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Monthly overview

View recent updates on policy and protocol announcements, drug and pharmacy, prior authorization, code changes, provider reimbursement, medical policy alerts and more. 

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Get news related to your role, specialty, health plan and state. When you subscribe to Network News, you can update your preferences to select what news you receive.

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Colorado: Required training information

If you’re in-network for Colorado commercial or Individual Exchange plans, you’re required to submit training information.

Update on DEX® Z-Codes® for molecular pathology tests

Z-Code® claim editing to begin on Oct. 1, 2023.

September monthly overview

Review the latest UnitedHealthcare prior authorization, medical policy, pharmacy, reimbursement, laboratory and policy and protocol updates.

Medicare Advantage service area changes

Find more information on service area changes for Medicare Advantage plans.

Texas Medicaid: Complete your education requirements online

We’re offering a free, online UTI course for all Texas health care professionals.

Rocky Mountain Health Plans medical criteria is available

View the medical guidelines and criteria Rocky Mountain Health Plans uses to help make determinations on prior authorizations and other benefit decisions.

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