Starting June 1, 2021, we’re making some process changes to our Genetic and Molecular Lab Testing Program. These changes will impact the process for requesting prior authorization and registering lab tests. Here’s what you need to know:
Changes to the prior authorization process
Starting June 1, 2021, UnitedHealthcare will begin managing prior authorizations for genetic and molecular tests, instead of Beacon Laboratory Benefit Solutions, Inc.
These process changes apply to UnitedHealthcare plans that currently require prior authorization for certain genetic and molecular tests performed in an outpatient setting through BeaconLBS. This includes:
Certain UnitedHealthcare commercial benefit plans when UnitedHealthcare is the primary payer
UnitedHealthcare of the Mid-Atlantic
UnitedHealthcare Plan of the River Valley
UnitedHealthcare Insurance Company of the River Valley
Neighborhood Health Partnership (newly included, effective July 1, 2021)
Oxford Health Insurance
All Savers Insurance Company
All Savers Life Insurance Company of California
UnitedHealthcare Community Plan in California, Florida, Hawaii, Kansas, Kentucky, Maryland, Michigan, Missouri, New Jersey, New York, Ohio, Pennsylvania, Rhode Island, Tennessee, Texas, Virginia, Washington, and Wisconsin
More information to come
Additional information about changes to the UnitedHealthcare Genetic and Molecular Lab Testing prior authorization and lab test registry process, including upcoming training for ordering providers, will be available in the May 2021 Network Bulletin.
Call 877-303-7736 for members of all affected plans, except All Savers and Oxford. For All Savers and Oxford plan members, call the number of the back of the member card.