Policies and Protocols

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

Commercial Policies

View the current policies that apply to UnitedHealthcare Commercial benefit plans.

View the current policies that apply to UnitedHealthcare and Affiliated Medicare Advantage benefit plans.

View the current policies that apply to the UnitedHealthcare Community Plan benefit plans.

Hospital Outpatient Radiology Services Rebundling Reimbursement Policy - Commercial and UnitedHealthcare Community Plan: This policy describes the rebundling edits applied by UnitedHealthcare to determine reimbursement for the technical component of hospital outpatient radiology services contracted under the UnitedHealthcare Facility Outpatient Radiology Fee Schedule.
Hospital Outpatient Laboratory and Pathology Services Rebundling Reimbursement Policy - Commercial and UnitedHealthcare Community Plan: This policy describes reimbursement for hospital outpatient laboratory and pathology services reimbursed according to the UnitedHealthcare Facility Laboratory and Pathology Fee Schedule.