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UnitedHealthcare | UMR Medical & Drug Policies

Medical Policies, Medical Benefit Drug Policies, and corresponding update bulletins for UnitedHealthcare | UMR.

The Medical Policies, Medical Benefit Drug Policies, and corresponding update bulletins for UnitedHealthcare | UMR are listed below.

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A monthly notice of recently approved and/or revised Medical Policies and Medical Benefit Drug 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 Medical 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 Medical Policy Update Bulletin and the posted policy, the provisions of the posted policy will prevail.

Current Policies

Copies of UnitedHealthcare's Medical Policies and Medical Benefit Drug Policies can also be obtained by sending a written request to:

UnitedHealthcare 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 BenefitsClaims, or Prior Authorization/Notification process.