Protocols
Our protocols give a concise overview of the steps, guidelines or tools to help you follow the criteria used for clinical determination of coverage. These UnitedHealthcare protocols do not address standard services as discussed in Administrative Guides, nor do they duplicate state- or federal-mandated benefits.
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Appointment Standards for the State of Maryland - UnitedHealthcare Plans
Last Published 09.16.2024
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Hospital Reference Lab Protocol - UnitedHealthcare Commercial Plans
Last Published 01.31.2025
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Laboratory Services Protocol - M.D.IPA, M.D.IPA Preferred, Optimum Choice and Optimum Choice Preferred
Last Published 03.12.2025
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Medical Records Documentation Used for Reviews
Last Published 03.01.2025
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Social Drivers of Health Protocol - UnitedHealthcare plans
Last Published 11.22.2024
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UnitedHealthcare Gold Card Program Protocol
Last Published 09.18.2024
Administrative Guides and Manuals
Comprehensive guides that contain a variety of resources for administrative support including some protocol information.
Pharmacy Resources
Looking for pharmacy or drug step therapy documents? Our Drug Lists and Pharmacy Resources area has great information.