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.

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

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

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

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 ...

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 ...

Provides detailed information on submitting NDC claims

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 ...

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 ...

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.

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 ...

Establishing an EDI connection to submit claims has never been easier. UnitedHealthcare offers many solutions to support you in meeting the compliance standards and requirements for filing claims electronically.

The UnitedHealthcare Care Provider Administrative Guide for Commercial and Medicare Advantage is a comprehensive guide that allows you and your staff to find important information for topics such as processing a claim and prior authorizations, as ...

Information on payment policy notifications applicable to California Community Plan care providers.

Information on payment policy notifications applicable to Delaware Community Plan care providers.

Information on payment policy notifications applicable to Florida Community Plan care providers.