These programs support the consistent use of evidence-based, professional guidelines for cardiology procedures. They were designed with the help of physician advisory groups to encourage appropriate ...

Your feedback helps us shape improvements to our digital tools, like the UnitedHealthcare Provider Portal. As we continue to enhance these tools, we’d value your input on what to focus on next.

We know the time you spend managing prior authorizations, paperwork and reimbursements is time you’d rather spend with your patients. That’s why beginning Oct. 1, 2026, we’re eliminating 30% of prior ...

You can schedule the 2-year well-child visit before the child’s second birthday for UnitedHealthcare Community Plan of North Carolina members. The visit is fully reimbursable and does not need to ...

Medical policy updates for August 2026 for the following plans: Medicare Advantage, Medicaid, Exchange and Commercial.

You can access the Medical Benefit Specialty Drug Update Bulletin for the latest updates on drugs added to review at launch, program requirements and policies. Click through for complete details.

Soon, states will implement requirements that may require some Dual Special Needs Plan (D-SNP) members to have their Medicare and Medicaid coverage with the same health plan. D-SNP alignment is more ...

We introduced the first national Gold Card Program in October 2024, replacing prior authorizations with advance notification for provider groups consistently adhering to evidence-based care guidelines ...

Choose a health plan below to review the latest reimbursement policy updates.

Network News is published monthly. See updates below.

Between August and November each year, Maryland Department of Health conducts encounter data validation audits of medical records against claims to ensure accuracy and compliance. Maintain complete, ...