UnitedHealthcare Community Plan recently changed our National Drug Code (NDC) policy to include facility outpatient drug claims. In November 2017, we implemented new system edits for a UB-04 claim form or 837I institutional transactions.

This policy describes the National Drug Code information that is required on professional drug claims that are reported for reimbursement.

This policy describes the National Drug Code information that is required on professional drug claims that are reported for reimbursement.

The Arizona Health Care Cost Containment System (AHCCCS) National Drug Code (NDC) billing guidelines apply to claims with procedure codes for physician-administered drugs in outpatient clinical settings.

Provides detailed information on submitting standard claims with NDC Information for professional and hospital outpatient claims for UnitedHealthcare Commercial Plans & UnitedHealthcare Medicare Advantage plans.

Provides detailed information on submitting NDC claims

Beginning May 1, 2017, all UnitedHealthcare Community claims with drug-related codes must include the NDC number, quantity and the unit of measure. This change will help us to differentiate and target drugs that share the same HCPCS code to ...

This policy describes the information that is required on certain claims that are reported for laboratory services under the Clinical Laboratory Improvement Amendment (CLIA) 1988 statute and regulations. All services described in this policy may ...

The Claim Submission app will allow you to submit professional claims for UnitedHealthcare commercial, UnitedHealthcare Medicare Advantage, UnitedHealthcare Community Plan, UnitedHealthcare Oxford and UnitedHealthcare West. You’ll be able to key ...

We hope you enjoy this edition of Practice Matters. In this issue, you can read about a program that address the opioid epidemic, Preferred Drug List updates, National Drug Code requirements on claims, and much more.

A list of all Smart Edits messages and descriptions that are live or are about to go live as returned on the 277CA Clearinghouse Rejection Report.

Monthly web announcement: In the August Network Bulletin, you can read about Smart Edits to improve claims processing, free CEU/CME educational credits on UHC On Air, a webinar series on autism spectrum disorder, and much more.

Practice Matters is a quarterly publication for physicians and other health care professionals and facilities in the UnitedHealthcare network.

Please send this request to the issuer from whom you are seeking authorization. Do not send this form to the Texas Department of Insurance, the Texas Health and Human Services Commission, or the patient’s or subscriber’s employer.

This up-to-date reference PDF (manual/guide) allows you and your staf to fnd importantinformation such as how to process a claim and priorauthorization.