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Resources for health care professionals
Steps to getting contracted plus plan information
Phone numbers and links for connecting with us
List of contracted, high-quality independent lab providers
Update, verify and attest to your practice's demographic data
Provider search for doctors, clinics and facilities, plus dental and behavioral health
Policies for most plan types, plus protocols, guidelines and credentialing information
Pharmacy resources, tools, and references
View health plans available by state
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Updates and getting started with our range of tools and programs
Reports and programs for operational efficiency and member support
Important news updates for you
Tools, references and guides for supporting your practice
Log in for our suite of tools to assist you in caring for your patients
Network News is published twice a month. See updates below.
Medical policy updates
Medical policy updates for September 2023 for the following plans: Medicare, Medicaid, Exchanges and commercial.
Reimbursement policy updates
See the latest updates for reimbursement policies.
Specialty Medical Injectable Drug program updates
See the latest updates to requirements for Specialty Medical Injectable Drugs for UnitedHealthcare members.
Pharmacy and clinical updates
Access upcoming new or revised clinical programs and implementation dates for UnitedHealthcare plans.
Oxford Preferred Lab Network
You can help reduce patients’ out-of-pocket costs by referring them to the Oxford Preferred Lab Network.
North Carolina: RJ Health crosswalk not required
As of Aug. 1, 2023, you’re no longer required to match HCPCS and NDC for claims using the crosswalk table from RJ Health.
Refer at-risk patients to nutritional program
Help change the nutritional health of your patients diagnosed with serious illnesses. Learn how.
Genitourinary Pathogen medical policy ending
Genitourinary Pathogen Nucleic Acid Detection Testing medical policy and related prior authorization requirements ending.
New Empire Plan address for contractual notices
Send required written notices to Empire Plan’s updated mailing address starting Sept. 1.
Discontinuation of Flovent HFA and Flovent Diskus
GlaxoSmithKline has announced the discontinuation of Flovent Diskus and Flovent HFA. See preferred covered alternatives.
Dec. 1: Digital pre-service appeal submissions required
Network commercial and Medicare Advantage health care professionals must submit medical pre-service appeals electronically.
Overpayment letters, VCP statements going paperless Nov. 3
Starting Nov. 3, overpayment letters and virtual card payment statements for TN Medicaid won’t be mailed.
California: Screen maternal patients for mental health
California passes bill to support pregnancy and postpartum mental health screening and treatment.
Colorado: 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.
Texas Community Plan: Complete your education requirements online
We’re offering a free, online UTI course for all Texas health care professionals.
Texas Medicaid: New drug prior authorizations
Effective Sept. 17, 2023, you must request prior authorization for Aubagio®, Vascepa®, Austedo® and Gattex® medications.
Wisconsin Medicaid: EVV updates for home health care
Wisconsin DHS is currently developing a plan for electronic visit verification of certain home health care service codes.
Wisconsin Community Plan: Some payment documents going paperless Oct. 6
Beginning Oct. 6, 2023, we’ll no longer mail some documents found in the Payment Documents folder within Document Library in the UnitedHealthcare Provider Portal.
Make a difference this Hispanic heritage month
Update your profile to let patients know your practice has Spanish-speaking health care professionals.
Medicare Advantage service area changes
Find more information on service area changes for Medicare Advantage plans.