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Administrative Resources

Administrative Manuals

Below you have access to the Medica Administrative Manual and the SelectCareTM Administrative Manual.

Medica Administrative Manual

The administrative manual is a resource for all clinic and facility staff, including physicians and other health care providers, nurses, and all business office staff. This manual ensures that you have accurate and timely information about Medica products, programs, policies and procedures.

Medica Administrative Manual

 


SelectCare Administrative Manual

This manual is delivered to you in accordance with a provider’s SelectCare Participation Agreement (the “Agreement”). This manual describes the administrative policies and procedures of this PPO.

For details regarding the basic elements of your Agreement with SelectCare, please refer to the body of the Agreement. To the extent of any conflict between this manual and your Agreement, the Agreement will govern.

Note: Some SelectCare third-party administrators (TPAs) may apply their own policies or code edits. See more directly from these TPAs:

The United Healthcare Administrative Guide can be reviewed and/or printed via the UnitedHealthcare Online portal.

Log in at UHCprovider.com 

If you are a first-time user and need an ID and password or if you are an existing user and need additional assistance, please call 1-866-UHC-FAST (1-866-842-3278).

UnitedHealthcare of Wisconsin offers HMO health care services to Wisconsin residents participating in the BadgerCare Plus and Medicaid SSI programs. 

BadgerCare Plus and Medicaid SSI members enrolled with UnitedHealthcare of Wisconsin are referred to as UnitedHealthcare members. 

UnitedHealthcare of Wisconsin is operated under the UnitedHealth Group business unit UnitedHealthcare Community Plan. 

UnitedHealthcare of Wisconsin members in western Wisconsin access the Medica SelectCareSM provider network.

This administrative guide is designed as a comprehensive reference source for the information you and your staff need to conduct your interactions and transactions with us in the quickest and most efficient manner possible.

Administrative Guide on UHCcommunityplan.com



Reporting Obligations

We offer information and forms intended our network providers to use in responding to reporting obligations required by law, contract or accreditation standards (including those required by the National Committee for Quality Assurance, or NCQA®).

See reporting obligations

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