United Health Care Clinical Policy Guidelines

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Clinical Guidelines UHCprovider.com

(4 days ago) WEBClinical Guidelines. UnitedHealthcare uses evidence-based clinical guidelines from nationally recognized sources during review of our quality and health management programs. Recommendations contained in clinical practice guidelines are …

https://www.uhcprovider.com/en/policies-protocols/clinical-guidelines.html

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UnitedHealthcare Commercial Medical & Drug Policies

(7 days ago) WEBA monthly notice of recently approved and/or revised Medical Policies and Medical Benefit Drug Policies is provided below for your review. We publish a new announcement on …

https://www.uhcprovider.com/en/policies-protocols/commercial-policies/commercial-medical-drug-policies.html

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Dental Clinical Policies and Guidelines UHCprovider.com

(Just Now) WEBUnitedHealthcare has developed Dental Clinical Policies and Dental Coverage Guidelines to assist us in administering dental plan benefits. These policies …

https://www.uhcprovider.com/en/policies-protocols/dental-policies.html

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Policy Search Index UHCprovider.com

(4 days ago) WEBThis policy addresses edits involving diagnosis (ICD10-CM) codes and CPT© codes with age limitations. Age designations are assigned to select World Health Organization …

https://www.uhcprovider.com/en/policies-protocols/policy-search-index.html

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Policy Guidelines for Medicare Advantage Plans

(2 days ago) WEBFind informational and administrative policy guidelines for UnitedHealthcare Medicare Advantage Plans offered by UnitedHealthcare and its affiliates. Learn how …

https://www.uhcprovider.com/en/policies-protocols/medicare-advantage-policies/medicare-advantage-guidelines.html

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Clinical Diagnostic Laboratory Services

(3 days ago) WEBLaboratory services must meet all applicable requirements of the Clinical Laboratory Improvement Amendments of 1988 (CLIA), as set forth at 42 CFR part 493. Section …

https://www.uhcprovider.com/content/dam/provider/docs/public/policies/medadv-guidelines/c/clinical-diagnostic-laboratory-services.pdf

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UnitedHealthcare® West Medical Management Guidelines

(1 days ago) WEBOur Medical Management Guidelines express our determination of whether a health service (e.g., test, drug, device or procedure) is proven to be effective based on the …

https://www.uhcprovider.com/en/policies-protocols/commercial-policies/sv-medical-mgmt-guidelines.html

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UnitedHealthcare Oxford Clinical and Administrative Policies

(Just Now) WEB4 Research Drive. Shelton, CT 06484. For questions, please contact your local Network Management representative or call the Provider Services number on the back of the …

https://www.uhcprovider.com/en/policies-protocols/commercial-policies/oxford-policies.html

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Colonoscopy Guidelines - Version 1.0.2024 - Effective Date: …

(8 days ago) WEBPolicy. The Policy undergo a formal review at least annually. eviCore’s policy is based upon major national and international association and society guidelines …

https://www.uhcprovider.com/content/dam/provider/docs/public/policies/clinical-guidelines/Commerical-Colonoscopy-Guidelines-03-15-2024.pdf

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Clinical Trials Commercial and Individual Exchange Medical …

(7 days ago) WEBAn “Approved Clinical Trial” is defined as: Phase I, Phase II, Phase III, or Phase IV clinical trial; Being conducted in relation to the prevention, detection or treatment for Cancer or …

https://www.uhcprovider.com/content/dam/provider/docs/public/policies/comm-medical-drug/clinical-trials.pdf

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Rhinoplasty and Other Nasal Procedures - UHCprovider.com

(5 days ago) WEBBenefit coverage for health services is determined by the member specific benefit plan document and applicable laws that may require coverage for a specific service. The …

https://www.uhcprovider.com/content/dam/provider/docs/public/policies/comm-medical-drug/rhinoplasty-other-nasal-surgeries.pdf

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Clinical Practice Guidelines - UHCprovider.com

(4 days ago) WEBReactive Attachment Disorders (2016) American Academy of Family Physicians (AAFP) Initial Evaluation, Diagnosis and Treatment of Anorexia Nervosa and Bulimia Nervosa

https://www.uhcprovider.com/content/dam/provider/docs/public/policies/signaturevalue-mmg/clinical-practice-guidelines-sv.pdf

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Medical & Reimbursement Policies - UnitedHealthcare

(7 days ago) WEBThe information at the links below is intended for use by those that provide health care services to members. Our Medical & Drug Policies and Coverage Determinations …

https://prod.member.myuhc.com/content/myuhc/en/secure/benefits-coverage/medical-reimbursement-policies.html

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Hyperbaric Oxygen Therapy and Topical Oxygen Therapy

(5 days ago) WEBBenefit coverage for health services is determined by the member specific benefit plan document and applicable laws that may require coverage for a specific …

https://www.uhcprovider.com/content/dam/provider/docs/public/policies/comm-medical-drug/hyperbaric-topical-oxygen-therapy.pdf

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Medical and Drug Policies for Community Plan UHCprovider.com

(6 days ago) WEBA monthly notice of recently approved and/or revised Medical Policies and Medical Benefit Drug Policies is provided below for your review. We publish a new announcement on …

https://www.uhcprovider.com/en/policies-protocols/comm-plan-medicaid-policies/medicaid-community-state-policies.html

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MyUHC - Coverage & Benefits UnitedHealthcare

(4 days ago) WEBFor information on your medical care by condition, search by area of the body or type of condition. How health care providers are paid. Our Reimbursement Policies ⁠ (Opens …

https://member.uhc.com/coverage/medical-reimbursement/

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2022 MT Utilization Management Program Description

(8 days ago) WEBrecognized medical policies, clinical guidelines and criteria. These policies, guidelines and criteria promote delivery of appropriate care UHC members in the most appropriate …

https://www.uhc.com/content/dam/uhcdotcom/en/Legal/PDF/2022-MT-Utilization-Managment-Program-Description.pdf

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Medical Policy Update Bulletin: May 2023 - UnitedHealthcare

(Just Now) WEBThe Medical Policy Update Bulletin was developed to share important information regarding UnitedHealthcare Medical Policy, Medical Benefit Drug Policy, Coverage …

https://www.dbp.com/content/dam/provider/docs/public/policies/mpub-archives/commercial/medical-policy-update-bulletin-may-2023.pdf

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Klobuchar Asks Regulators to Investigate MultiPlan Over Health …

(2 days ago) WEBUnitedHealthcare, Cigna, Aetna and other major insurers use MultiPlan’s pricing recommendations, and the firm has boasted to investors that it is “deeply …

https://www.nytimes.com/2024/05/01/us/multiplan-health-insurance-price-fixing.html

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What marijuana reclassification means for the U.S. AP News

(4 days ago) WEBWASHINGTON (AP) — The U.S. Drug Enforcement Administration is moving toward reclassifying marijuana as a less dangerous drug. The Justice Department …

https://apnews.com/article/marijuana-reclassification-biden-garland-dea-3c9478472e124c7aaa9b934270b0d450

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Air Force updates mental health care policies, lowers barriers

(9 days ago) WEBThe Air Force’s mental health waiver policy in both the Air Force’s Medical Standards Directory (MSD) and Aerospace Medicine Waiver Guide has been updated to …

https://www.jbsa.mil/News/News/Article/3763110/air-force-updates-mental-health-care-policies-lowers-barriers/

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05/01/2024 – UMR Medical Policy Update Bulletin: May 2024

(5 days ago) WEBTitle. 05/01/2024 – UMR Medical Policy Update Bulletin: May 2024. Author. UnitedHealthcare. Subject. This bulletin provides complete details on recently approved, …

https://www.uhcprovider.com/content/dam/provider/docs/public/policies/mpub-archives/umr/umr-medical-policy-update-bulletin-may-2024.pdf

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STEWARD HEALTH CARE FINALIZING FINANCING DEAL WITH …

(7 days ago) WEBFUNDS WILL ALLOW ALL COMMUNITIES TO CONTINUE TO BE SERVED AND DAY-TO-DAY OPERATIONS TO CONITNUE IN THE ORDINARY COURSE . …

https://www.steward.org/newsroom/2024-05-06/steward-health-care-finalizing-financing-deal-medical

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Biden administration restores protections for gay and transgender …

(5 days ago) WEBThe Biden administration announced a new rule Friday expanding safeguards against potential discrimination of gay and transgender Americans seeking …

https://www.cnn.com/2024/04/27/politics/lgbtq-health-care-biden-administration-rules-affordable-care-act/index.html

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