Understanding United Healthcare's Timely Filing Policy: A Guide for Physicians

As a healthcare professional, it's essential to stay up-to-date with the latest Centers for Medicare & Medicaid Services (CMS) policy changes and billing requirements. UnitedHealthcare encourages physicians and other healthcare providers to regularly visit the CMS or local carrier website to ensure compliance with these changes.

Medicare Advantage Policy Guidelines: What You Need to Know

UnitedHealthcare follows Medicare coverage guidelines and updates its Medicare Advantage Policy Guidelines regularly to align with changing CMS policies. In the event of a conflict, the member-specific benefit plan document takes precedence over the policy guidelines. This document outlines which services are covered, excluded, or subject to limitations.

Determining Member Benefit Coverage

Benefit coverage for health services is determined by the member-specific benefit plan document and applicable laws that may require coverage for specific services. Treating physicians and healthcare providers are solely responsible for determining what care to provide to their patients.

United Healthcare Medicare Advantage Policy Guidelines: Informational Purpose Only

The UnitedHealthcare Medicare Advantage Policy Guidelines are provided for informational purposes only and do not constitute medical advice. These guidelines aim to assist the company in administering health benefits, specifically for its Medicare Advantage Plans offered by UnitedHealthcare and its affiliates.

Important Terms and Conditions

Before accessing these policy guidelines, please read the terms and conditions below carefully. United Healthcare encourages healthcare professionals to consult with their patients' benefit plan documents and applicable laws when determining coverage for specific services.

By understanding United Healthcare's timely filing policy and Medicare Advantage Policy Guidelines, physicians can better navigate the complexities of medical billing and ensure that their patients receive the necessary care while minimizing administrative burdens.

United healthcare timely filing form