UnitedHealthcare® Oxford Clinical and Administrative Policies

The Clinical Policies, Administrative Policies, and corresponding update bulletins for UnitedHealthcare Oxford plans are listed below.

  • To view applicable Medical Benefit Drug Policies, click here.
  • To view applicable Reimbursement Policies, click here.
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A monthly notice of recently approved and/or revised Clinical and Administrative Policies is provided below for your review. We publish a new announcement on the first calendar day of every month.

The appearance of a health service (e.g., test, drug, device or procedure) in the Policy Update Bulletin does not imply that UnitedHealthcare provides coverage for the health service. In the event of an inconsistency or conflict between the information provided in the Policy Update Bulletin and the posted policy, the provisions of the posted policy will prevail.

Current Policies

 

Information regarding a policy or procedure that is not available online and copies of UnitedHealthcare Oxford Clinical and Administrative Policies can also be obtained by sending a written request to:

Oxford Policy Requests
4 Research Drive
Shelton, CT 06484 

For questions, please contact your local Network Management representative or call the Provider Services number on the back of the member’s ID card.

To submit new or additional clinical evidence pertaining to a specific medical policy, click here to complete a form for UnitedHealthcare Medical Policy review. Do not submit protected health information using this form. If you have questions or concerns about a specific service for a member, refer to the appropriate Benefits, Claims, or Prior Authorization/Notification process.