Network Bulletin is a monthly publication that features important protocol and policy changes, administrative information and clinical resources.
In the September Network Bulletin, you can learn about paperless solutions, digital self-service tools, and Medical Policy updates.
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.
4th Quarter 2020 Preferred Drug List Update
UnitedHealthcare Community Plan’s Preferred Drug List (PDL) is updated quarterly by our Pharmacy and Therapeutics Committee.
Radiology and Cardiology Urgent Request Update
Commercial | Community Plan | Medicare
Urgent requests for Radiology and Cardiology prior authorization and notification are getting easier.
New (ED) Professional (E/M) Coding Policy Update
Commercial | Medicare
The implementation date for medicare and commercial plans of the Emergency Department (ED) Professional Evaluation and Management (E/M) Coding Policy have been delayed.
Save time by using Link
We encourage you to take this time to train additional staff to use our online self-service tools on Link. They’re more important than ever to quickly verify eligibility, submit claims, check claim status, submit prior authorizations or submit claim reconsideration requests.
Go to UHCprovider.com/link to learn more.
UnitedHealthcare Commercial & Affiliates
UnitedHealthcare Individual Exchange
UnitedHealthcare Community Plan
UnitedHealthcare Medicare Advantage
You can access the complete details on reimbursement policy updates through the following bulletins.
2020 PDF Archives
2019 PDF Archives