Administrative Guide
        • Special needs plans, Preferred Care Partners - 2021 Administrative Guide
        • Care provider reporting responsibilities - 2021 Administrative Guide
      • River Valley Entities Supplement - 2021 Administrative Guides
        • River Valley Entities Supplement - 2021 Administrative Guides
        • Information regarding the use of this supplement - 2021 Administrative Guides
        • Eligibility - 2021 Administrative Guides
        • How to contact River Valley - 2021 Administrative Guides
        • Reimbursement policies - 2021 Administrative Guides
        • Referrals - 2021 Administrative Guides
        • Utilization Management - 2021 Administrative Guides
        • Claims process - 2021 Administrative Guides
      • UMR supplement - 2021 Administrative Guide
        • UMR supplement - 2021 Administrative Guide
        • How to contact UMR - 2021 Administrative Guide
        • Health plan identification (ID) cards - 2021 Administrative Guide
        • Prior authorization and notification requirements - 2021 Administrative Guide
        • Clinical trials, experimental or investigational services- 2021 Administrative Guide
        • Pharmacy and specialty pharmacy benefits - 2021 Administrative Guide
        • Medication therapy management - 2021 Administrative Guide
        • Specific protocols - 2021 Administrative Guide
        • Our claims process - 2021 Administrative Guide
        • Health and disease management - 2021 Administrative Guide
        • Frequently asked questions (FAQs) - 2021 Administrative Guide
      • UnitedHealthcare Level Funded supplement
      • UnitedHealthcare West supplement - 2021 Administrative Guide
        • UnitedHealthcare West supplement - 2021 Administrative Guide
        • UnitedHealthcare West information regarding our care provider website - 2021 Administrative Guide
        • How to contact UnitedHealthcare West resources - 2021 Administrative Guide
        • Care provider responsibilities - 2021 Administrative Guide
        • Utilization and medical management - 2021 Administrative Guide
        • Hospital notifications - 2021 Administrative Guide
        • Pharmacy network - 2021 Administrative Guide
        • Claims process - 2021 Administrative Guide
        • Care provider claims appeals and disputes - 2021 Administrative Guide
        • California language assistance program (California commercial plans) - 2021 Administrative Guide
        • Member complaints and grievances - 2021 Administrative Guide
        • California Quality Improvement Committee - 2021 Administrative Guide
      • UnitedHealthOne individual plans supplement - 2021 Administrative Guide
        • UnitedHealthOne individual plans supplement - 2021 Administrative Guide
        • How to contact UnitedHealthOne resources - 2021 Administrative Guide
        • Claims process - 2021 Administrative Guide
        • Member complaints and grievances - 2021 Administrative Guide
      • Glossary - 2021 Administrative Guide
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