UPHP Policies and Procedures

Fraud, Waste, and Abuse Policies

Procedures to Detect Fraud and Abuse
(Policy and Procedure/Revised January 2012.)

State and Federal False Claims Act, Whistle Blower Protections
(Policy and Procedure.Revised May 2011.)

Claims Policies

Claims Appeals Policy
(Policy and Procedure/Effective June 2016.)

Medical Record Documentation Standards

Network Provider Medical Record Documentation Standards Policy

Pharmacy Policies

Pharmacy Management 
(Policy and Procedure/Reviewed November 2012.)

Pharmacy Prior Authorization Process
(Policy and Procedure/Reviewed November 2012.)

Pharmaceutical Safety
(Policy and Procedure/Reviewed November 2012.)


Page Last Updated: 03/20/2017