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February 26, 2024 at 8:00 AM CT

If you are experiencing connectivity issues with UnitedHealthcare, please use our secure self-service options in the UnitedHealthcare Provider Portal or an existing API connection. The portal is currently available to check eligibility, manage claim reconsiderations and appeals, and submit prior authorization requests.

Policies and Protocols for Healthcare Providers

This library includes UnitedHealthcare policies and protocols. The policies and protocols presented here may not apply to all UnitedHealthcare plans.



Policy and Protocol news

Reminder: Balance billing is not permitted

Use our online tools to eliminate balance billing and remain compliant with your UnitedHealthcare Provider Agreement.

February monthly overview

Review the latest UnitedHealthcare prior authorization, medical policy, pharmacy, reimbursement, laboratory and policy and protocol updates.

Advance healthy equity during Black History Month

Complete free CEU courses that support cultural competency and social drivers of health.

Wisconsin Medicaid: Requirements and best practices for lead screening in children

Wisconsin DHS requires all children enrolled in Medicaid to receive blood level tests at set ages. Learn more.

Wisconsin Medicaid: Help children access preventive care

See how HealthCheck, a Medicaid benefit from Wisconsin DHS, helps ensure access to preventive care for children.

New maternity benefits for pregnant members

UnitedHealthcare Community Plan of Texas now offers doula and Mom’s Meal services.