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2025 Medicare Advantage service area changes

WEBEffective Jan. 1, 2025, we’re making changes to some UnitedHealthcare® Medicare Advantage service areas and discontinuing some plans. Some of your patients …

Actived: 9 days ago

URL: https://www.uhcprovider.com/en/resource-library/news/2024/medicare-advantage-service-area-changes-2025.html#:~:text=Effective Jan. 1, 2025, we’re making changes to some UnitedHealthcare®

Eligibility and Referrals

WEBEligibility benefits and referral information for health care providers. Verify patient eligibility, determine benefits, and check or manage health care provider referrals. Based on …

Category: Health Go Health

Provider forms UHCprovider.com

WEBProvider forms. Health care professionals can access forms for UnitedHealthcare plans, including commercial, Medicaid, Medicare and Exchange plans in one convenient …

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Resources and tools for providers and health care professionals

WEBUnitedHealthcare resources for providers and health care professionals. Explore our network and find tools to make your practice more efficient.

Category: Health Go Health

UnitedHealthcare national Gold Card program protocol

WEBEffective Oct. 1, 2024, we will launch a national Gold Card program, which will reward contracted provider groups who consistently adhere to evidence-based care …

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Out of Network Registration

WEBGet started. If you need to submit an out-of-network medical claim, or you have received a letter requesting information to verify provider billing, you can start the process of …

Category: Medical Go Health

Prior Authorization and Notification

WEBPrior authorization and advance notification resources and digital tools for providers and health care professionals from UnitedHealthcare.

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New Jersey AARP® Medicare Advantage Plans

WEBNew Jersey AARP® Medicare Advantage Plans cover features and benefits in addition to those included in Original Medicare. Members in some areas may have different plans …

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COVID-19 oral antiviral commercialization

WEBCOVID-19 oral antiviral commercialization. Starting in November 2023, Paxlovid® and Lagevrio®, oral antivirals for treating COVID-19, will be available …

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CAHPS/HOS and patient experience

WEBImprove patient experience and health outcomes with information from CAHPS/HOS health care surveys. Take our interactive course or earn CME credits today.

Category: Course Go Health

Provider portal authentication UHCprovider.com

WEBSet up your UnitedHealthcare Provider Portal authentication methods to keep your access to the portal. See the options, step-by-step instructions and additional resources.

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2024 Prescription Drug List

WEB2024 Prescription Drug List Introduction The UnitedHealthcare Prescription Drug List (PDL)1 provides a list of the most commonly prescribed medications in various …

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Network updates for some GEHA members

WEBStarting Jan. 1, 2024, Government Employees Health Association (GEHA) members in multiple states will use the Choice Plus network.

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New DME order process with Synapse Health

WEBNew DME order process with Synapse Health. We now have a capitated arrangement with Synapse Health for standard durable medical equipment (DME) in …

Category: Medical Go Health

July 2024 Preferred Lab Network list is now available

WEBPreferred Lab Network overview. The Preferred Lab Network consists of currently contracted independent, freestanding laboratory care providers that have met …

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Hospital, Emergency, and Ambulance Services

WEBHospital services (inpatient, outpatient, and observation services), emergency services, and ambulance services are covered when Medicare criteria are met. Notes. • Medicare …

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Join our network

WEBJoin the UnitedHealthcare network as a dental, hearing, vision or behavioral health provider. Start the process of credentialing and access network support for any questions.

Category: Health Go Health

Join our network

WEBJoin the UnitedHealthcare network. Learn about provider and facility enrollment, credentialing, and more. Become an in-network provider today. Join us in our …

Category: Health Go Health

Diabetes Management, Equipment and Supplies

WEBFor DME Face to Face Requirement information, refer to the Coverage Summary titled Durable Medical Equipment (DME), Prosthetics, Corrective Appliances/Orthotics (Non …

Category: Medical Go Health

UnitedHealthcare Commercial Advance Notification Prior …

WEBGeneral Information This list contains notification/prior authorization review requirements for care providers who participate with United Healthcare Commercial for …

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