The Specialty Pharmacy Program supports the health care provider/patient relationship to help better manage rare and complex chronic conditions. Specialty medications can be covered under the pharmacy ...

View list below for available reports through the UnitedHealthcare West Reports tool. You can access the tool in the UnitedHealthcare Provider Portal under the Documents & Reporting drop-down menu.

UnitedHealthcare Dual Special Needs Plans (D-SNP) offer benefits for people with both Medicare and Medicaid. D-SNP plans provide benefits beyond Original Medicare, such as transportation to medical ...

UnitedHealthcare Community Plan works with OptumRx to manage the Pharmacy network. Effective January 1 st, 2023, pricing methodology of generic drugs has transitioned to National Average Drug ...

The UnitedHealthcare Community Plan care provider administrative manuals contain helpful information on topics such as prior authorization, processing claims and protocol information, as well as ...

If you need an older version of an Administrative Guide or Care Provider Manual, please contact your Provider Advocate. To find the contact information for your Provider Advocate, go to Find a Network ...

Our digital solutions offer you the fastest way to find plan information, manage tasks, check statuses and decisions — all without calling.

Access resources for health care professionals, including the latest UnitedHealthcare news, digital solutions, patient care resources, information on joining our network and helpful tips for using the ...

These programs support the consistent use of evidence-based, professional guidelines for cardiology procedures. They were designed with the help of physician advisory groups to encourage appropriate ...

The Cardiology Prior Authorization and Notification programs support the consistent use of evidence-based, professional guidelines for cardiology procedures. They were designed with the help of ...

We’ve created this reference guide of resources to help primary care providers screen patients for depression, Attention Deficit Hyperactivity Disorder (ADHD) and alcohol/substance misuse. As you’re ...

Most claim, prior authorization and payment (including overpayment and appeal) letters and reports are available in the Document Library, within the UnitedHealthcare Provider Portal, 24 hours after ...