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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

December monthly overview

Review the latest UnitedHealthcare prior authorization, medical policy, pharmacy, reimbursement, laboratory and policy and protocol updates for December 2024.

Register certain tests for phase 4 of the DEX Z-Codes

Starting Jan. 1, 2025, you can register tests that are in scope for phase 4 of the DEX Z-Codes.

2025 Medicare Advantage plan updates

Get important information for UnitedHealthcare Medicare Advantage plans, including D-SNP, in your area

UnitedHealthcare Student Resources claims submission and payment updates

Important claims submission and payment updates for UnitedHealthcare Student Resources providers.

April monthly overview

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

Medical Policy Updates: December 2024

Medical policy updates for December 2024 for the following plans: Medicare Advantage, Medicaid, Exchange and Commercial.