Medical Policy Documentation Requirement Updates

Last modified: August 14, 2020

For commercial plans, we are temporarily suspending the requirement to submit images for Knee Arthroplasty, Hip Arthroplasty, Shoulder Arthroplasty and Surgical Treatment of Spine Disease policies as announced in the UnitedHealthcare Commercial Medical Policy Bulletin.

More information on the requirements:

  • Surgical Treatment of Spine Disease – April 1, 2020
  • Knee Arthroplasty, Hip Arthroplasty – May 1, 2020
  • Shoulder Arthroplasty – Aug. 1, 2020

During the suspension, we may require images in select cases when they are necessary to determine if clinical criteria are met. We will request images in those limited instances.

We will let you know in advance of the date when we resume requiring images to be submitted.

Questions? Please call the Provider Services number on the back of the member’s UnitedHealthcare ID card.