View our Library Tutorial videos for information on how to browse and search the Library.

Search Documents: Advanced Search

Looking for an approved ICE document/template? They can be found in the Approved ICE Documents folder - click here for a list of available documents for each ICE team: APPROVED ICE DOCUMENTS.

ICE documents can be altered for use by organizations/other regions as needed; however, the ICE logo/any ICE references should be removed if the document is not being used in its original format.

ICE is a voluntary 501(c)3 organization that includes participation by and advice from accrediting and regulatory agencies. The goal of ICE work products is to offer ICE participating organizations standardized tools and best practices toward optimizing efficiencies to implement health industry requirements. ICE heeds feedback from accrediting and regulatory agency partners regarding ICE work products; however, ICE does not obtain official regulatory approval for its work products. As such, ICE work products are not to be considered exempt from any approval process required by regulatory agencies.


 Click to open category Appeals and Grievances Improvement Team  
 Click to open category California Pharmacy Regulations Team (formerly SB 866 Team)  
 Click to open category California SB260  
 Click to open category Claims  
 Click to open category CMS Universe Templates  
 Click to open category Contracting & Compliance Team  
 Click to open category Credentialing Shared Audit Policy Team - Main / California  
 Click to open category Credentialing Shared Audit Policy Team - Main / Mid-Atlantic  
 Click to open category Credentialing Shared Audit Policy Team - Main / Northwest  
 Click to open category Cultural & Linguistic Services Team  
 Click to open category Cultural and Linguistics Provider Toolkit  
 Click to open category DMHC Access Regulations Team  
 Click to open category Health Risk Assessment (HRA) Team  
 Click to open category HIPAA  
 Click to open category Provider Directory Updates Team  
 Click to open category QI / UM Team - Main  
 Click to open category QI and UM Required Reports Team  
 Click to open category Risk Adjustment Data Acquisition & Reporting (RADAR) Team  
 Click to open category Site Visit Team (falls under Credentialing Shared Audit Policy Team - Main / California)  
 Click to open category UM Templates & Tools (Cal MediConnect) - Health Plan-Specific Templates  
 Click to open category UM Templates & Tools (Commercial UM LAP Templates for LAP Regulations Effective on and after 1/1/09)  
 Click to open category UM Templates & Tools (Commercial)  
 Click to open category UM Templates & Tools (Medi-Cal)  
 Click to open category UM Templates & Tools (Medi-Cal) - Health Plan-Specific Templates  
 Click to close category UM Templates & Tools (Medicare Advantage Templates for Marketing Guidelines)  
     Click to open category 1_Document Posting Instructions
     Click to open category Aetna
     Click to open category Alignment Health Plan
     Click to open category Anthem Blue Cross
     Click to open category Blue Shield of California
     Click to open category Brand New Day
     Click to open category Central Health Plan
     Click to open category Easy Choice Health Plan
     Click to open category GEMCare Health Plan
     Click to open category Health Net
     Click to open category Inter Valley Health Plan
     Click to open category Sharp Health Plan
     Click to close category Click to Download All Documents in Subfolder UnitedHealthcare Medicare & Retirees
       File   Upload
  Title     Size   Date
 2016-17_UnitedHealthcare Pre Service Approval_061616   76 KB   12/5/2016
 ICE_UnitedHealthcare_2994_MA Extension 14DAY_FINAL   37 KB   1/23/2018
 ICE_UnitedHealthcare_2994_MA Extension 14DAY_SP_FINAL   38 KB   1/23/2018
 ICE_UnitedHealthcare_2995_MA Expedited Extension 72HR_FINAL_   37 KB   1/23/2018
 ICE_UnitedHealthcare_2995_MA Expedited Extension_72 HR_SP_FINAL   37 KB   1/23/2018
 UnitedHealthcare_CADelegate_DetailedNoticeOfDischarge_DND_7-5-12   56 KB   7/10/2012
 UnitedHealthcare_DetailedExplanationOfNonCoverage_DENC_7-5-12   45 KB   7/10/2012
 Click to open category UM Templates & Tools (Medicare Advantage)  

  Adobe Acrobat File
  Microsoft Word File
  Microsoft Excel File
  Microsoft PowerPoint File
  Microsoft Word XML File
  Microsoft Excel XML File
  Microsoft PowerPoint XML File
  Zipped File
  Unknown File Type

Many Library documents are in Adobe Acrobat format. If you do not have Acrobat you may download it here.

To download a document, right-click the document title and select "Save Target As..." (or the equivalent). You may left-click a document to open it in your browser. Note: Opening a Microsoft Office document in your browser may trigger a known issue that causes a password prompt to appear for non-password protected documents. Information from Microsoft about how to resolve this issue on your computer is available here, here, and here.


Website development services provided by:
Click here for more information about Stone Six Solutions, Inc.
Stone Six Solutions