Featured News
Accumulator Adjustment – Medical Benefit Program Delay
The program will not take effect as previously communicated
Advancing Health Equity Education
You play an important roll in furthering health equity.
Arizona, Missouri and Pennsylvania Care Provider Manuals Update
Care provider manuals contain helpful information on topics such as prior authorization, processing claims and protocol information, as well as contact information and other resources.
Arkansas and Ohio New Observation Policy
Commercial plans in Ohio and Arkansas will be implementing a New Outpatient Hospital Observation and Facility Reimbursement Policy following in 2021.
Avoid Appeals for Some Radiology Claims
An increase in appeals regarding radiology claims has been identified. See what might help.
Avoid Billing Issues – Laboratory Services
This information may be helpful when billing for inpatient laboratory services.
Avoid Denial of National Drug Code (NDC) Claims
With the new RC Claim Assist self-service tool, you can look up a drug by NDC, HCPCS or name.
Billing for Off-Label or Unproven Indication
Learn what code could be missing from your claim when you’re billing for specialty drugs with off-label or unproven indication.
Breast Pump Coverage for GEHA Benefit Plans
See the expanded access.
CDC Best Practices for Your Fight Against the Flu
We’ve compiled a list of CDC resources and best practices to support your efforts to get your patients vaccinated.
Clarification: Prior Authorization and Site of Service Review
The expansion of some prior authorization and site of service reviews has been postponed.
Colorado - You’re Invited. Physicians, practice managers and staff
Join us and ask your UnitedHealthcare Provider Relations Advocates questions about any of our new or old products. These include OptumCare, Medicare Expansion, Navigate Expansion, Select CO, different CDP plans and many more. You’ll also be reintroduced to your Provider Advocates to help ensure you know where to go if you are having issues with UnitedHealthcare.
Coordinate Patient Care
We have several tools available to help you coordinate care.
Digital Notification of Pregnancy, Now Available in Link
Reduce faxing notices to UnitedHealthcare about pregnant patients by using a digital tool, now available in Link.
Digital Self-Service Tools Designed to Help You
100% contact-free, digital tools available to your practice through Link.
Exceeding Maximum Dosage Billing Issues
This is helpful information for dosage billing issues.
Exchange Plans Expansion
Tagline/blurb UnitedHealthcare Exchange Plans are entering or expanding in eight states in 2021.
Get Access to a Simplified Overpayment Process, Now Available in Link
Simplify the Overpayment Process With Direct Connect
Help Ensure Accurate Payment for COVID-19 Testing
Learn more about following CMS guidelines for COVID-19 testing requirements for CPT® code 87631.
HOS Survey – Coming Soon
The Health Outcomes Survey (HOS) is coming to your Medicare patients in August 2020.
How to determine copays and benefits for MN
Beginning Jan. 1, 2021, UnitedHealthcare is offering three Medicare Advantage plans in the Twin Cities market that offer lower copays with certain providers.
Idaho Medicare plans for 2021 Virtual Tour
See what's happening with our Medicare plans in Idaho for 2021.
Increased Malpractice Insurance Requirements on Hold
New requirements will not go into effect on March 1, 2021 as previously announced.
Interoperability Protocol Clarification
This is a clarification to the network bulletin notice in April.
Introducing Care Cash – A New Way to Pay for Health Care Services
Introducing Care Cash – A Member Rewards Program That Encourages Desired Health Behaviors for Preferred Providers
Invitation to Apply to Preferred Lab Network
You’re invited to apply to the UnitedHealthcare Preferred Lab Network.
Medical Policy Documentation Requirement Updates
This update relates to Knee Arthroplasty, Hip Arthroplasty, Shoulder Arthroplasty and Surgical Treatment of Spine Disease policies.
Medicare PPO Expansion Training - Montana
Learn how to manage this new plan, how to access it and where to go for information.
Multiple Myeloma new addition to Cancer Therapy Pathways
Multiple Myeloma new addition to Cancer Therapy Pathways.
National Immunization Awareness Month
August is National Immunization Awareness Month (NIAM) and highlights the importance of vaccinations.
New At-Home Test Kits
A single at-home test kit can help UnitedHealthcare Medicare Advantage members identify and address undiagnosed hepatitis C, prediabetes or chronic kidney disease.
New Cancer Therapy Pathway
See the new pathways that are now available.
New Prior Authorization and Notification Enhancements
You can do more with the self-service Prior Authorization and Notification tool.
New SelectColorado Plan Launching in 2021
See the details of this new plan and where its available in Colorado.
New Smart Edit: Documentation Edit Now Available
Proactively submit the required documentation needed for your claim submission with Smart Edits.
New Transportation Vendor for Nebraska Community Plan
Learn more about what LogistiCare being the new vender community plan transportation in Nebraska means for you.
Notify Us - Changes in Medical Professional Staff
It’s important to keep us updated on your rosters for non-physician professionals.
Peer Comparison Reports Available
These reports may help support your practice.
Peer Comparison Reports Now Available
Peer Comparison Reports Now Available, specialty physicians who receive this report will find the latest update in Document Vault.
Prior Authorization Online Submission Enhancements
See what new service categories are now available for online prior authorization submissions.
Questions on a Claim Denial? Coding Corner Can Help
There are new resources available to you to help with common coding errors.
Questions on a Returned Claim Based on Place of Service?
PTCFD Smart Edit Can Help.
Reduce Specialist Referrals with AristaMD - TN
Learn more about this new partnership,
Required Updates to Your Medical Staff Roster
Make sure your roster and demographic information is updated with us.
Self-paced Special Needs Plan Model of Care Training
Take it at your own pace and fulfill your Special Needs Plan Model of Care training requirement.
Somatus: Our New Partner in Kidney Care
Somatus is available to help your patients who have long-term kidney disease.
Standing Orders for Flu Shots
This year’s flu season is bound to be unique. See how standing orders may be able to help.
Stay up-to-date on 2021 Medicare Advantage plans in Oregon
Ready for 2021? We are. You’ll find the latest plan information at UHCprovider.com.
Stay up-to-date on 2021 Medicare Advantage plans in Washington
Ready for 2021? We are. You’ll find the latest plan information at UHCprovider.com.
Streamlined Referral Experience Now Available
It’s now easier and faster to submit referrals and check the status of existing referral requests.
Telehealth Resource Page Now Available
A single at-home test kit can help UnitedHealthcare Medicare Advantage members Get telehealth reimbursement, coding, technology requirements and training information, all in one place.
The Empire Plan Expands Use of UnitedHealthcare Network
The Empire Plan members have nationwide network access, starting Jan. 1, 2021.
TrackIt – Manage Your Claims Requests
Know where your claims stand in one glance with our new TrackIt tool available on Link.
UnitedHealth Premium® Program Designations Becoming Effective
Learn more about version 13s designations and the benefits for your practice.
UnitedHealthcare Community Plan Expanding Dual Special Needs Program – UnitedHealthcare Dual Complete
On Jan. 1, 2021, UnitedHealthcare will begin serving eligible members in a Dual Special Needs Plan (DSNP) – known as United Healthcare Dual Complete, a Medicare Advantage plan – in over 80 new counties across the United States.
Updates to the VA CCN provider manual
The manual will be updated quarterly, and off-cycle updates will be made as determined by Optum.
Utah New Product Information Sessions
You can be in the know about what we’re planning for 2021 in Utah.
What’s New With CLIA Smart Edits?
See what’s new with meet Clinical Laboratory Improvement Amendment (CLIA) requirements.
Word of Thanks from Dr. Richard Migliori
Chief Medical Officer Dr. Richard Migliori delivers gratitude and support for you during the flu season.