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UnitedHealthcare - Utilization Management

https://www.uhcrivervalley.com/Utilization_Management/index.html

The goal of our Utilization Management (UM) program is to encourage the highest quality of care, in the most appropriate setting, from the most appropriate provider. Our philosophy is that medically appropriate care is cost effective. Through the Utilization Management program we seek to avoid over-use and under-use of medical services by making clinical coverage decisions based on available evidence-based guidelines. Some services that providers may recommend are not necessarily covered as part of a mem...

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Service Areas | UnitedHealthcare Services Company of the River Valley, Inc.

https://www.uhcrivervalley.com/Service_Areas/index.html

Click on the green states below to see counties where UnitedHealthcare Services Company of the River Valley, Inc. maintains service areas and local service offices. For the states in white, view www.unitedhealthcare.com. Select an area from the lists below for contact information. UnitedHealthcare Responds to Ebola Concerns. Lab Corp (use to find laboratory services out of your local service area). National Committee for Quality Assurance (NCQA). Compare Hospital and Provider Quality.

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UnitedHealthcare - Service Areas - North Carolina

https://www.uhcrivervalley.com/Service_Areas/North_Carolina.html

North Carolina Counties in our Service Area:. View North Carolina Benefit Summaries. UnitedHealthcare Responds to Ebola Concerns. Lab Corp (use to find laboratory services out of your local service area). National Committee for Quality Assurance (NCQA). Compare Hospital and Provider Quality. Find a Physician or Facility. Healthy Mind Healthy Body. Healthy Mind Healthy Body,. Our monthly enewsletter with health and wellness information that you chose! View a current issue of. Healthy Mind Healthy Body.

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UnitedHealthcare - Service Areas - Illinois

https://www.uhcrivervalley.com/Service_Areas/Illinois_All.html

Illinois Counties in our Service Area:. Bureau, Carroll, DeWitt, Fulton, Henderson, Henry, Jo Daviess, Knox, La Salle, Lee, Livingston, Marshall, McLean, Mercer, Peoria, Putnam, Rock Island, Stark, Tazewell, Warren, Whiteside, Woodford. View Illinois Benefit Summaries. UnitedHealthcare Responds to Ebola Concerns. Lab Corp (use to find laboratory services out of your local service area). National Committee for Quality Assurance (NCQA). Compare Hospital and Provider Quality. Find a Physician or Facility.

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UnitedHealthcare - Service Areas - South Carolina

https://www.uhcrivervalley.com/Service_Areas/South_Carolina.html

South Carolina Counties in our Service Area:. View South Carolina Benefit Summaries. UnitedHealthcare Responds to Ebola Concerns. Lab Corp (use to find laboratory services out of your local service area). National Committee for Quality Assurance (NCQA). Compare Hospital and Provider Quality. Find a Physician or Facility. Healthy Mind Healthy Body. Healthy Mind Healthy Body,. Our monthly enewsletter with health and wellness information that you chose! View a current issue of. Healthy Mind Healthy Body.

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Find a selection of cost-effective health plan options | UnitedHealthcare

https://www.uhcrivervalley.com/Health_Plans/index.html

River Valley Choice Plus. At UnitedHealthcare, we understand the importance of listening to our customers' needs. We work hard to meet those needs, with competitive health benefit products and services. River Valley Choice Plus. Available only in certain areas). Find out why employer groups choose UnitedHealthcare Services Company of the River Valley, Inc., UnitedHealthcare Plan of the River Valley, Inc., and UnitedHealthcare Insurance Company of the River Valley, benefit plans. Contact a Uni...Search ou...

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Pharmacy benefit coverage | UnitedHealthcare

https://www.uhcrivervalley.com/Pharmacy/index.html

90 and 100 Day Supply Lists. Prescription Drug List (PDL). When selecting a medication, you and your doctor should review the appropriate Prescription Drug List (PDL) and Drugs with Special Rules list. 2016 Traditional PDL (7/1/16-12/31/16). 2016 Advantage PDL (7/1/16-12/31/16). 2016 4-Tier PDL (7/1/16-12/31/16). 2016 Traditional PDL (1/1/16-6/30/16). 2016 Advantage PDL (1/1/16-6/30/16). 2016 4-Tier PDL (1/1/16-6/30/16). 2015 Traditional PDL (7/1/15-12/31/15). 2015 Advantage PDL (7/1/15-12/31/15). To com...

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Providers | UnitedHealthcare

https://www.uhcrivervalley.com/Providers

Our Asthma program focuses on appropriate medications and trigger management for patients with persistent asthma ages 5-64. Learn about our interventions. 2016 - UnitedHealthcare Administrative Guide - including the River Valley Entities Supplement. All states but TN. 2015 - UnitedHealthcare Administrative Guide - including the River Valley Entities Supplement. For use in TN only. 2014 - UnitedHealthcare Administrative Guide - including the River Valley Entities Supplement. Forgot Your User ID? Effective...