United Healthcare Clinical 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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Dental Clinical Policies and Guidelines UHCprovider.com

(Just Now) WebA monthly notice of recently approved and/or revised Dental Clinical Policies and Coverage Guidelines is provided below for your review. We publish a new …

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

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Clinical Practice Guidelines - UnitedHealthcare

(8 days ago) WebClinical Practice Guidelines. UnitedHealthcare Community Plan has compiled a list of evidence -based clinical guidelines, and the websites where they can be found, for our …

https://www.uhc.com/communityplan/assets/plandocuments/findaprovider/HI-Disease-Specific_Guidelines-grid.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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Preventive care for children and adults

(Just Now) WebPreventive care can help you avoid potentially serious health conditions and/or obtain early diagnosis and treatment. Generally, the sooner your doctor can identify and treat a …

https://www.uhc.com/content/dam/uhcdotcom/en/HealthAndWellness/PDF/preventive-care-guidelines_en.pdf

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UnitedHealthcare Approved Professional Society …

(5 days ago) WebPCA-3-3--Clinical-FLR13 UnitedHealthcare Community Plan has identified evidence-based clinical guidelines and resources to guide our quality and health management …

https://www.uhc.com/communityplan/assets/plandocuments/misc/CO-Clinical-Practice-Guidelines.pdf

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Clinical Criteria and Guidelines - Provider Express

(5 days ago) WebOptum Behavioral Clinical Policies: Criteria that stem from evaluation of new services or treatments or new applications of existing services or treatments and are used to make …

https://public.providerexpress.com/content/ope-provexpr/us/en/clinical-resources/guidelines-policies.html

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Provider resources and support - UnitedHealthcare Dental

(3 days ago) WebExplore dental provider resources including educational materials, clinical guidelines, dental forms and helpful tips for using the provider portal. Credentialing guidelines …

https://www.uhcdental.com/dental/dental-provider-resources.html

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Policies and Protocols for Providers UHCprovider.com

(4 days ago) WebArizona: Required health care workforce survey opened April 16. Complete the 2024 AZ Healthcare Workforce Goals and Metrics Assessment online starting April …

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

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Resource center: Providers GEHA

(1 days ago) WebClinical guidelines. GEHA uses UnitedHealthcare's Clinical Guidelines. The clinical guidelines are intended to inform network providers and GEHA medical plan members …

https://geha.com/resource-center/provider-resources

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Clinical Guidelines and Recommendations Agency for Healthcare

(3 days ago) WebBetween 1992 and 1996, the Agency for Health Care Policy and Research (now the Agency for Healthcare Research and Quality) sponsored development of a series of …

https://www.ahrq.gov/prevention/guidelines/index.html

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UnitedHealthcare Clinical Practice Guidelines

(7 days ago) WebUnitedHealthcare has identified evidence-based clinical guidelines to guide our quality and health management programs. The following table lists. the clinical …

https://www.uhc.com/communityplan/assets/plandocuments/memberinformation/KS_Disease_Specific_Guidelines_grid_2014.pdf

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2022 MT Utilization Management Program Description

(8 days ago) WebUnited HealthCare Services, Inc. and . UnitedHealthcare Insurance Company . NMCMC Approved: 08/09/2016; 02/14/2017 • Review and approval of utilization review and …

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

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Clinical Trials - AAPC

(3 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.aapc.com/codes/webroot/upload/general_pages_docs/document/Clinical_Trials_CDG.pdf

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Medical & Drug Policies and Coverage Determination …

(3 days ago) WebClinical Trials – Commercial Coverage Determination Guideline Last Modified 06.01.2018 Effective Date: 06.01.2018 – This policy addresses clinical trials. Applicable Procedure …

https://centercare.com/_uploads/Medical-Drug-Policies-and-Coverage-Determination-Guidelines-for-UHC.pdf

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UnitedHealthcare Medicare Advantage Policy Guidelines

(2 days ago) WebA monthly notice of recently approved and/or revised UnitedHealthcare Medicare Advantage Policy Guidelines is provided below for your review. We publish a …

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

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National Standardized Dental Claim Utilization Review Criteria

(3 days ago) WebInstructions for Use. This document is designed to provide guidance for the adjudication of claims and/or prior authorization requests. For reference, links to the policies and …

https://www.uhcdental.com/content/dam/provider/dental/dental-utilization-review-guideline.pdf

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What’s preventive care and what’s covered? UnitedHealthcare

(5 days ago) WebWhat’s preventive care and what’s covered? What’s considered preventive care? Your annual physical care exam. Vaccines. Well-baby and well-child care. Recommended …

https://www.uhc.com/health-and-wellness/preventive-care

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Commercial Policy Benefits Plans for Providers UHCprovider.com

(4 days ago) WebMore UnitedHealthcare Commercial Policies and Clinical Guidelines: GEHA (Government Employee Health Association) coverage policies, administered by UnitedHealthcare, are …

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

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Clinical Guidelines EviCore by Evernorth

(2 days ago) WebClinical Guidelines. To access EviCore’s clinical guidelines, select the image that represents the guidelines of interest, then enter “EviCore by Evernorth” in the search by …

https://www.evicore.com/provider/clinical-guidelines

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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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Utilization Management and Review UnitedHealthcare

(Just Now) WebUtilization Management and Review. Utilization Review (UR) activities are supported by objective, evidence–based, nationally recognized medical policies, clinical guidelines …

https://www.uhc.com/legal/required-state-notices/montana/utilization-management-and-review

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ACOG Appreciates U.S. Preventive Services Task Force’s Updated

(5 days ago) WebThe following is a statement from Verda J. Hicks, MD, FACOG, president of the American College of Obstetricians and Gynecologists (ACOG): “Breast cancer screening …

https://www.acog.org/news/news-releases/2024/04/acog-appreciates-us-preventive-services-task-forces-updated-guidelines-on-breast-cancer-screening

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