May 15, 2024

North Carolina Medicaid: EP modifier requirement for EPSDT services

You’re required to use an EP modifier when submitting wellness and preventive services claims to UnitedHealthcare Community Plan of North Carolina for Early and Periodic Screening Diagnostic Treatment (EPSDT). The EP modifier identifies the type of service provided to Medicaid members under age 21. Claims will be denied if the section is left blank on CMS-1500 or UB04 forms.

Questions? We're here to help.

Connect with us through chat 24/7 in the UnitedHealthcare Provider Portal. For additional contact information, visit our Contact us page.


Finding news icon

Discover more news

Personalized news icon

Get personalized news