Starting Jan. 1, 2021, Exchange plans will be available in Arizona, Maryland, North Carolina, Oklahoma, Tennessee, Virginia and Washington.
Protocols
The protocols listed below are now available on UHCprovider.com/protocols and include Exchange plan business information.
Site of Service Medical Necessity Reviews
Certain out-patient surgical procedures and office based procedures will require site of service medical necessity reviews.
Reimbursement Policies
Exchange plan reimbursement policies are now available at UHCprovider.com. Please take the time to review before Jan. 1, 2021.
Effective Jan. 1, 2021, the UnitedHealthcare Telehealth and Telemedicine Reimbursement policy will apply to Exchange plans. You can find more information on the Telehealth and Telemedicine Reimbursement Policy at UHCprovider.com/telehealth > Reimbursement Policy > Commercial.
Questions? Please contact 888-478-4760.