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.

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 ...

Effective March 1, 2020, we’re updating the National Drug Code (NDC) Requirement Policy, Professional and Facility.

The Arizona Health Care Cost Containment System (AHCCCS) National Drug Code (NDC) billing guidelines apply to claims with procedure codes for physician-administered drugs in outpatient clinical settings.

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

Calculating the Appropriate Number of National Drug Code (NDC) Units

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 NDC claims

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.

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.

Information on payment policy notifications applicable to the Hawaii UnitedHealthcare Community Plan QUEST Integration Program care providers.