medicare timely filing limit for corrected claims medicare timely filing limit for corrected claims

For more details, go to uhcprovider.com/ ediclaimtips > Corrected Claims. You shall not remove, alter, or obscure any ADA copyright notices or other proprietary rights notices included in the materials. This Agreement will terminate upon notice to you if you violate the terms of this Agreement. CMS DISCLAIMER. The AMA is a third party beneficiary to this Agreement. IF YOU ARE ACTING ON BEHALF OF AN ORGANIZATION, YOU REPRESENT THAT YOU ARE AUTHORIZED TO ACT ON BEHALF OF SUCH ORGANIZATION AND THAT YOUR ACCEPTANCE OF THE TERMS OF THIS AGREEMENT CREATES A LEGALLY ENFORCEABLE OBLIGATION OF THE ORGANIZATION. endstream endobj 4975 0 obj <. If a claim is denied for timely filing as the result of an administrative error due to a government agency, such as a Medicaid agency recouping money due to Medicare entitlement by the patient at the time of the service or an error with the patient's Social Security Administration (SSA) entitlement, the claim(s) may be resubmitted with a comment in Item 19 of the CMS-1500 claim form (or electronic equivalent) that indicates there was an administrative error. 1, 70. 4974 0 obj <> endobj The ADA expressly disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this file/product. The written request for exception for claim(s) sent to CGS must contain the following elements: Note:A written request for exception may take up to 45 business days for research and a response. You agree to take all necessary steps to ensure that your employees and agents abide by the terms of this agreement. 424.44 and the CMS Medicare Claims Processing Manual, CMS Pub. Therefore, it is important to ensure that your billing transactions are corrected from RTP (T B9997) status/location prior to the timely filing deadline. U.S. Government rights to use, modify, reproduce, release, perform, display, or disclose these technical data and/or computer data bases and/or computer software and/or computer software documentation are subject to the limited rights restrictions of DFARS 252.227-7015(b)(2)(June 1995) and/or subject to the restrictions of DFARS 227.7202-1(a)(June 1995) and DFARS 227.7202-3(a)June 1995), as applicable for U.S. Department of Defense procurements and the limited rights restrictions of FAR 52.227-14 (June 1987) and/or subject to the restricted rights provisions of FAR 52.227-14 (June 1987) and FAR 52.227-19 (June 1987), as applicable, and any applicable agency FAR Supplements, for non-Department Federal procurements. 7500 Security Boulevard, Baltimore, MD 21244, Authorization to Disclose Personal Health Information (PDF), Find a Medicare Supplement Insurance (Medigap) policy. End Users do not act for or on behalf of the CMS. Medicare (Cigna for Seniors): In accordance with Medicare processing rules, non-participating health care providers have 15 to 27 months to file a new claim. Error or misrepresentation of an employee, the Medicare Contractor or agent of the Department of Health and Human Services (DHHS) that was performing Medicare functions and acting within the scope of its authority, Medicare will extend the timely filing limit through the last day of the sixth month following the month in which the beneficiary, provider or supplier received notice that an error or misrepresentation was corrected, Beneficiary receives notification of Medicare entitlement retroactive to or before the date the service was furnished, Medicare will extend the timely filing limit through the last day of the sixth month following the month in which the beneficiary, provider or supplier received notification of Medicare entitlement retroactive to or before the date of the furnished service, A state Medicaid agency recoups payment from a provider or supplier six months or more after the date the service was furnished to a dually eligible beneficiary, Medicare will extend the timely filing limit through the last day of the sixth month following the month in which a state Medicaid agency recovered Medicaid payment from a provider or supplier, A beneficiary was enrolled in an MA plan or PACE provider organization, but later was disenrolled from the MA plan or PACE provider organization retroactive to or before the date the service was furnished, and the MA plan or PACE provider organization recoups its payment from a provider or supplier six months or more after the date the service was furnished, In these cases, Medicare will extend the timely filing limit through the last day of the sixth month following the month in which the MA plan or PACE provider organization recovered its payment from a provider or supplier, Providers may contact the J15 Part A Provider Contact Center (PCC) by phone at, Please note Customer Service Representatives are unable to, The address on the company letterhead must match the 'Master Address' in the provider's Medicare enrollment record, The provider's six-digit Provider Transaction Access Number (PTAN), The provider's National Provider Identifier (NPI), The last five digits of the provider's Federal Tax Identification (ID) number, Dates of service for the claim(s) in question, A written report by the agency (Medicare, Social Security Administration (SSA), or Medicare Administrative Contractor (MAC)) based on agency records, describing how its error caused failure to file within the usual time limit, Copies of an agency (Medicare, SSA, or MAC) letter reflecting an error, A written statement of an agency (Medicare, SSA, or MAC) employee having personal knowledge of the error, CGS Claims Processing Issues Log (CPIL) showing the system error, Copies of a SSA letter reflecting retroactive Medicare entitlement, Dated screen prints of the Common Working File (CWF) showing no Medicare eligibility at the time the claim was originally submitted and dated screen prints of CWF showing the retroactive Medicare eligibility, Copy of a state Medicaid agency letter reflecting recoupment, Copies of an MA plan or PACE provider organization letter reflecting retroactive disenrollment, Dated screen prints of the CWF showing MA plan or PACE provider organization eligibility at the time the claim was originally submitted, Proof of MA plan or PACE provider organization recoupment of a claim. BY CLICKING BELOW ON THE BUTTON LABELED "I ACCEPT", YOU HEREBY ACKNOWLEDGE THAT YOU HAVE READ, UNDERSTOOD AND AGREED TO ALL TERMS AND CONDITIONS SET FORTH IN THIS AGREEMENT. Email | Enter the original claim number in Box 64 (Document Control Number) Corrected Professional Claims 1. There are some exceptions to these deadlines. Making copies or utilizing the content of the UB-04 Manual or UB-04 Data File, including the codes and/or descriptions, for internal purposes, resale and/or to be used in any product or publication; creating any modified or derivative work of the UB-04 Manual and/or codes and descriptions; and/or making any commercial use of UB-04 Manual / Data File or any portion thereof, including the codes and/or descriptions, is only authorized with an express license from the American Hospital Association. In no event shall CMS be liable for direct, indirect, special, incidental, or consequential damages arising out of the use of such information or material. View details. If this is a U.S. Government information system, CMS maintains ownership and responsibility for its computer systems. Medicare patients' claims must be filed no later than the end of the calendar year following the year in which the services were provided. Providers may request an Administrative Review within thirty (30) calendar days of a denied Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. CPT codes, descriptions and other data only are copyright 2002-2020 American Medical Association (AMA). 1 Cigna may request appropriate evidence of extraordinary circumstances that prevented timely submission (e.g., natural disaster). 1, 70, 26 Century Blvd Ste ST610, Nashville, TN 37214-3685. (See section 340 in this chapter.) AS USED HEREIN, "YOU" AND "YOUR" REFER TO YOU AND ANY ORGANIZATION ON BEHALF OF WHICH YOU ARE ACTING. The comment in Item 19 for Medicaid recoupments should state "Medicare Buy Back" and for SSA retroactive entitlements, the comment should state "SSA Error-Retroactive Entitlement. Does Medicare have a timely filing limit? This includes items such as CPT codes, CDT codes, ICD-10 and other UB-04 codes. CMS DISCLAIMS RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE OF THE CDT-4. Any questions pertaining to the license or use of the CPT must be addressed to the AMA. 2. The AMA is a third party beneficiary to this Agreement. You acknowledge that the ADA holds all copyright, trademark and other rights in CDT-4. Get information on how and when to file a claim for your Medicare bills (sometimes called "Medicare billing"). AS USED HEREIN, "YOU" AND "YOUR" REFER TO YOU AND ANY ORGANIZATION ON BEHALF OF WHICH YOU ARE ACTING. If you have any questions, please contact Provider Support Services at contactproviderservices@summmacare.com or call 330.996.8400 or 800.996.8401. Include the 12-digit original claim number under the Original Reference Number in this box. A Medicare Advantage (MA) plan or Program of All-inclusive Care for the Elderly (PACE) provider organization recoups money from a provider or supplier 6 months or more after the service was furnished to a beneficiary who was retroactively disenrolled to or before the date of the furnished service. Long Beach, CA 90801. + | Medicare claims must be filed no later than 12 months (or 1 full calendar year) after the date when the services were provided. CMS WILL NOT BE LIABLE FOR ANY CLAIMS ATTRIBUTABLE TO ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION OR MATERIAL COVERED BY THIS LICENSE. This Agreement will terminate upon notice to you if you violate the terms of this Agreement. does not extend the time frame for filing an appeal. The filing limit for claims where ConnectiCare is secondary is 180 days after the issue date of the last claim summary or EOB received from the primary carrier. 10.4.1 - Providers Submitting Adjustments (Rev. License to use CPT for any use not authorized here in must be obtained through the AMA, CPT Intellectual Property Services, 515 N. State Street, Chicago, IL 60610. License to use CPT for any use not authorized here in must be obtained through the AMA, CPT Intellectual Property Services, 515 N. State Street, Chicago, IL 60610. Need access to the UnitedHealthcare Provider Portal? The use of the information system establishes user's consent to any and all monitoring and recording of their activities. hbbd``b`S$$X fm$q="AsX.`T301 At any time, and for any lawful Government purpose, the government may monitor, record, and audit your system usage and/or intercept, search and seize any communication or data transiting or stored on this system. The AMA does not directly or indirectly practice medicine or dispense medical services. The timely filing limit is the time duration from service rendered to patients and submitting claims to the insurance companies. endobj <> Applications are available at the AMA Web site, https://www.ama-assn.org. The AMA disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this file/product. <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 595.32 842.04] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> IF YOU ARE ACTING ON BEHALF OF AN ORGANIZATION, YOU REPRESENT THAT YOU ARE AUTHORIZED TO ACT ON BEHALF OF SUCH ORGANIZATION AND THAT YOUR ACCEPTANCE OF THE TERMS OF THESE AGREEMENTS CREATES A LEGALLY ENFORCEABLE OBLIGATION OF THE ORGANIZATION. This license will terminate upon notice to you if you violate the terms of this license. Commercial: Claims must be submitted within 90 days from the date of service if no other state-mandated or contractual definition applies. No fee schedules, basic unit, relative values or related listings are included in CPT. The AMA disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this file/product. The CMS WILL NOT BE LIABLE FOR ANY CLAIMS ATTRIBUTABLE TO ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION OR MATERIAL CONTAINED ON THIS PAGE. This license will terminate upon notice to you if you violate the terms of this license. If services are rendered on consecutive days, such as for a hospital confinement, the limit will be counted from the last date of service. Error or misrepresentation by an employee, Medicare contractor, or agent of the Department of Health and Human Services (HHS) that was performing Medicare functions and acting within the scope of its authority. The sole responsibility for the software, including any CDT-4 and other content contained therein, is with (insert name of applicable entity) or the CMS; and no endorsement by the ADA is intended or implied. The ADA does not directly or indirectly practice medicine or dispense dental services. However, the filing limit is extended another . If claims are submitted after this time frame, they will most likely be denied due to timely filing and thus, not paid. Corrected claims can be submitted electronically as an EDI 837 transaction with the appropriate frequency code. The scope of this license is determined by the ADA, the copyright holder. a listing of the legal entities Any questions pertaining to the license or use of the CPT must be addressed to the AMA. End User/Point and Click Agreement: CPT codes, descriptions and other data only are copyright 2009 American Medical Association (AMA). Therefore, only those appeal requests . Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. Under the law, claims for services furnished on or after January 1, 2010, must be filed within one calendar year (12 months) after the "through" date of service on the claim. Email | When a claim denies because it was received after the timely filing period, such denial does not constitute an "initial determination" and, therefore, is. Any communication or data transiting or stored on this system may be disclosed or used for any lawful Government purpose. Contact your State Health Insurance Assistance Program (SHIP) for local, personalized Medicare counseling. CDT is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to, the implied warranties of merchantability and fitness for a particular purpose. <>>> Applications are available at the, Applicable Federal Acquisition Regulation Clauses (FARS)\Department of Defense Federal Acquisition Regulation Supplement (DFARS) Restrictions Apply to Government use. Medicare crossover claims for coinsurance and/or deductible must be filed with DOM within 180 days of the Medicare Paid Date. The Centers for Medicare & Medicaid Services have established the following exceptions to the one calendar year time limit: Note: The provider must demonstrate that they submitted the claim within six months after the month in which they were notified that the system error was corrected. CPT is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to, the implied warranties of merchantability and fitness for a particular purpose. CPT is a trademark of the AMA. U.S. Government rights to use, modify, reproduce, release, perform, display, or disclose these technical data and/or computer data bases and/or computer software and/or computer software documentation are subject to the limited rights restrictions of DFARS 252.227-7015(b)(2)(June 1995) and/or subject to the restrictions of DFARS 227.7202-1(a)(June 1995) and DFARS 227.7202-3(a)June 1995), as applicable for U.S. Department of Defense procurements and the limited rights restrictions of FAR 52.227-14 (June 1987) and/or subject to the restricted rights provisions of FAR 52.227-14 (June 1987) and FAR 52.227-19 (June 1987), as applicable, and any applicable agency FAR Supplements, for non-Department Federal procurements. Instead, you must click below on the button labeled "I DO NOT ACCEPT" and exit from this computer screen. For example, if the "From" date of service is 7.1.2021 and the "Through" date of service is 7.31.2021, the claim must be received by 7.31.2022. All insurance policies and group benefit plans contain exclusions and limitations. The scope of this license is determined by the AMA, the copyright holder. 4. 3Pa(It!,dpSI(h,!*JBH$QPae{0jas^G:lx3\(ZEk8?YH,O);7-K91Hwa PO Box 22656. License to use CPT for any use not authorized here in must be obtained through the AMA, CPT Intellectual Property Services, 515 N. State Street, Chicago, IL 60610. CMS DISCLAIMS RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE OF THE CPT. Medicare Advantage: Claims must be submitted within one year from the date of service or as stipulated in the provider agreement. IF YOU ARE ACTING ON BEHALF OF AN ORGANIZATION, YOU REPRESENT THAT YOU ARE AUTHORIZED TO ACT ON BEHALF OF SUCH ORGANIZATION AND THAT YOUR ACCEPTANCE OF THE TERMS OF THIS AGREEMENT CREATES A LEGALLY ENFORCEABLE OBLIGATION OF THE ORGANIZATION. The AMA is a third party beneficiary to this license. Print | No fee schedules, basic unit, relative values or related listings are included in CPT. 4988 0 obj <>/Filter/FlateDecode/ID[<0E8CEFE801666645A355995851E0AA99>]/Index[4974 93]/Info 4973 0 R/Length 80/Prev 808208/Root 4975 0 R/Size 5067/Type/XRef/W[1 2 1]>>stream The AMA is a third-party beneficiary to this license. U.S. Government rights to use, modify, reproduce, release, perform, display, or disclose these technical data and/or computer data bases and/or computer software and/or computer software documentation are subject to the limited rights restrictions of DFARS 252.227-7015(b)(2)(June 1995) and/or subject to the restrictions of DFARS 227.7202-1(a)(June 1995) and DFARS 227.7202-3(a)June 1995), as applicable for U.S. Department of Defense procurements and the limited rights restrictions of FAR 52.227-14 (June 1987) and/or subject to the restricted rights provisions of FAR 52.227-14 (June 1987) and FAR 52.227-19 (June 1987), as applicable, and any applicable agency FAR Supplements, for non-Department Federal procurements. This Agreement will terminate upon notice to you if you violate the terms of this Agreement. All rights reserved. ADA DISCLAIMER OF WARRANTIES AND LIABILITIES. The sole responsibility for the software, including any CDT-4 and other content contained therein, is with (insert name of applicable entity) or the CMS; and no endorsement by the ADA is intended or implied. BeechStreet. In no event shall CMS be liable for direct, indirect, special, incidental, or consequential damages arising out of the use of such information or material. As a result of the Patient Protection and Affordable Care Act (PPACA), all claims for services furnished on/after January 1, 2010, must be filed with your Medicare Administrative Contractor (MAC) no later than one calendar year (12 months) from the date of service (DOS) or Medicare will deny the claim. In no event shall CMS be liable for direct, indirect, special, incidental, or consequential damages arising out of the use of such information or material. . CDT-4 is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to, the implied warranties of merchantability and fitness for a particular purpose. All Rights Reserved. You, your employees and agents are authorized to use CPT only as contained in the following authorized materials: Local Coverage Determinations (LCDs), training material, publications, and Medicare guidelines, internally within your organization within the United States for the sole use by yourself, employees and agents. Claims denied as beyond the filing limit by the primary carrier will not be accepted for payment by ConnectiCare. Any questions pertaining to the license or use of the CDT-4 should be addressed to the ADA. Home health and hospice billing transactions, including, claims, and adjustments must be submitted no later than 12 months, or 1 calendar year, after the date the services were furnished. Once payment is received from the primary insurer, submit a Medicare Secondary Payer (MSP) claim to Medicare, even if no payment is expected. % CDT is a trademark of the ADA. The AMA does not directly or indirectly practice medicine or dispense medical services. Medicare claims must be filed to the MAC no later than 12 months, or 1 calendar year, from the date the services were furnished. MediGold is a Medicare Advantage organization with a Medicare contract. The sole responsibility for the software, including any CDT and other content contained therein, is with (insert name of applicable entity) or the CMS; and no endorsement by the ADA is intended or implied. Medicare patients' claims must be filed no later than the end of the calendar year following the year in which the services were provided. The responsibility for the content of this file/product is with CGS or the CMS and no endorsement by the AMA is intended or implied. The license granted herein is expressly conditioned upon your acceptance of all terms and conditions contained in this agreement. Important Notes for Providers The "Through" date on a claim is used to determine the timely filing date. 3 0 obj When Medica is the secondary payer, the timely filing limit is . You agree to take all necessary steps to insure that your employees and agents abide by the terms of this agreement. that insure or administer group HMO, dental HMO, and other products or services in your state). click here to see all U.S. Government Rights Provisions, Medicare Claims Processing Manual, (Pub. AMA warrants that due to the nature of CPT, it does not manipulate or process dates, therefore there is no Year 2000 issue with CPT. yX ~3rM$'(.H8o When correcting or submitting late charges on a 1500 professional claim, use the following frequency code in Box 22 and use left justified to enter the code. Individual and family medical and dental insurance plans are insured by Cigna Health and Life Insurance Company (CHLIC), Cigna HealthCare of Arizona, Inc., Cigna HealthCare of Illinois, Inc., Cigna HealthCare of Georgia, Inc., Cigna HealthCare of North Carolina, Inc., Cigna HealthCare of South Carolina, Inc., and Cigna HealthCare of Texas, Inc. Group health insurance and health benefit plans are insured or administered by CHLIC, Connecticut General Life Insurance Company (CGLIC), or their affiliates (see In general, Medicare does not consider a situation where (a) Medicare processed a claim in accordance with the information on the claim form and consistent with the information in the Medicare's systems of records and; (b) a third party mistakenly paid primary when it alleges that Medicare should have been primary to constitute "good cause" to reopen. 2 0 obj Any questions pertaining to the license or use of the CDT-4 should be addressed to the ADA. The ADA is a third-party beneficiary to this Agreement. See the CMS Internet Only Manual (IOM), Publication 100-04, Medicare Claims Processing Manual, Chapter 1, Section 70. If one of the following exceptions apply, you may request that CGS review the reason the claim was rejected. 849 0 obj <>/Filter/FlateDecode/ID[]/Index[835 75]/Info 834 0 R/Length 77/Prev 99041/Root 836 0 R/Size 910/Type/XRef/W[1 2 1]>>stream The CMS DISCLAIMS RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE OF THE CPT. ", Paper claims should include a copy of the letter that indicates the date range for the claims involved or the effective date of the Medicare entitlement. You acknowledge that the AMA holds all copyright, trademark, and other rights in CPT. You should only need to file a claim in very rare cases. Medicare Claims Processing Manual Chapter 34 - Reopening and Revision of Claim . Do not submit corrected or additional charges using bill type xx5, Late Charge Claim. what could be corrected through a reopening. =/&yTJ' Ku e w!C!MatjwA1or]^ KX\,pRh)! . The AMA does not directly or indirectly practice medicine or dispense medical services. Applicable Federal Acquisition Regulation Clauses (FARS)\Department of Defense Federal Acquisition Regulation Supplement (DFARS) Restrictions Apply to Government use. Frequency code 7 Replacement of Prior Claim: Corrects a previously submitted claim. These include: If you are not currently registered for the Cigna for Health Care Providers website, go to CignaforHCP.com and click on the Login/Register link. 2. Xc?fg`P? In addition, claims that have Returned to Provider (RTP'd) for corrections and resubmitted, are also subject to timely filing standards. THE LICENSES GRANTED HEREIN ARE EXPRESSLY CONDITIONED UPON YOUR ACCEPTANCE OF ALL TERMS AND CONDITIONS CONTAINED IN THESE AGREEMENTS. Please keep the following in mind when submitting paper Claims: - Paper Claims should be submitted on original red colored CMS 1500 Claims forms. Electronic claims set up and payer ID information is available here. Use of CDT-4 is limited to use in programs administered by Centers for Medicare & Medicaid Services (CMS). No portion of the AHA copyrighted materials contained within this publication may be copied without the express written consent of the AHA. 424.44 and the CMS Medicare Claims Processing Manual, CMS Pub. CMS DISCLAIMS RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE OF THE CDT-4. if(pathArray[4]){document.getElementById("usprov").href="/web/"+pathArray[4]+"/help/us-government-rights";} These materials contain Current Dental Terminology, Fourth Edition (CDT), copyright 2002, 2004 American Dental Association (ADA). ADA DISCLAIMER OF WARRANTIES AND LIABILITIES. A Medicare Advantage (MA) plan or Program of All-inclusive Care for the Elderly (PACE) provider organization recoups money from a provider or supplier 6 months or more after the service was furnished to a beneficiary who was retroactively disenrolled to or before the date of the furnished service. The ADA does not directly or indirectly practice medicine or dispense dental services. An initial determination on a previously adjudicated claim may be reopened for any reason for one year from the date of that determination. %%EOF You may also contact AHA at ub04@healthforum.com. Refer to the Untimely Filing section on the Reopenings web page for additional information. No fee schedules, basic unit, relative values or related listings are included in CDT-4. If the foregoing terms and conditions are acceptable to you, please indicate your agreement by clicking below on the button labeled "I ACCEPT". Details, Applicable law requires a longer filing period, Provider agreement specifically allows for additional time, In Coordination of Benefits situations, timely filing is determined from the processing date indicated on the primary carrier's explanation of benefits (EOB) or explanation of payment (EOP). 100-04, Ch. Use the Claims Timely Filing Calculator to determine the timely filing limit for your service. Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CDT-4 for resale and/or license, transferring copies of CDT-4 to any party not bound by this agreement, creating any modified or derivative work of CDT-4, or making any commercial use of CDT-4. 3. . Any questions pertaining to the license or use of the CDT should be addressed to the ADA. CMS WILL NOT BE LIABLE FOR ANY CLAIMS ATTRIBUTABLE TO ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION OR MATERIAL COVERED BY THIS LICENSE. UnitedHealthcare has developed Medicare Advantage Policy Guidelines to assist us in administering health benefits. BY CLICKING BELOW ON THE BUTTON LABELED "I ACCEPT", YOU HEREBY ACKNOWLEDGE THAT YOU HAVE READ, UNDERSTOOD AND AGREED TO ALL TERMS AND CONDITIONS SET FORTH IN THIS AGREEMENT. The AMA is a third party beneficiary to this license. Any questions pertaining to the license or use of the CPT must be addressed to the AMA.