Network Bulletin

January 2021 edition

Network Bulletin is a monthly publication that features important protocol and policy changes, administrative information and clinical resources.


National updates

Medical policy update bulletins: January 2021

Commercial | Community Plan | Medicare

Review the medical policy update bulletins for our various health benefit plans.

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Reimbursement policy updates: January 2021

Commercial | Community Plan | Medicare

Review the details on reimbursement policy updates 

See more

Your 2021 administrative guide is ready

Commercial | Medicare 

This update is for commercial and medicare plans. 

Review now

New EMR/EHR Preferred Lab Network requirement

Commercial

Your EMR/EHR needs to integrate with our Preferred Lab Network.

Get details

UnitedHealthcare Outpatient Procedure Grouper Mapping update

Commercial | Community Plan

Code updates are now available for 2021.

See codes

2021 Telehealth policy updates

Commercial | Community Plan | Medicare

See updates and learn about training with billing guidance.

View details

Risk adjustment data validation audit resumes

Commercial | Exchange plans

You and your team may have patients participating

See details

Prior authorization and site of service review update

Commercial

See our clarification notice.

Read the update

Radiation therapy prior authorization update

Commercial

Review this update about prior authorization coverage for commercial members.

Read more


Prior authorization expansion: Genetic and molecular lab testing

Commercial 

We will require prior authorization/notification for additional CPT codes.

See codes

Clinical fax number retirement on Feb. 1, 2021

Commercial | Community Plan | Medicare

As fax numbers retire, we have online tools to help support your requests.

Read the update

Shared services updates for GEHA

Commercial

You may have access to the Choice Plus network of providers.

View more



Stay informed about COVID-19

Policy, drug and Protocol changes contained herein are effective and enforceable as of the dates indicated, pending notice from UnitedHealthcare to the contrary. Changes to these effective dates or updates to our business practices and policies as a result of COVID-19 will prevail and be posted on our care provider website as quickly as possible.  As with any public health issue, we are working with and following guidance and protocols issued by federal, state, and local health authorities. You can find the latest UnitedHealthcare COVID-19 related resources at UHCprovider.com/covid19.


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