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   *Medicare Advantage Therapeutic Radiation Prior Authorization Program for IMRT, SRS and SBRT
*2014 Medicare Advantage Preventive Services - Coding Procedures
*NEW Outpatient Radiology and Cardiology Prior Authorization Protocols for UnitedHealthcare West Medicare Advantage Member
*Enhanced HIPAA Edits to be applied to Claim Submissions
*The Member Out of Pocket (MOOP) F.A.Q. has been updated
*Women's Preventive Care Guidelines
*UnitedHealthcare Sequestration Implementation
*New Prior Authorization Policy for Avastin in California
*Improved Process for Claim Reconsideration Requests
*UnitedHealthcare System Notification regarding EDI rejections that occured December 10, 2012 through December 13, 2012
*Important Changes in Notification and Prior Authorization Procedures
*Member Out of Pocket Maximum (MOOP)
*Right Fax Alert
*Health Care Reform (2010 and Beyond)
*2010_UnitedHealthcare Medicare Fraud Waste Abuse_Training
*California Regulation SB 853 - Language Assistance Program Information
*UnitedHealthcare Medicare Solutions Physician/Provider Information
*$200MM Healthcare Provider Investment Program
*UHG has adopted a policy for the integrity of claims, reports and representations to government entities.
   Electronic Data Interchange (EDI)/National Provider Identifier (NPI)
  
Electronic Data Interchange (EDI)

EDI is the sending and receiving of machine generated business information using computer and communication technologies. In your case, information from your computer is electronically sent and received to and from the payer or by way of a third party vendor known as a clearinghouse. More Information


National Provider Identifier (NPI)

As an outcome of the Health Insurance Portability and Accountability Act of 1996 (HIPAA), the Department of Health and Human Services adopted the National Provider Identifier (NPI). Its usage is mandatory in all HIPAA standard electronic transactions beginning May 23, 2007 (compliance date). This unique identifier is to be used by health care professionals and organizations. More Information