If you are not an in-network provider or you are requesting additional days for a concurrent request (such as inpatient), please email the request to rmhpmedicalum@uhc.com or fax to 800-262-2567.
Beginning in September, reconciling accounts and posting payments is more efficient with the new daily and monthly Payment Summary reports. The daily report gives a consolidated view of payment ...
Beginning Jan. 1, 2027, we’re making prescription drug list (PDL) updates for UnitedHealthcare Individual Exchange plans, also referred to as UnitedHealthcare Individual and Family ACA Marketplace ...
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 ...
As of July 1, 2026, the Centers for Medicare & Medicaid Services (CMS) launched the Medicare GLP-1 Bridge program. This short-term demonstration program: Expands access to select GLP-1 medications ...
The letters give reimbursement information that health plans use to determine facility rates. If your facility doesn’t fall into one of these categories, you may disregard this notice. What you need ...
Choose a health plan below to review the latest reimbursement policy updates.
Medical policy updates for August 2026 for the following plans: Medicare Advantage, Medicaid, Exchange and Commercial.
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 ...
Update: Additional information on how Providers can now update eligible Medicaid and Exchange members' PCP selections directly through the Eligibility and Benefits tool in the UnitedHealthcare ...
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 ...
Network News is published monthly. See updates below.
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