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Latest UnitedHealthcare Provider News

May 2018: Further Updates on Smart Edits in the EDI Worfklow

Last Modified | 11.12.2019

In the April 2018 Network Bulletin, we shared with you that UnitedHealthcare has a new capability in the EDI workflow, known as Smart Edits, which autodetects claims with potential errors and delivers feedback within 24 hours of submission.

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10/01/2019 – UnitedHealthcare Commercial Medical Policy Update Bulletin: October 2019 (Updated Oct. 8, 2019)

Last Modified | 11.04.2019

This bulletin provides complete details on recently approved, revised, and/or retired UnitedHealthcare Commercial Medical Policies, Medical Benefit Drug Policies, Coverage Determination Guidelines (CDG), Utilization Review Guidelines (URG), and/or Quality of Care Guidelines (QOCG).

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Inpatient Hospital (IPPS and LTCH PPS) Claims Hold Alert

Last Modified | 11.01.2019

The Centers for Medicare and Medicaid Services (CMS) recently revised their rates for the 2018 Inpatient Prospective Payment System (IPPS) and Long Term Care Hospital (LTCH PPS). Due to the rate updates, CMS is holding claims for all IPPS and LTCH PPS services with discharge dates on or after Oct.1, 2017 through Oct. 23, 2017, which is the date CMS anticipates their system will be updated with the revised rates.

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Explore the Network Bulletin for monthly updates on protocol and policy changes, administrative information, and more.

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Are you ready to be a Flu Fighter? Encouraging your patients to get a flu shot may help more people stay healthy.

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