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Transportation Services Page 1 of 12 UnitedHealthcare Medicare Advantage Policy Guideline Approved 11/10/2021 Proprietary Information of UnitedHealthcare. Copyright 2021 United HealthCare Services , Inc. UnitedHealthcare Medicare Advantage Policy Guideline Transportation Services Guideline Number: Approval Date: November 10, 2021 Terms and Conditions Table of Contents Page Policy Summary ........................................ ..................................... 1 Applicable Codes ........................................ .................................. 6 Definitions ........................................ ........................................ ...... 8 References.

Ambulance transportation for services excluded from SNF consolidated billing must meet the criteria as reasonable and necessary (i.e. other means contraindicated). Emergency Air Ambulance Transportation Emergency response means responding immediately at the BLS or ALS1 level of service to a 911 call or the equivalent in areas

  Transportation, Billing