Claim Estimator is an illustrative tool to assist providers with understanding member benefits and UnitedHealthcare's claim payment policies.

Results shown by Claim Estimator may differ from results after claims are submitted. This variation may be due to:

• differences in coding
• use of modifiers
• historical claim information
• manual review of claims submitted with documentation
• clinical review

Claim Estimator uses reimbursement and medical policies to generate estimates. Such policies and member benefit plans are subject to change. Claim Estimator may not be used for facility claims typically billed using form UB-92; nor can estimates be provided when UnitedHealthcare is the secondary payer based on coordination of benefits.

Use of Claim Estimator is subject to all terms and condition of UnitedHealthcare Online Web site Use Agreement.

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