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UniCare Reimbursement Policies

Updated January 2021

These policies serve as a guide to help providers submit claims correctly and to outline the basis for reimbursement if the service is covered by a UniCare member's benefit plan. Please see the individual policies for more details on requirements.

Policy updates will be posted to this page when they become available.

UniCare's new reimbursement policy on fee schedule development and maintenance
UniCare will use commercially reasonable efforts to update all applicable new and updated codes within 60 days of release by the Centers for Medicare & Medicaid Services or other applicable authority. When billing codes are updated, the provider is required to use appropriate replacement codes for claims for covered services. 
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For self-funded plans, claims are administered by UniCare Life & Health Insurance Company. © 2000-2021 UniCare.