Reimbursement Policies for UnitedHealthcare Value & Balance Exchange Plans

The UnitedHealthcare Reimbursement Policies are generally based on national reimbursement determinations, along with state government program reimbursement policies and requirements.

Please note that where a specific conflict between a provision of a contract between UnitedHealthcare and an applicable state program a provider contracts or state/federal regulations, such contract/regulation, will supersede these reimbursement policies.

Quick Tip: Embedded Document Files in Policy PDFs

Many of our policies include embedded documents within the PDFs to help provide you with the best information possible. To open an embedded document please save a copy of the policy PDF to your local desktop, open in Adobe Reader, then double-click on the embedded document icon to open.

Note: You may receive a Protected View alert at the top of your document, select Enable All Features to ensure you can open the attachment.

UnitedHealthcare Reimbursement Policies are intended to serve only as a general reference resource for the services described. They are not intended to address every aspect of a reimbursement situation.

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