COVID-19 billing, temporary provision and vaccine updates
UnitedHealthcare has revised the COVID-19 Billing Guide to reflect additional guidance for urgent care testing, vaccine-related services, monoclonal antibody treatments and more. We’ve also updated the Summary of COVID-19 Temporary Program Provisions with information on COVID-19 treatment cost share waivers.
To help your conversations with members about COVID-19 vaccines, we’ve created a new Building COVID-19 Vaccine Confidence self-paced learning course with tips and scenarios to help you respond during conversations with members.
COVID-19 Telehealth Services
Last update: April 8, 2021, 12:50 p.m. CT
Date Expansion and Cost Share Updates for Telehealth Services
UnitedHealthcare will reimburse appropriate claims for telehealth services in accordance with the member’s benefit plan. For certain markets and plans, UnitedHealthcare is continuing its expansion of telehealth access, including temporarily waiving the Centers for Medicare & Medicaid Services (CMS) originating site requirements. Additional telehealth information may vary by network plan, so please review each section carefully for details.
Telehealth
A visit with the provider who uses an audio-video or audio-only telecommunications system.
Virtual Check-Ins
A brief check-in with the provider using a recorded video and/or images submitted by the patient.
Electronic Visits
Communication between a patient and his/her provider through an online patient portal.
PT, OT and ST Telehealth
Specific CPT® codes are eligible for reimbusement.
Chiropractic Therapy
Specific CPT® codes are eligible for reimbursement.
Home Health and Hospice
Details on eligible services and reimbursement.
Remote Patient Monitoring
Details on eligible services and reimbursement.
Resources
- Optum Behavioral Health telehealth resources
- UnitedHealthcare Dental teledentistry resources
- VA Community Care Network telehealth resources
We’re listening.
We’re committed to keeping you up to date on COVID-19 – we’re monitoring your inquiries and working hard to answer your questions. Let us know how we’re doing.
We’ll be making daily updates to this site. Be sure to check back often for the latest information.
Disclaimer:
The benefits and processes described on this website apply pursuant to federal requirements and UnitedHealthcare national policy during the national emergency. Additional benefits or limitations may apply in some states and under some plans during this time.
We will adjudicate benefits in accordance with the member’s health plan.
Medicaid Providers: UnitedHealthcare will reimburse out-of-network providers for COVID-19 testing-related visits and COVID-19 related treatment or services according to the rates outlined in the Medicaid Fee Schedule.