Private Payer: New/Revised UnitedHealthcare Medical Policy, Drug Policy, Coverage Determination Guidelines, and Utilization Review Guidelines


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Topic Private Payer: New/Revised UnitedHealthcare Medical Policy, Drug Policy, Coverage Determination Guidelines, and Utilization Review Guidelines
Background UHC provides a monthly notice of recently approved and/or revised medical policies, drug policies, and coverage determination guidelines (CDGs) for your review. You may view new and/or revised medical policies, drug policies, and CDGs, in their entirety, along with an overview or summary of changes, on the UHC website.
Regulating Body UnitedHealthcare website
Compliance Date 4/1/2013
Consequences Failure to comply with changes to these policies may result in services being denied for payment.
Next Steps Physicians and their billing staff should review the policies to determine if any of the changes are applicable to the services they provide.​
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