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LAST MODIFIED 06.25.2018

UnitedHealthcare Community Plan recently changed our National Drug Code (NDC) policy to include facility outpatient drug claims. In November 2017, we implemented new system edits for a UB-04 claim form or 837I institutional transactions.

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LAST MODIFIED 06.19.2018

Beginning May 1, 2017, all UnitedHealthcare Community claims with drug-related codes must include the NDC number, quantity and the unit of measure. This change will help us to differentiate and target drugs that share the same HCPCS code to ...

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LAST MODIFIED 02.04.2019

This policy describes the National Drug Code information that is required on professional drug claims that are reported for reimbursement.

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LAST MODIFIED 02.15.2019

This policy describes the National Drug Code information that is required on professional drug claims that are reported for reimbursement.

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LAST MODIFIED 03.04.2019

The Arizona Health Care Cost Containment System (AHCCCS) National Drug Code (NDC) billing guidelines apply to claims with procedure codes for physician-administered drugs in outpatient clinical settings.

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LAST MODIFIED 03.18.2019

Provides detailed information on submitting NDC claims

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LAST MODIFIED 08.14.2019

Provides detailed information on submitting standard claims with NDC Information for professional and hospital outpatient claims for UnitedHealthcare Commercial Plans & UnitedHealthcare Medicare Advantage plans.

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LAST MODIFIED 02.06.2019

This policy describes the information that is required on certain claims that are reported for laboratory services under the Clinical Laboratory Improvement Amendment (CLIA) 1988 statute and regulations. All services described in this policy may ...

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LAST MODIFIED 07.03.2018

The Claim Submission app will allow you to submit professional claims for UnitedHealthcare commercial, UnitedHealthcare Medicare Advantage, UnitedHealthcare Community Plan, UnitedHealthcare Oxford and UnitedHealthcare West. You’ll be able to key ...

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LAST MODIFIED 08.08.2019

We hope you enjoy this edition of Practice Matters. In this issue, you can read about a program that address the opioid epidemic, Preferred Drug List updates, National Drug Code requirements on claims, and much more.

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LAST MODIFIED 01.17.2018

The UnitedHealthcare Care Provider Administrative Guide for Commercial and Medicare Advantage is a comprehensive guide that allows you and your staff to find important information for topics such as processing a claim and prior authorizations, as ...

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LAST MODIFIED 12.27.2018

Information on payment policy notifications applicable to California Community Plan care providers.

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LAST MODIFIED 08.03.2018

Information on payment policy notifications applicable to Delaware Community Plan care providers.

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LAST MODIFIED 12.27.2018

Information on payment policy notifications applicable to Florida Community Plan care providers.

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LAST MODIFIED 08.03.2018

Information on payment policy notifications applicable to the Hawaii UnitedHealthcare Community Plan QUEST Integration Program care providers.

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LAST MODIFIED 12.27.2018

Information on payment policy notifications applicable to the UnitedHealthcare Community Plan - IA Health Link and Iowa UnitedHealthcare Community Plan hawk-i care providers.