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.
Additional Resources
Policy and Protocol news
Verify address to avoid APWUHP claim appeal delays
Claim appeals addressed incorrectly may be delayed or go unanswered. And APWUHP members to be assigned a new group number.
Home health and private duty nursing services prior authorization process
Home health and private duty nursing service prior authorization requests are assessed based on medical necessity and more.
Dig deeper into 10 new reasons to skip the phone
Get more details about our latest digital tools and portal enhancements.
April monthly overview
Review the latest UnitedHealthcare prior authorization, medical policy, pharmacy, reimbursement, laboratory and policy and protocol updates.
June monthly overview
Review the latest UnitedHealthcare prior authorization, medical policy, pharmacy, reimbursement, laboratory and policy and protocol updates.
Coordination of benefits information now available to streamline eligibility and billing
Coordination of benefits now available through API and the UnitedHealthcare Provider Portal.