Effective January 1, 2021, claims for most laboratory test services must contain your laboratory’s unique test code for each service. Additionally, each test code submitted on a claim must match a corresponding laboratory test registration provided in advance to us, or we will deny the claim. To ensure compliance with these requirements, free standing and outpatient hospital lab providers should register their laboratory tests prior to December 1, 2020.
These requirements apply to most UnitedHealthcare Commercial, Medicare Advantage and UnitedHealthcare Community Plan networks.
Registering your laboratory services and placing test codes on your laboratory claim doesn’t necessarily guarantee that UnitedHealthcare will pay the claim. Payment for covered services is based on the member’s eligibility on the date of the service, any claim processing requirements, and the terms of your Participation Agreement.
- Test Registry Protocol Frequently Asked Questions (Updated July 20, 2020)