The Specialty Pharmacy Program supports the health care provider/patient relationship to help better manage rare and complex chronic conditions. Specialty medications can be covered under the pharmacy ...

Welcome to UnitedHealthcare Individual Exchange plans, also referred to as Individual and Family plans. These plans are offered through the Health Insurance Marketplace, or the Exchange, where ...

The UnitedHealthcare Community Plan care provider administrative manuals contain helpful information on topics such as prior authorization, processing claims and protocol information, as well as ...

If you need an older version of an Administrative Guide or Care Provider Manual, please contact your Provider Advocate. To find the contact information for your Provider Advocate, go to Find a Network ...

Health care professionals are sometimes required to determine if services are covered by UnitedHealthcare. Advance notification is often an important step in this process. Because requests vary, it is ...

Access resources for health care professionals, including the latest UnitedHealthcare news, digital solutions, patient care resources, information on joining our network and helpful tips for using the ...

Most claim, prior authorization and payment (including overpayment and appeal) letters and reports are available in the Document Library, within the UnitedHealthcare Provider Portal, 24 hours after ...

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 ...

The Cardiology Prior Authorization and Notification programs support the consistent use of evidence-based, professional guidelines for cardiology procedures. They were designed with the help of ...

We’ve created this reference guide of resources to help primary care providers screen patients for depression, Attention Deficit Hyperactivity Disorder (ADHD) and alcohol/substance misuse. As you’re ...

UnitedHealthcare Medicare Solutions & UnitedHealthcare Community Plan (Dual Special Needs Plan) Prior Authorization Requirements View UnitedHealthcare Medicare Solutions & UnitedHealthcare Community ...