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| Payer: | United Healthcare Insurance Company |
| Effective Date: | 6/1/2026 |
| Expiration Date: | 5/31/2029 |
| Product Lines: | Commercial, Medicare Advantage |
| Carved out Services: | Behavioral Health – Optum |
| Applicable States: | Connecticut, Massachusetts |
| Annual Rate Increase: Y or N | Yes |
| Timely Claim Filing Requirement: | 90 days |
| Payer Payment of Claim Requirement: | 45 days |
| Payer Auditing Provisions/Rights: | United must give 30 days’ written notice. Can be more often than annually |
| Payer Set-Off/Take Back Provisions: | 12 months after initial payment |
| Delegated Credentialing: Y or N | Yes |
| Appeal Rights: | 12 months after the date of denial |
| Pre-Authorization Links/Contact: | https://www.uhcprovider.com/en/prior-auth-advance-notification.html |
| Payer Provider Representative: | leslie_sadati@uhc.com |
| Ability to Charge Payer for Medical Record requests: | $0.10 per page, not to exceed $5.00 per record. Only applicable if United requests the records more than once and the records are requested for some other purpose than claims processing, coverage determinations, or other routine health benefits administration |
| Payer Link to Policies: | https://www.uhcprovider.com/en/policies-protocols.html |
