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  • Care Provider Administrative Guides and Manuals
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    • Administrative Guide for Commercial, Medicare Advantage and DSNP
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    • 2020 Administrative Guide for Commercial, Medicare Advantage and DSNP
      • 2020 Administrative Guide for Commercial, Medicare Advantage and DSNP
      • Welcome to UnitedHealthcare 2020 Administrative Guide
      • Introduction - Ch.1, 2020 Administrative Guide
        • Introduction - Ch.1, 2020 Administrative Guide
        • Manuals and Benefit Plans Referenced in the Guide - 2020 Administrative Guide
        • Benefit Plans Subject to this Guide - 2020 Administrative Guide
        • Benefit Plans Not Subject to this Guide - 2020 Administrative Guide
        • Online Resources and How to Contact Us - 2020 Administrative Guide
      • Provider Responsibilities and Standards - Ch.2, 2020 Administrative Guide
        • Provider Responsibilities and Standards - Ch.2, 2020 Administrative Guide
        • Verifying Eligibility, Benefits and Your Network Participation - 2020 Administrative Guide
        • Healthcare Identification (ID) Card - 2020 Administrative Guide
        • Access Standards - 2020 Administrative Guide
        • Network Participating Care Provider Responsibilities - 2020 Administrative Guide
        • Civil Rights - 2020 Administrative Guide
        • Cooperation with Quality Improvement and Patient Safety Activities - 2020 Administrative Guide
        • Demographic Changes - 2020 Administrative Guide
        • Notification of Practice or Demographic Changes (Applies to Commercial Benefit Plans in California) - 2020 Administrative Guide
        • Administrative Terminations for Inactivity - 2020 Administrative Guide
        • Member Dismissals Initiated by a PCP - 2020 Administrative Guide
        • Medicare Opt-Out - 2020 Administrative Guide
        • Additional Medicare Advantage Requirements - 2020 Administrative Guide
        • Filing a Lawsuit by a Member - 2020 Administrative Guide
      • Commercial Products - Ch.3, 2020 Administrative Guide
        • Commercial Products - Ch.3, 2020 Administrative Guide
        • Commercial Product Overview Table - 2020 Administrative Guide
        • Benefit Plan Types - 2020 Administrative Guide
        • PCP Selection - 2020 Administrative Guide
        • Consumer-Driven Health Benefit Plans - 2020 Administrative Guide
      • Medicare Products - Ch.4, 2020 Administrative Guide
        • Medicare Products - Ch.4, 2020 Administrative Guide
        • Medicare Product Overview Tables - 2020 Administrative Guide
        • PCP Selection - 2020 Administrative Guide
        • Coverage Summaries and Policy Guidelines for MA Members - 2020 Administrative Guide
        • Dual Special Needs Plans Managed by Optum - 2020 Administrative Guide
        • Medicare Supplement Benefit Plans - 2020 Administrative Guide
        • Free Medicare Education for Your Staff and Patients - 2020 Administrative Guide
      • Referrals - Ch.5, 2020 Administrative Guide
        • Referrals - Ch.5, 2020 Administrative Guide
        • Commercial Products Referrals - 2020 Administrative Guide
        • Non-Participating Care Provider Referrals (All Commercial Plans) - 2020 Administrative Guide
        • Medicare Advantage Referral Required Plans - 2020 Administrative Guide
      • Medical Management - Ch.6, 2020 Administrative Guide
        • Medical Management - Ch.6, 2020 Administrative Guide
        • Benefit Plans Not Subject to this Protocol - 2020 Administrative Guide
        • Advance Notification/Prior Authorization Requirements - 2020 Administrative Guide
        • Advance Notification/Prior Authorization List - 2020 Administrative Guide
        • Facilities: Standard Notification Requirements - 2020 Administrative Guide
        • How to Submit Advance or Admission Notifications/ Prior Authorizations - 2020 Administrative Guide
        • Updating Advance Notification or Prior Authorization Requests - 2020 Administrative Guide
        • Coverage and Utilization Management Decisions - 2020 Administrative Guide
        • Pre-Service Appeals - 2020 Administrative Guide
        • Clinical Trials, Experimental or Investigational Services - 2020 Administrative Guide
        • Medical Management Denials/Adverse Determinations - 2020 Administrative Guide
        • MA Part C Reopenings - 2020 Administrative Guide
        • Outpatient Cardiology Notification/Prior Authorization Protocol - 2020 Administrative Guide
        • Outpatient Radiology Notification/Prior Authorization Protocol - 2020 Administrative Guide
        • Trauma Services - 2020 Administrative Guide
        • Medication-Assisted Treatment (MAT) - 2020 Administrative Guide
      • Specialty Pharmacy and Medicare Advantage Pharmacy - Ch.7, 2020 Administrative Guide
        • Specialty Pharmacy and Medicare Advantage Pharmacy - Ch.7, 2020 Administrative Guide
        • Commercial Pharmacy - Ch.7, 2020 Administrative Guide
        • Specialty Pharmacy Requirements for Certain Specialty Medications (Commercial Plans - Not Applicable to UnitedHealthcare West) - Ch.7, 2020 Administrative Guide
        • MA Pharmacy - Ch.7, 2020 Administrative Guide
        • Drug Utilization Review Program - Ch.7, 2020 Administrative Guide
        • Medication Therapy Management (MTM) - Ch.7, 2020 Administrative Guide
        • Transition Policy - Ch.7, 2020 Administrative Guide
      • Specific Protocols - Ch.8, 2020 Administrative Guide
        • Specific Protocols - Ch.8, 2020 Administrative Guide
        • Non-Emergent Ambulance Ground Transportation - Ch.8, 2020 Administrative Guide
        • Laboratory Services Protocol - Ch.8, 2020 Administrative Guide
        • Nursing Home and Assisted Living Plans - Ch.8, 2020 Administrative Guide
      • Our Claims Process - Ch.9, 2020 Administrative Guide
        • Our Claims Process - Ch.9, 2020 Administrative Guide
        • Electronic Payments and Statements (EPS) - Ch.9, 2020 Administrative Guide
        • Claims and Encounter Data Submissions - Ch.9, 2020 Administrative Guide
        • Risk Adjustment Data – MA and Commercial - Ch.9, 2020 Administrative Guide
        • National Provider Identification (NPI) - Ch.9, 2020 Administrative Guide
        • Medicare Advantage Claim Processing Requirements - Ch.9, 2020 Administrative Guide
        • Claim Submission Tips - Ch.9, 2020 Administrative Guide
        • Pass-through Billing/CLIA Requirements/Reimbursement Policy - Ch.9, 2020 Administrative Guide
        • Special Reporting Requirements for Certain Claim Types - Ch.9, 2020 Administrative Guide
        • Overpayments - Ch.9, 2020 Administrative Guide
        • Subrogation and Coordination of Benefits - Ch.9, 2020 Administrative Guide
        • Claim Correction and Resubmission - Ch.9, 2020 Administrative Guide
        • Claim Reconsideration, Appeals Process and Resolving Disputes - Ch.9, 2020 Administrative Guide
        • Resolving Concerns or Complaints - Ch.9, 2020 Administrative Guide
        • Member Appeals, Grievances or Complaints - Ch.9, 2020 Administrative Guide
        • Medical Claim Review - Ch.9, 2020 Administrative Guide
      • Compensation - Ch.10, 2020 Administrative Guide
        • Compensation - Ch.10, 2020 Administrative Guide
        • Reimbursement Policies - Ch.10, 2020 Administrative Guide
        • Charging Members - Ch.10, 2020 Administrative Guide
        • Member Financial Responsibility - Ch.10, 2020 Administrative Guide
        • Preventive Care - Ch.10, 2020 Administrative Guide
        • Provider Audits - Extrapolation - Ch.10, 2020 Administrative Guide
        • Hospital Audit Services - Ch.10, 2020 Administrative Guide
        • Audit Failure Denials - Ch.10, 2020 Administrative Guide
        • Notice of Medicare Non-Coverage (NOMNC) - Ch.10, 2020 Administrative Guide
      • Medical Records Standards and Requirements - Ch.11, 2020 Administrative Guide
      • Health and Disease Management - Ch.12, 2020 Administrative Guide
        • Health and Disease Management - Ch.12, 2020 Administrative Guide
        • Health Management Programs - Ch.12, 2020 Administrative Guide
        • Case Management - Ch.12, 2020 Administrative Guide
        • Commercial Health Services, Wellness and Behavioral Health Programs - Ch.12, 2020 Administrative Guide
        • Commercial Consumer Transparency Tools- Ch.12, 2020 Administrative Guide
        • Medicare Advantage (MA) - Ch.12, 2020 Administrative Guide
        • Commercial and Medicare Advantage Behavioral Health Information - Ch.12, 2020 Administrative Guide
      • Quality Management (QM) Program - Ch.13, 2020 Administrative Guide
        • Quality Management (QM) Program - Ch.13, 2020 Administrative Guide
        • UnitedHealth Premium Designation Program (Commercial Plans) - Ch.13, 2020 Administrative Guide
        • Star Ratings for MA and Prescription Drug Plans - Ch.13, 2020 Administrative Guide
        • Member Satisfaction - Ch.13, 2020 Administrative Guide
        • Imaging Accreditation Protocol - Ch.13, 2020 Administrative Guide
      • Credentialing and Re-Credentialing - Ch.14, 2020 Administrative Guide
        • Credentialing and Re-Credentialing - Ch.14, 2020 Administrative Guide
        • Credentialing/Profile Reporting Requirements - Ch.14, 2020 Administrative Guide
        • Care Provider Rights Related to the Credentialing Process - Ch.14, 2020 Administrative Guide
        • Credentialing Committee Decision Making Process (Non-Delegated) - Ch.14, 2020 Administrative Guide
        • Monitoring of All Network Care Providers - Ch.14, 2020 Administrative Guide
      • Member Rights and Responsibilities - Ch.15, 2020 Administrative Guide
      • Fraud, Waste and Abuse (FWA) - Ch.16, 2020 Administrative Guide
        • Fraud, Waste and Abuse (FWA) - Ch.16, 2020 Administrative Guide
        • Medicare Compliance Expectations and Training - Ch.16, 2020 Administrative Guide
        • Exclusion Checks - Ch.16, 2020 Administrative Guide
        • Preclusion List Policy - Ch.16, 2020 Administrative Guide
        • Examples of Potentially Fraudulent, Wasteful, or Abusive Billing (not an inclusive list) - Ch.16, 2020 Administrative Guide
        • Prevention and Detection - Ch.16, 2020 Administrative Guide
        • Corrective Action Plans - Ch.16, 2020 Administrative Guide
        • Beneficiary Inducement Law - Ch.16, 2020 Administrative Guide
        • Reporting Potential Fraud, Waste or Abuse to UnitedHealthcare - Ch.16, 2020 Administrative Guide
      • Provider Communication - Ch.17, 2020 Administrative Guide
        • Provider Communication - Ch.17, 2020 Administrative Guide
        • Network Bulletin and Provider News - Ch.17, 2020 Administrative Guide
        • Medical Policy Update Bulletin - Ch.17, 2020 Administrative Guide
        • Other Communications - Ch.17, 2020 Administrative Guide
      • All Savers Supplement - 2020 Administrative Guide
        • All Savers Supplement - 2020 Administrative Guide
        • How to Contact All Savers - 2020 Administrative Guide
      • Capitation and/or Delegation Supplement - 2020 Administrative Guide
        • Capitation and/or Delegation Supplement - 2020 Administrative Guide
        • What is Capitation? - 2020 Administrative Guide
        • What Is a Delegated ACO? - 2020 Administrative Guide
        • How to Contact Us, Capitation and/or Delegation - 2020 Administrative Guide
        • Verifying Eligibility and Effective Dates - 2020 Administrative Guide
        • Commercial Eligibility, Enrollment, Transfers and Disenrollment - 2020 Administrative Guide
        • Medicare Advantage (MA) Enrollment, Eligibility and Transfers, and Disenrollment - 2020 Administrative Guide
        • Authorization Guarantee - 2020 Administrative Guide
        • Care Provider Responsibilities - 2020 Administrative Guide
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