New automated prior authorizations

Oxford Plans of New York and New Jersey also enhance directory searches

Effective Jan. 1, 2023, UnitedHealthcare Oxford plans in New York and New Jersey will offer newly enhanced General UnitedHealthcare Plan Directory searches and automated portions of the prior authorization process. Here are the details:

Automated prior authorizations

Portions of the prior authorization process will also be automated. When completing prior authorizations online, you can expect the following:

• You’ll see additional participating stand-alone MRI and CT imaging centers in your area
• You’ll receive automatic listings of available facilities near you and the member that are consistent with utilization review guidelines and the member’s plan

Note: Prior authorization is not required for procedures performed in an emergency room, observation unit, urgent care center or during an inpatient stay.

Enhanced directory searches

The upgraded service will allow you to quickly locate free-standing magnetic resonance imaging (MRI) and computed tomography (CT) imaging centers. 

MRI and CT center requirements

If you perform advanced imaging studies, you must obtain accreditation from one of the following agencies:  

• American College of Radiology (ACR)
• Intersocietal Accreditation Commission (IAC)
• RadSite
• The Joint Commission (TJC)

Questions?

We’re here to help.
For more information about imaging policies or accreditation for Oxford plans, please see the 2022 UnitedHealthcare Care Provider Administrative Guide. If you have additional questions, see our Frequently asked questions.

Insurance coverage provided by or through UnitedHealthcare Insurance Company or its affiliates. Health plan coverage provided by UnitedHealthcare of Arizona, Inc., UHC of California DBA UnitedHealthcare of California, UnitedHealthcare Benefits Plan of California, UnitedHealthcare of Colorado, Inc., UnitedHealthcare of the Mid-Atlantic, Inc., MAMSI Life and Health Insurance Company, UnitedHealthcare of New York, Inc., UnitedHealthcare Insurance Company of New York, UnitedHealthcare of Oklahoma, Inc., UnitedHealthcare of Oregon, Inc., UnitedHealthcare of Pennsylvania, Inc., UnitedHealthcare of Texas, Inc., UnitedHealthcare Benefits of Texas, Inc., UnitedHealthcare of Utah, Inc., UnitedHealthcare of Washington, Inc., Optimum Choice, Inc., Oxford Health Insurance, Inc., Oxford Health Plans (NJ), Oxford Health Plans (CT), Inc., All Savers Insurance Company, Tufts Health Freedom Insurance Company or other affiliates. Administrative services provided by OptumHealth Care Solutions, LLC, OptumRx, Oxford Health Plans LLC, United HealthCare Services, Inc., Tufts Health Freedom Insurance Company or other affiliates. Behavioral health products provided by U.S. Behavioral Health Plan, California (USBHPC), United Behavioral Health (UBH), or its affiliates.

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