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請選擇您執業的所在州。

You don't have time to spare:that's why we put all the documents you need in one place.

Use the navigation items on the left to find what you're looking for fast.

Please remember to check our website frequently for updates regarding reimbursement policies, provider manuals and bulletins, providing information to our provider network of changes throughout the year. 

 

聯絡我們

Select a plan below for contact information (call center, mailing address and more).

Provider Call Center:866-270-5785
營業時間:M-F 8:00 am-5:00 pm PST

Mailing Address:
San Diego County:
UnitedHealthcare Community Plan of California, Inc.
4365 Executive Drive, Suite 500
San Diego, CA 92121

Sacramento County
UnitedHealthcare Community Plan of California, Inc.
8880 Call Center Drive, Suite, 300
Sacramento, CA 95826

Claims & Medical Records Mailing Address:
UnitedHealthcare Community Plan of California, Inc.
P.O. Box 30884
Salt Lake City, UT 84130-0884

Provider Disputes Mailing Address:
UnitedHealthcare Community Plan of California, Inc.
Attention:Provider Dispute
P.O. Box 31364
Salt Lake City, UT 84131

Member Grievance & Appeals:
UnitedHealthcare Community Plan of California, Inc.
Attention:Grievance and Appeals
P.O. Box 31364
Salt Lake City, UT 84131-0364

 

 

Prior Authorization and Notification

UnitedHealthcare Community Plan Prior Authorization CA - Effective 1/1/2018 (PDF 208.66 KB) - Updated 12.27.2017

Archive

UnitedHealthcare Community Plan Prior Authorization CA - Effective 10/1/2017 (PDF 215.58 KB) - Updated 9.25.2017

 

UnitedHealthcare Community Plan Medical & Drug Policies and Coverage Determination Guidelines

UnitedHealthcare has developed Medical Policies, Medical Benefit Drug Policies and Coverage Determination Guidelines to assist us in administering health benefits.這些政策與準則僅供參考,不構成醫療建議。
View the guidelines

UnitedHealthcare Medicare Advantage Coverage Summaries

For policy guidance for Medicare Advantage plan members, view the UnitedHealthcare Medicare Advantage Coverage Summaries Manual and corresponding policy update bulletins here

索賠、報告與向政府的陳述屬實

UnitedHealth Group 要求遵守聯邦法與州法的規定,禁止提交與包括 Medicare 與 Medicaid 等聯邦醫療保健計劃相關的不實索賠。
View our policy (PDF 38.15 KB).

免責聲明

If UHG policies conflict with provisions of a state contract or with state or federal law, the contractual / statutory / regulatory provisions shall prevail.欲查看更新後的政策變更,請選擇左方的公告欄部份。