Reimbursement Policies for UnitedHealthcare Individual 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.

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.