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Accessing InterQual criteria: Some of our Medical Necessity Guidelines utilize InterQual® criteria, as detailed in applicable policies. You may view this criteria on the Optum One Health website. For more information, please refer to these instructions on creating a One Healthcare ID and setting up an authenticator for use with the One Healthcare ID.  

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Tzield (teplizumab-mzwv)
  • Medical Necessity Guidelines
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Ultomiris (ravulizumab-cwvz)
  • Medical Necessity Guidelines
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Unlisted and Not Otherwise Classified Codes Payment Policy
  • Payment Policies
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Uplizna (inebilizumab-cdon)
  • Medical Necessity Guidelines
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Urinary Incontinence Assessment In Older Adults Part I - Transient Urinary Incontinence
  • Clinical Resources
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