unitedhealthcare reimbursement rates

Steps to getting contracted plus plan information, Phone numbers and links for connecting with us, List of contracted, high-quality independent lab providers, Update, verify and attest to your practice's demographic data, Provider search for doctors, clinics and facilities, plus dental and behavioral health, Policies for most plan types, plus protocols, guidelines and credentialing information, Specifically for Commercial and Medicare Advantage (MA) products, Pharmacy resources, tools, and references, Updates and getting started with our range of tools and programs, Reports and programs for operational efficiency and member support, Resources and support to prepare for and deliver care by telehealth, Tools, references and guides for supporting your practice, Log in for our suite of tools to assist you in caring for your patients. Therefore, we will adjust claims paid less than $40 between March 15 and June 30, 2021, to reimburse at $40 per administration. For Medicaid and other state-specific regulations, please refer to your state-specific website or your states UnitedHealthcare Community Plan website,if applicable. Updates and additional information will be posted on this site as quickly as possible when new information is available. This code should be used when billing for add-on payment to laboratories for a COVID-19 diagnostic test run on high throughput technology if the laboratory a) completes the test in 2 calendar days or less, and b) completes the majority of their COVID-19 diagnostic tests that use high throughput technology in 2 calendar days or less for all of their patients (not just their Medicare patients) in the previous month. Tuesday's bill would spend $225 million to raise over three years reimbursement rates for behavioral healthcare providers to care for Medicaid patients. 0 Health (2 days ago) WebExplore employer, individual & family, Medicare-Medicaid health insurance plans from UnitedHealthcare. Codes will be added using the CMS published effective date and payment allowance as the primary fees source. Patient presents for an office visit, urgent care visit or emergency room visit. This includes administration of a third dose to those who are moderately to severely immunocompromised as defined by theCDC. Reminder: You should not bill UnitedHealthcare members at the time of service for any costs associated with the COVID-19 vaccine. Need access to the UnitedHealthcare Provider Portal? Reimbursement Policy Update Bulletins: August 2021 You can review the details on reimbursement policy updates through the following: UnitedHealthcare Commercial Plan UnitedHealthcare Commercial Plan Reimbursement Policies Update Bulletin: August 2021 open_in_new UnitedHealthcare Community Plan If the patient has only been suspected of having contact with someone with coronavirus, go with ICD-10 code Z03.818. Steps to getting contracted plus plan information, Phone numbers and links for connecting with us, List of contracted, high-quality independent lab providers, Update, verify and attest to your practice's demographic data, Provider search for doctors, clinics and facilities, plus dental and behavioral health, Policies for most plan types, plus protocols, guidelines and credentialing information, Specifically for Commercial and Medicare Advantage (MA) products, Pharmacy resources, tools, and references, Updates and getting started with our range of tools and programs, Reports and programs for operational efficiency and member support, Resources and support to prepare for and deliver care by telehealth, Tools, references and guides for supporting your practice, Log in for our suite of tools to assist you in caring for your patients, Last update: November 9, 2021, 10:30 a.m. CT. For plans with this telehealth benefit, details will be outlined in the members Evidence of Coverage (EOC) and other plan benefit documents. UnitedHealthcare will reimburse appropriate claims for telehealth services in accordance with the members benefit plan. For services rendered on or before Dec. 31, 2021, administration fees for Medicare plans will be covered by Medicare Fee-for-Service (FFS) and be reimbursed according to CMS published rates for both in-network and out-of-network providers. Mental Health Reimbursement Ranges Average Payment Per Insurance Company Credentialing Recommendations for New Practices & Established Practices Highest Paying Insurance Companies for Mental Health Which Companies Are The Hardest to Bill Medicare Reimbursement Rates [Search by CPT Code] Tips on Avoiding Low Reimbursement Steps to getting contracted plus plan information, Phone numbers and links for connecting with us, List of contracted, high-quality independent lab providers, Update, verify and attest to your practice's demographic data, Provider search for doctors, clinics and facilities, plus dental and behavioral health, Policies for most plan types, plus protocols, guidelines and credentialing information, Specifically for Commercial and Medicare Advantage (MA) products, Pharmacy resources, tools, and references, Updates and getting started with our range of tools and programs, Reports and programs for operational efficiency and member support, Resources and support to prepare for and deliver care by telehealth, Tools, references and guides for supporting your practice, Log in for our suite of tools to assist you in caring for your patients, Last update: April 29, 2022, 4:35 p.m. CT. Care providers are responsible for submitting accurate claims in accordance with state and federal laws and UnitedHealthcares reimbursement policies. Mastering the Reimbursement Process by Healthcare Management Advisors, Inc.; American Medical Association at AbeBooks.co.uk - ISBN 10: 0899709591 - ISBN 13: 9780899709598 - Amer Medical Assn - 1998 - Softcover . UnitedHealthcare aligns with American Medical Association (AMA) CPT coding for medical claims. Salary information comes from 7,123 data . We want to thank everyone for their continued patience around coding protocols as they continue to evolve for the coronavirus and coronavirus testing. 1273 0 obj <>/Filter/FlateDecode/ID[<2065C233FBB5B2110A00B0933B5DFE7F>]/Index[1247 49]/Info 1246 0 R/Length 117/Prev 251775/Root 1248 0 R/Size 1296/Type/XRef/W[1 3 1]>>stream Please note: For services rendered through Dec. 31, 2021, bill claims for COVID-19 vaccine administration to the applicable Centers for Medicare & Medicaid Services (CMS) Medicare Administrative Contractor (MAC). UnitedHealthcare and self-funded customers cover the administration of COVID-19 FDA-authorized vaccines with no cost share for in- and out-of-network providers, during the national public health emergency period. $132.70. Shop Individual & Family ACA Marketplace, Medicare, Medicaid, short term insurance, dental and more. Network physicians are required to use a network laboratory. If it's only suspected exposure to coronavirus, bill ICD-10 code Z03.818. Medicaid Providers: UnitedHealthcare will reimburse out-of-network providers for COVID-19 testing-related visits and COVID-19 related treatment or services according to the rates , https://www.uhcprovider.com/en/resource-library/news/Novel-Coronavirus-COVID-19/covid19-vaccines/vaccine-billing-reimbursement.html, Health (8 days ago) WebThe UnitedHealthcare Reimbursement Policies are generally based on national reimbursement determinations, along with state government program , https://www.uhcprovider.com/en/policies-protocols/commercial-policies/commercial-reimbursement-policies.html, Health (1 days ago) WebBelow is an sample list of insurance reimbursement rates for one national insurance company, with roughly the same license, LICSW , https://therathink.com/insurance-reimbursement-rates-for-psychotherapy/, Health (Just Now) WebThis comprehensive listing of fee maximums is used to reimburse a physician and/or other providers on a fee-for-service basis. They are not intended to address every aspect of a reimbursement situation. Administration fees for out-of-network providers will be based on CMS published rates. This code should be used when billing under Medicare Part B for clinical diagnostic laboratory tests that use high-throughput technologies to detect and diagnose COVID-19. Successful contract professional with demonstrated knowledge of payment models and rates, benefit coordination, reimbursement, cost-control incentives, legislative changes, contract preparation . These reimbursement rates apply unless otherwise specified by state regulations. When the patient presents to the physicians office with symptoms of the coronavirus, the physician should bill the appropriate evaluation and management code consistent with the level of history, exam and medical decision-making made. When Grouping services, the place of service, procedure code, charges, and individual provider for each line must be identical for that service line.. UAMBDN, UAMBRC, UAMBMI, UAMBMA, UAMBDM, UAMBMR, UAMBSS, AUMBMU, 2023 UnitedHealthcare | All Rights Reserved, Commercial Policy Benefits Plans for Providers, Reimbursement Policies for UnitedHealthcare Commercial Plans, Dental Clinical Policies and Coverage Guidelines, Medical & Drug Policies and Coverage Determination Guidelines for UnitedHealthcare Commercial Plans, UnitedHealthcare Oxford Clinical and Administrative Policies, UnitedHealthcare West Benefit Interpretation Policies, UnitedHealthcare West Medical Management Guidelines, Sign in to the UnitedHealthcare Provider Portal, Health plans, policies, protocols and guides, The UnitedHealthcare Provider Portal resources, 05/01/2021 UnitedHealthcare Commercial Reimbursement Policy Update Bulletin: May 2021, 07/01/2022 UnitedHealthcare Commercial Reimbursement Policy Update Bulletin: July 2022, 09/01/2022 UnitedHealthcare Commercial Reimbursement Policy Update Bulletin: September 2022, 1/1/2023 UnitedHealthcare Commercial Reimbursement Policy Update Bulletin: January 2023, 10/1/2022 UnitedHealthcare Commercial Reimbursement Policy Update Bulletin: October 2022, 11/1/2022 UnitedHealthcare Commercial Reimbursement Policy Update Bulletin: November 2022, 12/1/2022 UnitedHealthcare Commercial Reimbursement Policy Update Bulletin: December 2022, 2/1/2023 UnitedHealthcare Commercial Reimbursement Policy Update Bulletin: February 2023, 3/1/2023 UnitedHealthcare Commercial Reimbursement Policy Update Bulletin: March 2023, 4/1/2023 UnitedHealthcare Commercial Reimbursement Policy Update Bulletin: April 2023, Acupuncture Policy - Reimbursement Policy - UnitedHealthcare Commercial Plans, Add-on Codes Policy, Professional - UnitedHealthcare Commercial Plans, Advanced Practice Health Care Provider Policy, Professional - Reimbursement Policy - UnitedHealthcare Commercial Plans, After Hours and Weekend Care Policy - Reimbursement Policy - UnitedHealthcare Commercial Plans, Ambulance Policy, Professional - Reimbursement Policy - UnitedHealthcare Commercial Plan, Anesthesia Policy, Professional - Reimbursement Policy - UnitedHealthcare Commercial Plan, Assistant-at-Surgery Policy - Reimbursement Policy - UnitedHealthcare Commercial Plans, B Bundle Codes Policy, Professional - Reimbursement Policy - UnitedHealthcare Commercial Plans, Bilateral Procedures Policy, Professional - Reimbursement Policy - UnitedHealthcare Commercial Plans, Care Plan Oversight Policy, Professional - Reimbursement Policy - UnitedHealthcare Commercial Plans, CCI Editing Policy, Professional - Reimbursement Policy - UnitedHealthcare Commercial Plans, Clinical Laboratory Improvement Amendments (CLIA) ID Requirement Policy - Reimbursement Policy - UnitedHealthcare Commercial Plans, Co-Surgeon / Team Surgeon Policy, Professional - Reimbursement Policy - UnitedHealthcare Commercial Plans, Consultation Services Policy - Professional - Reimbursement Policy - UnitedHealthcare Commercial Plans, Contrast and Radiopharmaceutical Materials Policy, Professional - Reimbursement Policy - UnitedHealthcare Commercial Plans, Device, Implant, and Skin Substitute Policy, Facility - Reimbursement Policy - UnitedHealthcare Commercial Plans, Discarded Drugs and Biologicals Policy, Professional and Facility Policy - Reimbursement Policy - UnitedHealthcare Commercial Plans, Discontinued Procedure - Reimbursement Policy - UnitedHealthcare Commercial Plans, Drug Testing Policy, Professional - Reimbursement Policy - UnitedHealthcare Commercial Plans, Durable Medical Equipment, Orthotics and Prosthetics Policy, Professional - Reimbursement Policy - UnitedHealthcare Commercial Plans, Emergency Department (ED) Facility Evaluation and Management (E&M) Coding Policy - Facility - Reimbursement Policy - UnitedHealthcare Commercial Plan, Evaluation and Management (E/M) Policy, Professional - Reimbursement Policy - UnitedHealthcare Commercial Plans, From - To Date Policy, Professional - Reimbursement Policy - UnitedHealthcare Commercial Plans, Global Days Policy, Professional - Reimbursement Policy - UnitedHealthcare Commercial Plans, Hospital Based Ambulance Policy, Facility - Reimbursement Policy - UnitedHealthcare Commercial Plans, Inappropriate Primary Diagnosis Codes Policy, Professional - Reimbursement Policy - UnitedHealthcare Commercial Plans, Increased Procedural Services Policy, Professional - Reimbursement Policy - UnitedHealthcare Commercial Plans, Injection and Infusion Services Policy, Professional - Reimbursement Policy - UnitedHealthcare Commercial Plans, Inpatient Readmission Review Policy, Facility - Reimbursement Policy - UnitedHealthcare Commercial Plans, Inpatient Unacceptable Principal Diagnosis Policy, Facility - Reimbursement Policy - UnitedHealthcare Commercial Plans, Intensity Modulated Radiation Therapy Policy - Reimbursement Policy - UnitedHealthcare Commercial Plans, Intraoperative Neuromonitoring Policy, Professional - Reimbursement Policy - UnitedHealthcare Commercial Plans, Laboratory Services Policy, Professional - Reimbursement Policy - UnitedHealthcare Commercial Plans, Laboratory Services Respiratory Viral Panel Testing Policy, Facility - Reimbursement Policy - UnitedHealthcare Commercial Plans, Maximum Frequency Per Day Policy, Professional - UnitedHealthcare Commercial Plans, Microsurgery Policy, Professional - Reimbursement Policy - UnitedHealthcare Commercial Plans, Modifier Policy, Facility - Reimbursement Policy - UnitedHealthcare Commercial Plans, Modifier Reference Policy, Professional - Reimbursement Policy - UnitedHealthcare Commercial Plans, Modifier SU Policy, Professional - Reimbursement Policy - UnitedHealthcare Commercial Plans, Mohs Micrographic Surgery Policy, Professional - Reimbursement Policy - UnitedHealthcare Commercial Plans, Molecular Pathology Policy, Frequently Asked Questions - Reimbursement Policy - UnitedHealthcare Commercial Plans, Molecular Pathology Policy, Professional - Reimbursement Policy - UnitedHealthcare Commercial Plan, Multiple Procedure Payment Reduction (MPPR) for Diagnostic Cardiovascular and Ophthalmology Procedures Policy, Professional - Reimbursement Policy - UnitedHealthcare Commercial Plans, Multiple Procedure Payment Reduction (MPPR) for Diagnostic Imaging Policy, Professional - Reimbursement Policy - UnitedHealthcare Commercial Plans, Multiple Procedure Payment Reduction (MPPR) for Medical and Surgical Services Policy, Professional - Reimbursement Policy - UnitedHealthcare Commercial Plans, National Drug Code (NDC) Requirement Professional & Facility Policy - Reimbursement Policy - UnitedHealthcare Commercial Plans, New Patient Visit Policy, Professional - Reimbursement Policy - UnitedHealthcare Commercial Plans, Nonphysician Health Care Codes Policy, Professional - Reimbursement Policy - UnitedHealthcare Commercial Plans, Nonphysician Health Care Professionals Billing Evaluation and Management Codes Policy, Professional - Reimbursement Policy - UnitedHealthcare Commercial Plans, Observation and Discharge Policy, Professional - UnitedHealthcare Commercial Plans, Obstetrical Policy, Professional - Reimbursement Policy - UnitedHealthcare Commercial Plans, Once in a Lifetime Procedures Policy, Professional - Reimbursement Policy - UnitedHealthcare Commercial Plans, One or More Sessions Policy - Reimbursement Policy - UnitedHealthcare Commercial Plans, Outpatient From-to Date Policy, Facility - Reimbursement Policy - UnitedHealthcare Commercial Plans, Outpatient Hospital Add-on Codes Policy, Facility - Reimbursement Policy - UnitedHealthcare Commercial Plans, Outpatient Hospital Blood and Blood Products Policy, Facility - Reimbursement Policy - UnitedHealthcare Commercial Plans, Outpatient Hospital CCI Editing Policy, Facility - Reimbursement Policy - UnitedHealthcare Commercial Plans, Outpatient Hospital Inappropriate Primary Diagnosis Codes Policy, Facility - Reimbursement Policy - UnitedHealthcare Commercial Plans, Outpatient Hospital Maximum Frequency Per Day Policy, Facility - Reimbursement Policy - UnitedHealthcare Commercial Plans, Outpatient Hospital Observation Policy, Facility - Reimbursement Policy - UnitedHealthcare Commercial Plans, Outpatient Medical Visits Policy, Facility - Reimbursement Policy - UnitedHealthcare Commercial Plans, Outpatient Rehabilitation Therapy Services Policy, Facility - Reimbursement Policy - UnitedHealthcare Commercial Plans, Pediatric and Neonatal Critical and Intensive Care Services Policy, Professional - Reimbursement Policy - UnitedHealthcare Commercial Plans, Physical Medicine & Rehabilitation: Maximum Combined Frequency per Day Policy, Professional - Reimbursement Policy - UnitedHealthcare Commercial Plans, Physical Medicine & Rehabilitation: Multiple Therapy Procedure Reduction Policy, Professional - Reimbursement Policy - UnitedHealthcare Commercial Plans, Physical Medicine & Rehabilitation: PT, OT and Evaluation and Management Policy, Professional (1/1/2021), Physical Medicine & Rehabilitation: Speech Therapy Policy, Professional - Reimbursement Policy - UnitedHealthcare Commercial Plans, Preventive Medicine and Screening Policy - Reimbursement Policy - UnitedHealthcare Commercial Plans, Procedure and Place of Service Policy, Professional - Reimbursement Policy - UnitedHealthcare Commercial Plan, Procedure to Modifier Policy, Professional - Reimbursement Policy - UnitedHealthcare Commercial Plans, Professional/Technical Component Policy, Professional - Reimbursement Policy - UnitedHealthcare Commercial Plans, Prolonged Services Policy, Professional - Reimbursement Policy - UnitedHealthcare Commercial Plans, Rebundling Policy, Professional - Reimbursement Policy - UnitedHealthcare Commercial Plans, Replacement Codes Policy, Professional - Reimbursement Policy - UnitedHealthcare Commercial Plans, Robotic Assisted Surgery Policy, Professional - Reimbursement Policy - UnitedHealthcare Community Plan, Same Day / Same Service Policy - Reimbursement Policy - UnitedHealthcare Commercial Plans, Services and Modifiers Not Reimbursable to Healthcare Professionals, Professional Policy - Reimbursement Policy - UnitedHealthcare Commercial Plans, Services by Residents, Interns and Medical Students Policy, Professional - Reimbursement Policy - UnitedHealthcare Commercial Plans, Services Incident-to a Supervising Health Care Provider Policy, Professional - Reimbursement Policy - UnitedHealthcare Commercial Plans, Skilled Nursing Facility Prior Authorization and Inpatient Admission Process- UnitedHealthcare Medicare Advantage and Commercial Plans, Split Surgical Package Policy, Professional - Reimbursement Policy - UnitedHealthcare Commercial Plans, Supply Policy, Professional - Reimbursement Policy - UnitedHealthcare Commercial Plans, T Status Codes Policy, Professional - Reimbursement Policy - UnitedHealthcare Commercial Plans, Telehealth Policy, Facility - Reimbursement Policy - UnitedHealthcare Commercial Plans, Telehealth/Virtual Health Policy, Professional - Reimbursement Policy - UnitedHealthcare Commercial Plans, Time Span Codes Policy, Professional - Reimbursement Policy - UnitedHealthcare Commercial Plan, UnitedHealthcare Commercial Advance Notification Prior Authorization Requirements - Effective May 1, 2022, UnitedHealthcare Mid-Atlantic Health Plans Prior Authorization Requirements - Effective February 1, 2023, Urgent Care Policy, Professional - Reimbursement Policy - UnitedHealthcare Commercial Plans, Wrong Surgical or Other Invasive Procedures Policy, Professional and Facility - Reimbursement Policy - UnitedHealthcare Commercial Plans. This reimbursement policy applies to all professionals who deliver health care services. Finally, this policy may not be implemented in exactly the same way on the different electronic claim processing systems used by UnitedHealthcare due to programming or other constraints; however, UnitedHealthcare strives to minimize these variations. Health (2 days ago) WebThere is a nationwide network of more than 1.2 million UnitedHealthcare Empire Plan participating providers, including over 70,000 Managed Physical Network (MPN) , National guard mental health requirements, Government guideline for health in school, 2021 health-improve.org. The Budget Reimbursement Coordinator a ssists in the development of the annual statistical, revenue, salary, supply and expense budgets for the Medical Center under the direction of the Corporate . For example, a patient visits your urgent care center, and you perform labs and an x-ray. UnitedHealthcare, Insurers Put Heat on Doctors to Cut Costs Health (2 days ago) WebBut all of the company's contracts with UnitedHealthcare account for $350 million to $400 million, or 10% to 12%, of Mednax's annual revenue. The city you practice in will have a larger impact on your insurance reimbursement rates for psychotherapy than the state you pick. Behavioral health products provided by U.S. Behavioral Health Plan, California (USBHPC), United Behavioral Health (UBH), or its affiliates. Pharmacies will be allowed to bill UnitedHealthcare directly for the costs associated with the administration of COVID-19 vaccines. Tim Kaja, Chief Operating Officer, UnitedHealthcare Networks, offers guidance on how practices should bill for COVID-19 initial office visits. Medi-Cal's major rate changes, if they occur, are usually initiated after enactment of the budget act in June . Bubble plot of hospital rankings by quartiles for rates of surgical site infection after colon surgery by National Healthcare Safety Network . Pennsylvania - PA. $90-$110. We will reimburse COVID-19 testing in accordance with applicable law, including the CARES Act. Their reimbursement rates for counselor, psychologists, and psychiatrists are as follows. You can review the details on reimbursement policy updates through the following: 2023 UnitedHealthcare | All Rights Reserved, 08/2021: Reimbursement Policy Update Bulletins: August 2021, 2021 Policy and Protocol featured articles, 06/2021: How were assessing emergency department facility commercial claims, 06/2021: Medical Policy Update Bulletins: June 2021, 06/2021: Reimbursement Policy Update Bulletins: June 2021, 06/2021: Specialty Medical Injectable Drug Program Updates, 06/2021: Louisiana: Submit a complete inpatient authorization request, 06/2021: Oncology specialty pharmacy requirement delay, 07/2021: New York: Injectable cancer therapy update, 07/2021: Medicaid 3rd Quarter 2021 preferred drug list, 07/2021: Specialty Pharmacy Drug List update, 07/2021: Commercial plan prescription drug list update, 07/2021: Specialty Medical Injectable Drug Program Updates, 07/2021: Medical Policy Update Bulletins: July 2021, 07/2021: Reimbursement Policy Update Bulletins: July 2021, 07/2021: 20212022 Preferred Lab Network expansion, 07/2021: Radiation therapy authorization requirements for Medicaid, 08/2021: Medicaid: New facet injection codes for prior authorization in select states, 08/2021: Specialty Medical Injectable Drug Program Updates, 08/2021: Medical Policy Updates August 2021, 08/2021: New Jersey: Medicaid prior authorization requirements for certain therapy services, 08/2021: New states in-scope for naviHealth post-acute care, 08/2021: Radiation therapy prior authorization for Oxford Health Plan, 08/2021: Kentucky: Prior authorization and site of service update, 08/2021: Maryland: New outpatient injectable drug requirements, 08/2021: New Jersey: Updated codes for early elective delivery prior authorization, 08/2021: West Region: Medical provider remittance advice wont be mailed after October, 08/2021: Electronic payments required for UnitedHealthcare Community Plan of Arizona, 08/2021: August 2021 Network Bulletin overview, 08/2021: Prior authorization code updates for commercial plans, 09/2021: Specialty Medical Injectable Drug Program updates: September 2021, 09/2021: Reimbursement Policy Update Bulletins: September 2021, 09/2021: Medical Policy Update Bulletins: September 2021, 09/2021: September 2021 Network Bulletin overview, 09/2021: Radiology prior authorization updates, 09/2021: Pennsylvania and New Jersey: Hysterectomy prior authorization criteria change, 09/2021: States Added to Medical Review for Self-administered Drugs, 09/2021: Medicare Advantage Service Area Reductions 2022, 09/2021: Southeast and Central: Medical PRAs wont be mailed after November, 09/2021: Mississippi: Electronic payments required for UnitedHealthcare Community Plan, 09/2021: Tufts Freedom Health Plan policy update, 09/2021: Texas: Maternal level-of-care reimbursement, 10/2021: Medical Policy Update Bulletins: October 2021, 10/2021: Reimbursement Policy Update Bulletins: October 2021, 10/2021: Specialty Medical Injectable Drug Program updates: October 2021, 10/2021: Kentucky: Prior authorization and site of service update, 10/2021: Medicare: Changes to outpatient prior authorization process for non-oncology drugs, 10/2021: Medicare: Prior authorization required for oncology anti-emetics, 10/2021: New York: Update to injectable cancer therapy effective date, 10/2021: Medicare: New required Part B step therapy prior authorizations, 10/2021: Specialty pharmacy drug list update, 10/2021: New Jersey: 2022 referral update, 10/2021: 2022 UnitedHealthcare Individual Exchange plans, 10/2021: Policy and protocol updates in 2022, 10/2021: Genetic and molecular testing updates, 10/2021: October 2021 policy and protocol updates overview, 10/2021: Medicaid: Prior authorization changes coming in Texas, 11/2021: 2022 changes to the Medicare Advantage hospice benefit, 11/2021: Medical Policy Update Bulletins: November 2021, 11/2021: Nebraska: Heritage Health Adult benefit expansion, 11/2021: Correction: Pain management and injection prior authorization, 11/2021: Prior authorization and site of service updates, 11/2021: Reimbursement Policy Update Bulletins: November 2021, 11/2021: Changes to electrophysiology implant prior authorization, 11/2021: Specialty pharmacy drug list update, 11/2021: New health plan for Massachusetts dual-eligible members, 11/2021: Medicare and D-SNP: Prior authorization and site of service expansion, 11/2021: Prior authorization changes for private duty nursing, 11/2021: Arizona: Changes to facet injection codes for prior authorization, 11/2021: Commercial plan 2022 prescription drug list update, 11/2021: Specialty Medical Injectable Drug Program updates: November 2021, 11/2021: UnitedHealthcare committed to price transparency and disclosure, 11/2021: Cardiac event monitoring prior authorization change, 11/2021: Northeast: Medical PRAs going paperless in February, 11/2021: Medicare new prior authorization requirement that includes clinical submission, 11/2021: November 2021 policy and protocol overview, 11/2021: New Medicare Advantage plans for 2022, 11/2021: Appeal decision letters wont be mailed in 2022, UnitedHealthcare Community Plan Reimbursement Policy Update Bulletin: November 2021, 12/2021: Reimbursement Policy Update Bulletins: December 2021, 12/2021: Medical Policy Update Bulletins: December 2021, 12/2021: Specialty Medical Injectable Drug program updates: December 2021, 12/2021: Exchange plans: Prior authorization not required for outpatient therapy services, 12/2021: Radiology prior authorization update delay, 12/2021: District of Columbia: Electronic payments required for UnitedHealthcare Community Plan, 12/2021: Massachusetts: Prior authorization and site of service update, 12/2021:Texas: Medicaid prior authorization changes for 2022, 12/2021: New prior authorization requirements for Individual Exchange plans, 12/2021: December 2021 policy and protocol updates overview, Reimbursement Policy Update Bulletin: December 2021, Sign in to the UnitedHealthcare Provider Portal, Health plans, policies, protocols and guides, The UnitedHealthcare Provider Portal resources, UnitedHealthcare Commercial Plan Reimbursement Policies Update Bulletin: August 2021, UnitedHealthcare Community Plan Reimbursement Policies Update Bulletin: August 2021, UnitedHealthcare Individual Exchange Plan Reimbursement Policies Update Bulletin: August 2021, UnitedHealthcare Medicare Advantage Reimbursement Policy Update Bulletin: August 2021.

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