Latest UnitedHealthcare Provider News
Notice of change to review process related to cardiovascular codes that require prior authorization codes
Last Modified | 01.21.2022
Beginning April 1, 2022, the entire claim will be denied if outpatient cardiovascular prior authorizations are not received or denied due to lack of medical necessity for Medicare Advantage plans.
Read Full ArticleMedicaid: New therapy prior authorization requirements in Maryland
Last Modified | 01.21.2022
Prior authorization is required for occupational therapy, physical therapy and speech therapy for UnitedHealthcare Community Plan of Maryland members starting May 1, 2022.
Read Full Article11/2021: Northeast: Medical PRAs going paperless in February
Last Modified | 01.20.2022
Starting Feb. 4, 2022, UnitedHealthcare will no longer mail provider remittance advice (PRAs) for medical claims to network providers and facilities in the following states: CT, DC, DE, MA, MD, ME, NH, NJ, NY, PA, RI, VA, VT and WV. View in the portal through Optum Pay or EDI.
Read Full Article11/2021: Appeal decision letters won’t be mailed in 2022
Last Modified | 01.20.2022
Beginning March 4, 2022, most* contracted medical providers will need to view Medicare Advantage (including Dual Special Needs) and commercial appeal decision letters online in Document Library or with API.
Read Full ArticleWashington: Find local health care professionals
Last Modified | 01.19.2022
You can find a local health care professional using our online Find Dr. directory.
Read Full ArticleLast Modified | 01.21.2022
Beginning April 1, 2022, the entire claim will be denied if outpatient cardiovascular prior authorizations are not received or denied due to lack of medical necessity for Medicare Advantage plans.
Read Full ArticleLast Modified | 01.21.2022
Prior authorization is required for occupational therapy, physical therapy and speech therapy for UnitedHealthcare Community Plan of Maryland members starting May 1, 2022.
Read Full ArticleLast Modified | 01.20.2022
Starting Feb. 4, 2022, UnitedHealthcare will no longer mail provider remittance advice (PRAs) for medical claims to network providers and facilities in the following states: CT, DC, DE, MA, MD, ME, NH, NJ, NY, PA, RI, VA, VT and WV. View in the portal through Optum Pay or EDI.
Read Full ArticleLast Modified | 01.20.2022
Beginning March 4, 2022, most* contracted medical providers will need to view Medicare Advantage (including Dual Special Needs) and commercial appeal decision letters online in Document Library or with API.
Read Full ArticleLast Modified | 01.19.2022
You can find a local health care professional using our online Find Dr. directory.
Read Full Article
