United Healthcare Medical Policy Genetic Testing

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Genetic Testing for Hereditary Cancer …

https://www.uhcprovider.com/content/dam/provider/docs/public/policies/comm-medical-drug/genetic-testing-hereditary-cancer.pdf

Carrier Testing for Genetic Diseases

https://www.uhcprovider.com/content/dam/provider/docs/public/policies/comm-medical-drug/carrier-testing-for-genetic-diseases.pdf

Diagnostic genetic testing of a heritable disease may also be performed using similar methods as Carrier Screening. It may be medically necessary to use genetic testing to …

Molecular Oncology Testing for Cancer Diagnosis, …

https://www.uhcprovider.com/content/dam/provider/docs/public/policies/comm-medical-drug/molecular-oncology-testing-for-cancer.pdf

Genetic and molecular testing prior …

https://www.uhcprovider.com/en/prior-auth-advance-notification/genetic-molecular-lab.html

Commercial benefit plans: Prior authorization/advance notification for genetic and molecular testing performed in an outpatient setting has been required for the …

Molecular Pathology/Molecular Diagnostics/ Genetic …

https://www.uhcprovider.com/content/dam/provider/docs/public/policies/medadv-guidelines/m/molecular-pathology-diagnostics-genetic-testing.pdf

• Genetic Testing for Cardiovascular Disease • Genetic Testing for Hereditary Cancer Human Tumor Stem Cell Drug Sensitivity Assays ) • Molecular Diagnostic Infectious …

Genetic Testing – Medicare Advantage Coverage …

https://www.uhcprovider.com/content/dam/provider/docs/public/policies/medadv-coverage-sum/genetic-testing.pdf

Pharmacogenetic Testing – Commercial Medical …

https://www.uhcprovider.com/content/dam/provider/docs/public/policies/comm-medical-drug/pharmacogenetic-testing.pdf

UnitedHealthcare may also use tools developed by third parties, such as the InterQual® criteria, to assist us in administering health benefits. UnitedHealthcare Medical Policies …

UnitedHealthcare Commercial Medical & Drug Policies …

https://www.uhcprovider.com/en/policies-protocols/commercial-policies/commercial-medical-drug-policies.html

UnitedHealthcare has developed Medical Policies, Medical Benefit Drug Policies, Coverage Determination Guidelines, and Utilization Review Guidelines to assist us in …

Payer Coverage Overview | ACOG

https://www.acog.org/advocacy/policy-priorities/non-invasive-prenatal-testing/payer-coverage-overview

UnitedHealthCare requires the following medical information: medical office notes documenting maternal age, history of prior pregnancy with a trisomy (if applicable), …

Clinical Policy: Genetic Testing - Health Net

https://www.healthnet.com/static/general/unprotected/pdfs/national/policies/GeneticTesting.pdf

This policy includes criteria for making medical necessity determinations for genetic tests when specific criteria are not available for the requested genetic test. Genetic testing is …

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