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Unitedhealthcare Dental Provider Agreement

UnitedHealthcare has developed dental coverage guidelines to help us manage the benefits of the dental plan. These guidelines and guidelines are used for informational purposes and are not clinical advice. Treating dentists and other health care providers are solely responsible for determining the care they provide to their patients. Members should always consult their dentist or doctor before making decisions about dental or medical care. Our dental clinical guidelines express our determination about the effectiveness of a dental service (for example. B procedure or technology) based on published clinical evidence. They are also used to decide whether a specific dental performance is clinically necessary. As a general rule, services that are not required by clinical evidence such as experimental, experimental, unproven or clinical are not covered. The appearance of a dental service (z.B. procedure or technology) in the Dental Policy Bulletin does not mean that UnitedHealthcare supports dental performance. In the event of inconsistency or conflict between the information provided in the Dental Policy Update Bulletin and the published directive, the provisions of the published directive are given priority. Types of behavioural health service providers: please visit www.providerexpress.com resources and contact health professionals: Do you need questions or training? Please consult www.uhcprovider.com/en/resource-library/link-provider-self-service.html for a list of self-service tools and available training or contact your ad hoc Advocate provider for assistance.

Dental Clinical Policies and Dental Coverage Guidelines are developed as needed, regularly checked and updated and may change. They represent a portion of the resources used to support decision-making in UnitedHealthcare coverage. The information contained in these guidelines and guidelines is considered accurate and up-to-date at the time of publication and is provided on the basis of „AS IS“.. In addition, UnitedHealthcare Third parties, including the American Dental Association and other peer organizations, can use tools developed to help us manage dental benefits. These guidelines are intended to be used in the independent clinical judgment of a qualified dentist or other health care provider and are not a practice of dentistry or dental counseling. Join the network: please visit www.uhcprovider.com/en/resource-library/Join-Our-Network.html to receive instructions to file a Pennsylvania Provider Advocates (Provider Education): Northeastprteam@uhc.com Western PA Network Management (for provider contract issues): uhc-network-wpa@uhc.com Care Providers: Please read the instructions carefully, as the instructions are based on the type of provider, participation status and other factors. Demographic Updates: To update or change your practical information, please send the „care provider“ or „Demographic Information“ form to www.uhcprovider.com/en/demographics-profiles-attestation/link-my-practice-profile.html coverage of dental benefits is determined by the member-specific benefit planning document. B, for example, a coverage certificate, a performance plan or a description of the summary plan, and applicable laws that may require coverage for a particular service. The performance document specific to each Member State shows the benefits covered, those that are excluded and the restrictions that are subject to them.

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