請選擇您執業的所在州。

Welcome!

Welcome to the UnitedHealthcare Community Plan Health Professionals area for North Carolina providers! Here you will find the information, forms, manuals and links you need to conduct business with UnitedHealthcare Community Plan.

 

Dual Plan (RPPO-SNP) coming soon, learn more

 

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).

Reporting Fraud, Waste and Abuse

If you suspect another provider or member has committed fraud, waste or abuse, you have a responsibility and a right to report it.

請致電我們:1-866-675-1607 to report any issues or concerns. 

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。