Tag: UnitedHealthcare (UHC)
UHC Policy and Protocol Updates
UHC Network News
Do you and your staff have the UHC Prior Auth Blues?
UHC June Policy and Protocol Updates
Check out these links to UHC Policy Updates:
UHC User Friendly Self Service Resource Guide.
Feel Free to Print and Keep at Your Desk.
UHC Prior Auth Going Paperless
UHC won’t be sending prior authorization and clinical decision letters by mail starting April 1.
This includes:
- Pre-service/prior authorization decision letters
- Inpatient review letters, including concurrent, retrospective, length of stay and level of care
- Extension for lack of clinical information letters
- Complex care management and OrthoNet letters available in Document Library
Instead, you can view them exclusively online 24/7 through either the UnitedHealthcare Provider Portal or an Application Programming Interface (API) system-to-system data feed.
UHC Policy Updates for March 2022
Just click the button to check out the latest from UHC.
CoVid-19 News from UHC
Beginning Jan. 15, 2022, UnitedHealthcare is covering the cost of Food and Drug Administration (FDA)-authorized or approved over-the-counter (OTC) at-home COVID-19 diagnostic tests for Individual and Family Plan and Individual and Group Market health plan members.
- The national public health emergency has been extended from Jan. 15, 2022 to April 15, 2022. See how that extension affects temporary provisions for COVID-19 testing and testing-related visits:
- Currently there are 2 monoclonal antibody and 3 antiviral treatment options authorized or approved for use.
- Reminder: CMS Billing change effective 1/1/2022.
- Health care professionals who administer the COVID-19 vaccine serum or monoclonal antibody treatment to Medicare Advantage members should submit medical claims through the UnitedHealthcare standard claims process.
- For services rendered through Dec. 31, 2021, claims should be billed to the applicable Centers for Medicare & Medicaid Services (CMS) Medicare Administrative Contractor (MAC), as previously established for reimbursement of these claims
UnitedHealthCare Network News
Effective Feb. 4, 2022, UHC will no longer print and mail paper provider remittance advice (PRAs) for medical claims to network health care professionals.
UHC has updated their codes for the Outpatient Procedure Grouper (OPG) mapping. They have deleted 30 old codes and added 31 new codes. For more information follow this link.
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