Delayed until April 1, 2021
Effective Oct. 1, 2020, 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 help ensure compliance with these requirements, freestanding and outpatient hospital lab providers should register their laboratory tests prior to Sept. 1, 2020.
These requirements apply to most UnitedHealthcare commercial, Medicare Advantage and Community Plan networks.
Registering your laboratory services and placing test codes on your laboratory claim doesn’t guarantee that we 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.
Visit UHCprovider.com/testregistry to find the following: network exclusions, precise instructions, complete list of laboratory testing that requires registration, description of the laboratory test registration process, and other information.