A monthly notice of recently approved and/or revised 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 Administrative 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 Administrative Policy Update Bulletin and the posted policy, the provisions of the posted policy will prevail.
Last Published 01.01.2026
This bulletin provides complete details on recently approved, revised, and/or retired UnitedHealthcare Oxford Administrative Policies.
Last Published 11.01.2025
This bulletin provides complete details on recently approved, revised, and/or retired UnitedHealthcare Oxford Clinical and/or Administrative Policies.
Last Published 12.01.2025
This bulletin provides complete details on recently approved, revised, and/or retired UnitedHealthcare Oxford Clinical and/or Administrative Policies.
Last Published 01.01.2026
A listing of the Oxford Policy Update Bulletins for the past two rolling years.
A complete library of the UnitedHealthcare® Oxford Administrative Policies is available here for your reference. The appearance of an item or procedure on the list indicates only that we have adopted a policy; it does not imply that we provide coverage for the item or procedure listed.
The services described in our policies are subject to the terms, conditions and limitations of the member's contract or certificate. We reserve the right, in our sole discretion, to modify policies as necessary without prior written notice unless otherwise required by our administrative procedures or applicable state law. The terms "our" and "we" include Oxford Health Plans, LLC and all of its subsidiaries as appropriate for these policies.
Certain policies may not be applicable to self-funded members and certain insured products. Refer to the member's plan of benefits or Certificate of Coverage to determine whether coverage is provided or if there are any exclusions or benefit limitations applicable to any of these policies. If there is a difference between any policy and the member's plan of benefits or Certificate of Coverage, the plan of benefits or Certificate of Coverage will govern.
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Last Published 01.02.2026
Effective Date: 12.01.2025 – This policy addresses accreditation requirements for radiologists, radiology centers, and multi-speciality provider groups interested in participating in the UnitedHealthcare Oxford network.
Last Published 12.01.2025
Effective Date: 12.01.2025 – This policy addresses credentialing guidelines for radiologists and cardiologists interested in participating in the eviCore healthcare network.
Last Published 01.01.2026
Effective Date: 01.01.2026 – This policy addresses laboratory testing/procedures that Oxford Network physicians may provide in their offices, including specimen handling and venipuncture.
Last Published 01.01.2026
Effective Date: 01.01.2026 – For a list of applicable Medical (Clinical) Policies for Oxford, refer to UHCprovider.com/policies > For Commercial Plans > Medical & Drug Policies. For a list of applicable Administrative Policies for Oxford, refer to UHCprovider.com/policies > For Commercial Plans > UnitedHealthcare Oxford Administrative Policies.
Last Published 01.02.2026
Effective Date: 01.01.2026 – This policy addresses self-referral for outpatient imaging services.
Last Published 01.02.2026
Effective Date: 12.01.2025 – This policy addresses radiopharmaceuticals and contrast media administered by eviCore healthcare.
Last Published 01.01.2025
Effective Date: 01.01.2025 – This policy addresses a site of service differential that reduces practice expense payments for services provided in facility or ambulance settings.
Last Published 12.01.2025
Effective Date: 12.01.2025 – This policy addresses extended benefits for totally disabled members, including when a member changes carriers while confined in an inpatient facility.
Last Published 01.02.2026
Effective Date: 01.01.2026 – This policy addresses wigs. Applicable Procedure Code: A9282.
Information regarding a policy or procedure that is not available online and copies of UnitedHealthcare Oxford 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.