Effective Jan. 1, 2022, UnitedHealthcare introduced a tiered benefit structure for major imaging services including computed tomography (CT), magnetic resonance imaging (MRI), magnetic resonance angiogram (MRA), positron emission tomography (PET) and nuclear medicine. The benefit structure is for fully insured commercial members, subject to state and regulatory approval.
Designated Diagnostic Provider benefit designs are intended to maximize member benefits for imaging services, by providing access to providers who have met both quality standards and efficiency requirements as established by accredited organizations for imaging services.
When members receive services from Designated Diagnostic Providers, they receive the highest benefit and have the lowest cost share.
How do I become a Designated Diagnostic Provider for Imaging?
What if I am already a Designated Diagnostic Provider for lab services?
If you are a Designated Diagnostic Provider for lab services, you will still need to meet the quality standards and efficiency requirements to become a Designated Diagnostic Provider for Imaging.
Questions?
For more information, visit UHCprovider.com/DDP. You can also contact your dedicated network representative with questions.