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Care Provider Manual | Chapter 4: Medical Management | UnitedHealthcare Community Plan of Hawaii
Care Provider Manual | Chapter 5: Early, Periodic Screening, Diagnosis and Treatment | UnitedHealthcare Community Plan of Hawaii
Care Provider Manual | Chapter 6: Benefits-Covered, Excluded and Value-Added | UnitedHealthcare Community Plan of Hawaii
Care Provider Manual | Chapter 7: Mental Health and Substance Use | UnitedHealthcare Community Plan of Hawaii
Care Provider Manual | Chapter 8: Member Rights and Responsibilities | UnitedHealthcare Community Plan of Hawaii
Care Provider Manual | Chapter 9: Medical Records | UnitedHealthcare Community Plan of Hawaii
Care Provider Manual | Chapter 10: Quality Management (QM) Program and Compliance Information | UnitedHealthcare Community Plan of Hawaii
Care Provider Manual | Chapter 11: Billing and Submission | UnitedHealthcare Community Plan of Hawaii
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North Dakota Health Plans
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Pennsylvania Health Plans
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Care Provider Administrative Guides and Manuals
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Administrative Guide for Commercial, Medicare Advantage and DSNP
Administrative Guide for Commercial, Medicare Advantage and DSNP
Community Plan Care Provider Manuals for Medicaid Plans By State
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
Delegated Credentialing Program - 2020 Administrative Guide
Service Standards - 2020 Administrative Guide
Virtual Visits - 2020 Administrative Guide
Referrals & Referral Contracting - 2020 Administrative Guide
Medical Management - 2020 Administrative Guide
Pharmacy - 2020 Administrative Guide
Facilities - 2020 Administrative Guide
Claims Processes - 2020 Administrative Guide
Claims Disputes and Appeals - 2020 Administrative Guide
Contractual and Financial Responsibilities - 2020 Administrative Guide
Capitation Reports and Payments - 2020 Administrative Guide
CMS Premiums and Adjustments - 2020 Administrative Guide
Delegate Performance Management Program - 2020 Administrative Guide
Appeals and Grievances - 2020 Administrative Guide
Leased Networks - 2020 Administrative Guide
Medica Healthcare Supplement - 2020 Administrative Guide
Medica Healthcare Supplement - 2020 Administrative Guide
How to Contact Us - 2020 Administrative Guide
Confidentiality of Protected Health Information (PHI) - 2020 Administrative Guide
Referrals - 2020 Administrative Guide
Prior Authorizations - 2020 Administrative Guide
Appeals and Reconsideration Processes - 2020 Administrative Guide
Member Rights and Responsibilities - 2020 Administrative Guide
Documentation and Confidentiality of Medical Records - 2020 Administrative Guide
Provider Reporting Responsibilities - 2020 Administrative Guide
Mid-Atlantic Regional Supplement - 2020 Administrative Guide
Mid-Atlantic Regional Supplement - 2020 Administrative Guide
Provider Responsibilities - 2020 Administrative Guide
Referrals - 2020 Administrative Guide
Prior Authorizations - 2020 Administrative Guide
Claims Process - 2020 Administrative Guide
Capitation - 2020 Administrative Guide
Neighborhood Health Partnership Supplement - 2020 Administrative Guide
Neighborhood Health Partnership Supplement - 2020 Administrative Guide
How to Contact NHP - 2020 Administrative Guide
Discharge of a Member from Participating Provider's Care - 2020 Administrative Guide
Laboratory Services - 2020 Administrative Guide
Referrals - 2020 Administrative Guide
Utilization Management (UM) - 2020 Administrative Guide
Claims Reconsiderations and Appeals - 2020 Administrative Guide
Capitated Health Care Provider - 2020 Administrative Guide
OneNet PPO Supplement - 2020 Administrative Guide
OneNet PPO Supplement - 2020 Administrative Guide
Who to Contact - OneNet PPO - 2020 Administrative Guide
Bills Process - 2020 Administrative Guide
Referrals - 2020 Administrative Guide
Provider Responsibilities and Workflows - 2020 Administrative Guide
Medical Records Standards and Requirements - 2020 Administrative Guide
Quality Management and Health Management Programs - 2020 Administrative Guide
Participant Rights and Responsibilities - 2020 Administrative Guide
Oxford Commercial Supplement - 2020 Administrative Guide
Oxford Commercial Supplement - 2020 Administrative Guide
Oxford Commercial Product Overview - 2020 Administrative Guide
How to Contact Oxford Commercial - 2020 Administrative Guide
Care Provider Responsibilities and Standards - 2020 Administrative Guide
Referrals - 2020 Administrative Guide
Utilization Management - 2020 Administrative Guide
Using Non-Participating Health Care Providers or Facilities - 2020 Administrative Guide
Radiology, Cardiology and Radiation Therapy Procedures - 2020 Administrative Guide
Emergencies and Urgent Care - 2020 Administrative Guide
Utilization Reviews - 2020 Administrative Guide
Claims Process - 2020 Administrative Guide
Member Billing - 2020 Administrative Guide
Claims Recovery, Appeals, Disputes and Grievances - 2020 Administrative Guide
Quality Assurance - 2020 Administrative Guide
Case Management and Disease Management Programs - 2020 Administrative Guide
Clinical Process Definitions - 2020 Administrative Guide
Member Rights and Responsibilities - 2020 Administrative Guide
Medical and Administrative Policy Updates - 2020 Administrative Guide
Preferred Care Partners Supplement - 2020 Administrative Guide
Preferred Care Partners Supplement - 2020 Administrative Guide
About Preferred Care Partners - 2020 Administrative Guide
How to Contact Us - 2020 Administrative Guide
Confidentiality of Protected Health Information (PHI) - 2020 Administrative Guide
Prior Authorizations and Referrals - 2020 Administrative Guide
Clinical Coverage Review - 2020 Administrative Guide
Appeal & Reconsideration Processes - 2020 Administrative Guide
Member Rights and Responsibilities - 2020 Administrative Guide
Documentation and Confidentiality of Medical Records - 2020 Administrative Guide
Case Management and Disease Management Program Information - 2020 Administrative Guide
Special Needs Plans, Preferred Care Partners - 2020 Administrative Guide
Care Provider Reporting Responsibilities - 2020 Administrative Guide
River Valley Entities Supplement - 2020 Administrative Guides
River Valley Entities Supplement - 2020 Administrative Guides
Eligibility - 2020 Administrative Guides
How to Contact River Valley - 2020 Administrative Guides
Reimbursement Policies - 2020 Administrative Guides
Referrals - 2020 Administrative Guides
Utilization Management - 2020 Administrative Guides
Claims Process - 2020 Administrative Guides
UnitedHealthcare West Supplement - 2020 Administrative Guide
UnitedHealthcare West Supplement - 2020 Administrative Guide
UnitedHealthcare West Information Regarding our Care Provider Website - 2020 Administrative Guide
How to Contact UnitedHealthcare West Resources - 2020 Administrative Guide
Care Provider Responsibilities - 2020 Administrative Guide
Utilization and Medical Management - 2020 Administrative Guide
Hospital Notifications - 2020 Administrative Guide
Pharmacy Network - 2020 Administrative Guide
Claims Process - 2020 Administrative Guide
Care Provider Claims Appeals and Disputes - 2020 Administrative Guide
California Language Assistance Program (California Commercial Plans) - 2020 Administrative Guide
Member Complaints & Grievances - 2020 Administrative Guide
California Quality Improvement Committee - 2020 Administrative Guide
UnitedHealthOne Individual Plans Supplement - 2020 Administrative Guide
UnitedHealthOne Individual Plans Supplement - 2020 Administrative Guide
How to Contact UnitedHealthOne Resources - 2020 Administrative Guide
Claims Process - 2020 Administrative Guide
Member Complaints & Grievances - 2020 Administrative Guide
Glossary - 2020 Administrative Guide
2018-uhc-admin-guide
Reports and Quality Programs
Reports and Quality Programs
Home Health and SNF High-Performing Provider Initiative Lists
Hospital Performance Based Compensation
PATH
Peer Comparison Reports
Physician Performance Based Compensation
Quality-Based Physician Incentive Program (QPIP)
Quality-Based Shared Savings Program (QSSP)
Star Ratings Program
UnitedHealthcare Capitation, Claim, Quality, Roster and Profile Reports
UnitedHealthcare West Capitation, Settlement, Shared Risk Claims, Eligibility, and Patient Management Reports
UnitedHealth Premium® Program
MWM Component test
Mounika testing page
mwm-test-page-may2020
regression testing of existing stage by mounika
Health Plans by State
Tennessee Health Plans
Tennessee Medicare Advantage Health Plans
Tennessee Group Medicare Advantage Plans
Print
Tennessee UnitedHealthcare® Group Medicare Advantage Plans
Tools and Resources - UnitedHealthcare® Group Medicare Advantage Plans
Medicare Advantage Chiropractic and Acupuncture Coverage – Quick Reference Guide
Medicare Advantage Copayment Guidelines
Medicare Advantage Durable Medical Equipment (DME) Frequently Asked Questions
Medicare Advantage Home Health Services Frequently Asked Questions
Medicare Advantage Member Rights and Responsibilities
Medicare Advantage Non-Contracted Provider Dispute and Appeal Rights
Medicare Advantage Non-Contracted Provider Claim Payment Dispute Request Form
Medicare Advantage Plans - Benefit Plan Name Overview
Medicare Advantage Preventive Screening Guidelines
Medicare Advantage Service Area Reductions for 2020 Frequently Asked Questions
Readmission Review Program Clinical Guidelines
Readmission Review Program Frequently Asked Questions
UnitedHealthcare Group Medicare Advantage (PPO) Network Care Provider Quick Reference Guide
UnitedHealthcare Group Medicare Advantage (PPO) Out-of-Network Care Provider Quick Reference Guide
UnitedHealth Passport® Service Area List for Medicare Advantage Group Retiree Plans
UnitedHealthcare Administrative Guide