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LAST MODIFIED 06.25.2018

UnitedHealthcare Community Plan recently changed our National Drug Code (NDC) policy to include facility outpatient drug claims. In November 2017, we implemented new system edits for a UB-04 claim form or 837I institutional transactions.

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LAST MODIFIED 06.27.2018

Effective for claims with a date of service on or after May 1, 2017, we will be implementing a new National Drug Code (NDC) Requirement reimbursement policy. Claims submitted for reimbursement for drug-related codes for UnitedHealthcare Community ...

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LAST MODIFIED 07.06.2018

Effective for claims with a date of service on or after May 1, 2017, we will be implementing a new National Drug Code (NDC) Requirement reimbursement policy. Claims submitted for reimbursement for drug-related codes for UnitedHealthcare Community ...

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LAST MODIFIED 08.28.2018

This policy describes the National Drug Code information that is required on professional drug claims that are reported for reimbursement.

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LAST MODIFIED 09.10.2018

This policy describes the National Drug Code information that is required on professional drug claims that are reported for reimbursement.

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LAST MODIFIED 06.28.2018

Effective for claims with a date of service on or after May 1, 2017, we will be implementing a new National Drug Code (NDC) Requirement reimbursement policy.

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LAST MODIFIED 06.27.2018

Effective for claims with a date of service on or after May 1, 2017, we will be implementing a new National Drug Code (NDC) Requirement reimbursement policy.

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LAST MODIFIED 06.21.2018

Effective for claims with a date of service on or after May 1, 2017, we will be implementing a new National Drug Code (NDC) Requirement reimbursement policy.

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LAST MODIFIED 10.19.2018

Provides detailed information on submitting standard claims with NDC Information for professional and hospital outpatient claims for UnitedHealthcare Commercial Plans & UnitedHealthcare Medicare Advantage plans.

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LAST MODIFIED 06.19.2018

Beginning May 1, 2017, all UnitedHealthcare Community claims with drug-related codes must include the NDC number, quantity and the unit of measure. This change will help us to differentiate and target drugs that share the same HCPCS code to ...

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LAST MODIFIED 06.19.2018

Beginning May 1, 2017, all UnitedHealthcare Community claims with drug-related codes must include the NDC number, quantity and the unit of measure. This change will help us to differentiate and target drugs that share the same HCPCS code to ...

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LAST MODIFIED 12.20.2017

Provides detailed information on submitting NDC claims

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LAST MODIFIED 07.16.2018

This policy describes the information that is required on certain claims that are reported for laboratory services under the Clinical Laboratory Improvement Amendment (CLIA) 1988 statute and regulations. All services described in this policy may ...

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LAST MODIFIED 07.03.2018

The Claim Submission app will allow you to submit professional claims for UnitedHealthcare commercial, UnitedHealthcare Medicare Advantage, UnitedHealthcare Community Plan, UnitedHealthcare Oxford and UnitedHealthcare West. You’ll be able to key ...

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LAST MODIFIED 07.30.2018

We hope you enjoy this edition of Practice Matters. In this issue, you can read about a program that address the opioid epidemic, Preferred Drug List updates, National Drug Code requirements on claims, and much more.

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LAST MODIFIED 07.26.2018

Initial Observation Care CPT® codes 99218-99220 and subsequent Observation Care CPT codes 99224-99226 are used to report evaluation and management (E/M) services provided to new or established patients designated as "observation status" in a ...

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