March 01, 2022

Act now to become a Designated Diagnostic Provider for Imaging

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?

  • First, please complete the quality questionnaire
  • Next, our network team will reach out to you to discuss your efficiency requirements
  • If you meet the quality standards and efficiency requirements, you will become a Designated Diagnostic Provider for Imaging services
  • If you do not meet the standards and requirements a network representative will reach out to you to determine next steps

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.

PCA-21-04783