UnitedHealthcare Community Plan
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The healthcare industry is preparing for monumental changes as it transitions toward implementing the International Classification of Diseases, Tenth Revision, also known as ICD-10. Please click here (PDF 1.93 MB) for Q & A about ICD-10.

Balance Billing Reminder-UnitedHealthcare Dual Complete (PDF 28.39 KB)
Healthchek-EPSDT Coding Guide (PDF 149.8 KB)
New Enrollment & Claims System Quick Refernce Guide (QRG) (PDF 1.2 MB)
Non-participating Provider Quick Reference Guide.pdf (PDF 509.54 KB) (PDF 484.17 KB)
Participating Provider Quick Reference Guide.pdf (PDF 554.36 KB) (PDF 495.83 KB)
UnitedHealthcare Dual Complete (HMO SNP) Summary of Benefits – Select Counties (PDF 531.02 KB
 

 

ODM ICD10 - Independent Providers (PDF 182.23 KB)

 

EPSDT Billing Notice (PDF 48.81 KB)

 

 

New CMS 1500 Claim Form Implementation Alert:

UnitedHealthcare will follow the CMS timeline, which has also been adopted by the NUCC as the official timeline:
• January 6, 2014: Payers begin receiving and processing paper claims submitted on the revised 1500 Claim Form 02/12 version.
• January 6 through March 31, 2014: Dual use period during which payers continue to receive and process paper claims submitted on the old 1500 Claim Form 08/05 version.
• April 1, 2014: Payers receive and process paper claims submitted only on the revised 1500 Claim Form 02/12 version.