• Applicable to all states except NC

Cooperation with Quality Improvement and Patient Safety Activities - Chapter 2, 2020 UnitedHealthcare Administrative Guide

Cooperation with Quality Improvement and Patient Safety Activities

You must follow our quality improvement and patient safety activities and programs. These include: 

  • Quick access to medical records when requested.
  • Timely responses to queries and/or completion of improvement action plans during quality of care investigations.
  • Participation in quality audits, including site visits and medical record standards reviews, and Healthcare Effectiveness Data and Information Set (HEDIS®) record review. 
  • Allowing use of practitioner and provider performance data. 
  • Notifying us when you become aware of a patient safety issue or concern.