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September 30, 2022 at 8:00 AM CT

Hurricane Ian
Transfers and acute discharges
For certain dates of service, we will not require prior authorization for facility-to-facility member transfers and acute discharges to network skilled nursing facilities. Applies to UnitedHealthcare Community Plan (Medicaid), UnitedHealthcare® Medicare Advantage and UnitedHealthcare commercial plan members.
Florida, statewide, Sept. 26—Oct. 5, 2022
South Carolina, statewide, Sept. 28—Oct. 7, 2022
Read more at UHCprovider.com/disaster.

Call wait times and self-service
Due to the hurricane, call wait times may be longer than usual. Please consider using the online tools in the UnitedHealthcare Provider Portal.

UnitedHealthcare Provider Portal

The UnitedHealthcare Provider Portal has more than 40 tools that allow you to take action on claims and get the answers you need quickly. It’s available 24/7 – and at no cost to you. All without having to pick up the phone.

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Eligibility and Benefits

Verify member eligibility, determine benefits, view care plans and get a digital copy of the member ID card.

Prior Authorization and Notification

Check prior authorization and notification requirements, submit requests, upload medical notes, check status and update cases.

Claims and Payments

Submit claims, look up fee schedules, check status, view payment information, and submit reconsideration and appeal requests.

Referrals

Check referral requirements, submit requests, review referral history and monitor the number of remaining visits.

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Network News

Find the latest announcements, updates and reminders – prior authorization requirements, policy and protocol changes, reimbursement updates and other important information to guide how your practice works with UnitedHealthcare and our members.

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No Surprises Act open negotiations

Learn more about the requirements of the No Surprises Act of 2020 and the out-of-network claims covered under the Act. Step-by-step instructions guide you through submitting a negotiation request through the UnitedHealthcare Provider Portal.

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News

October monthly overview

Review the latest UnitedHealthcare prior authorization, medical policy, pharmacy, reimbursement, laboratory and policy and protocol updates.

Colorado, Kentucky and Tennessee: New home health review process

Starting July 1, 2022, for UnitedHealthcare® Medicare Advantage and Dual Special Needs Plans (D-SNP), you’ll need to request prior authorization for all visits after the start of care (SOC) visit.

Home health review process changes

Starting June 1, 2022, for UnitedHealthcare Medicare Advantage and Dual Special Needs Plans, we will require initial authorization and will perform continuation of care reviews for Home Health Agencies (HHAs). This change is taking place for members enrolled in Medicare Advantage plans, including Dual Special Needs plan members, who reside and receive services in Arkansas, South Carolina, and Texas.

Alabama: Home health review process changes

Starting July 1, 2022, for UnitedHealthcare® Medicare Advantage and Dual Special Needs Plans (D-SNP) in Alabama, there will be a change in the process for requesting prior authorization for all visits after the start of care visit (SOC).

Prior authorization updates for endovascular procedures

Prior authorization changes to Lower Extremity Vascular Angiography and Endovascular Revascularization procedures

New Jersey: Prior authorization and site of service expansion

As of Nov. 1, 2022, we’re expanding prior authorization and site of service for Community Plan of New Jersey.