UnitedHealthcare Community Plan
You appear to be browsing this site using Internet Explorer 6. This browser is now out of date. For safer, more reliable browsing it is recommended that you upgrade your browser to Firefox, Safari or Internet Explorer 7 or 8.
Shortcut Navigation:
Please select the state where you practice.

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.