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Policies and Protocols for Healthcare Providers

This library includes UnitedHealthcare policies and protocols. The policies and protocols presented here may not apply to all UnitedHealthcare plans.



Policy and Protocol news

July monthly overview

Review the latest UnitedHealthcare prior authorization, medical policy, pharmacy, reimbursement, laboratory and policy and protocol updates.

NPI number and taxonomy codes required Aug. 1, 2024

New York Medicaid health care professionals will need to submit an NPI number and taxonomy code with claims.

The road to health equity through technology

Take our free CME Driving Health Equity Through Technology and Service Innovation course.

Texas Medicaid: Help avoid service delays

To help limit delays, include required medical necessity documentation when submitting prior authorization requests.

Trellus Elevate: Empower your patients with personalized IBD support

Your New York and Connecticut IBD patients can enroll in Trellus Elevate until Sept. 30.

Oklahoma: Stay in our network, file all claims

Oklahoma requires us to remove health care professional with no recent claims on file from our network.