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2017 Medicare Advantage Service Area Reduction FAQs

2016 Medicare Advantage Preventive Services Coding Guidelines

Genetic Counseling Requirement Effective First Quarter 2016

Introducing the physician ICD-10 Coding Practice Tool

2016 Medicare Advantage Copayment Guidelines

CMS-HCC Risk Adjustment submission functionality will no longer be available via the UHC West Portal

Enhanced HIPAA Claim Edits Planned for March 2015

Electronic Claim Payments - Sign up now !

UnitedHealthcare Responds to Ebola Concerns

Medicare Advantage Therapeutic Radiation Prior Authorization Program for IMRT, SRS and SBRT

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, Oklahoma, Oregon, Texas and Washington

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

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