- Provider Information
- Billing and Reference Guides
- Claims and Member Information
- Claim Reconsideration and Appeals
- Clinical Practice Guidelines
- Cultural Competency Library
- Dual Complete® ONE
- Electronic Data Interchange (EDI)
- Pharmacy Program
- Provider Administrative Manual
- Provider Education
- Provider Forms
- Reimbursement Policy
Dual Complete® ONE
Effective Jan. 1, 2018 we have expanded our Dual Complete ONE plan to service members in three additional counties: Cumberland, Salem and Sussex. We continue to service members in the following counties: Atlantic, Bergen, Burlington, Camden, Essex, Gloucester, Hudson, Hunterdon, Mercer, Middlesex, Monmouth, Morris, Ocean, Passaic, Somerset and Union.
Dual Complete ONE is a single-payer, fully integrated Dual Eligible Special Needs Plan (D-SNP) provided through UnitedHealthcare Community Plan for beneficiaries who have Medicare and Medicaid coverage.
It’s a health insurance plan designed for individuals who don’t have any cost sharing responsibility.
View and print UnitedHealthcare Dual Complete® ONE (HMO SNP) Frequently Asked Questions (FAQs) for Providers and Practice Managers (PDF 692.2 KB)
View and print UnitedHealthcare Dual Complete® ONE (HMO SNP) Quick Reference Guide (QRG) (PDF 232.14 KB)
View and print UnitedHealthcare Dual Complete® ONE (HMO SNP) 2018 Benefit Structure (PDF 55.82 KB)
HouseCalls (PDF 1.07 MB) provides in-home clinical visits at no additional cost for qualified UnitedHealthcare Medicare Advantage members, including Dual Complete ONE members. The 45- to 60-minute visits are performed by licensed HouseCalls clinicians.