dysfunctional uterine bleeding & uterine fibroids - Health Plan of ...

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WOU001
PROTOCOL HISTORY/REVISION INFORMATION
Date
11/29/2010
05/21/2010
03/20/2009
Action/Description
Corporate Medical Affairs Committee
The foregoing Health Plan of Nevada/Sierra Health & Life Health Healthcare Operations protocol has
been adopted from an existing UnitedHealthcare coverage determination guideline that was researched,
developed and approved by the UnitedHealthcare Coverage Determination Committee.
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