Network Bulletin

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

Network Bulletin Network Bulletin

February Features

Non-Patient Lab Reimbursement Limitation Non-Patient Lab Reimbursement Limitation

Hospital Reference Lab Protocol

Starting with claims paid on May 1, 2020, hospitals acting as a Reference Laboratory must be contracted as a Reference Laboratory.

Get Ready for the CAHPS/HOS Season Get Ready for the CAHPS/HOS Season

Get Ready for the CAHP/HOS Season

Your patients may be participating in a survey initiative that may impact your care and interactions with them.

New Requirements for Percutaneous PFO Closure New Requirements for Percutaneous PFO Closure

New Requirements for Percutaneous PFO Closure

Effective May 1, 2020, we’re introducing a required notification/prior authorization process for Percutaneous Patent Foramen Ovale (PFO) Closure for UnitedHealthcare commercial members.

Enhance the Way You Prescribe Medicine Enhance the Way You Prescribe Medicine

Enhance the Way You Prescribe Medicine

PreCheck MyScript® (PCMS) is a prescription price tool to help save time, reduce administrative tasks and may lower costs for your patients.

MA Benefit Plans Expanding in 2020 MA Benefit Plans Expanding in 2020

MA Benefit Plans Expanding in 2020

This year our Medicare Advantage plans are expanding across 43 states, potentially boosting the impact you can have on patients near you.

Prior Authorization Submission Enhancements Prior Authorization Submission Enhancements

Prior Authorization Submission Enhancements

You can do more, faster with the new enhancements to our Prior Authorization and Notification (PAAN) tool on Link.


Archives

UnitedHealthcare Care Provider Administrative Guide for Commercial and Medicare Advantage Plans UnitedHealthcare Care Provider Administrative Guide for Commercial and Medicare Advantage Plans

UnitedHealthcare Care Provider Administrative Guide for Commercial and Medicare Advantage Plans

We post this essential resource on UHCprovider.com/guides annually on Jan. 1.

We want to improve the health of every individual with UnitedHealthcare’s Individual Health Record. We want to improve the health of every individual with UnitedHealthcare’s Individual Health Record.

Now Available: Individual Health Record™

We want to improve the health of every individual with UnitedHealthcare’s Individual Health Record. 

To support care providers in our network, UnitedHealthcare offers a claims optimization tool called Smart Edits. To support care providers in our network, UnitedHealthcare offers a claims optimization tool called Smart Edits.

Bringing You Smart Edits in the New Year

To support care providers in our network, UnitedHealthcare offers a claims optimization tool called Smart Edits.

Prepare Today for Patients with Bind On-Demand Health Insurance Prepare Today for Patients with Bind On-Demand Health Insurance

Prepare Today for Patients with Bind On-Demand Health Insurance

On Jan. 1, 2020, Bind on-demand health insurance will be available to all UnitedHealthcare employer groups across the nation

Beginning in January 2020, we may contact you to request member-specific medical records. Beginning in January 2020, we may contact you to request member-specific medical records.

HEDIS® 2020 Medical Record Collection Overview

Beginning in January 2020, we may contact you to request member-specific medical records.

UnitedHealthcare NexusACO® Benefit Plans Will Expand Access in 2020 UnitedHealthcare NexusACO® Benefit Plans Will Expand Access in 2020

UnitedHealthcare NexusACO® Benefit Plans Will Expand Access in 2020

Membership in the UnitedHealthcare NexusACO benefit plans is continuing to grow. Starting Jan. 1, 2020, even more members will have access to the UnitedHealthcare NexusACO plans.

UnitedHealthcare Preferred Lab Network Inviting Labs to Apply UnitedHealthcare Preferred Lab Network Inviting Labs to Apply

UnitedHealthcare Preferred Lab Network Inviting Labs to Apply

The annual application process for admission to the UnitedHealthcare Preferred Lab Network is now open.

UnitedHealthcare Will Reward Care Providers through Cancer Program UnitedHealthcare Will Reward Care Providers through Cancer Program

UnitedHealthcare Will Reward Care Providers through Cancer Program

The new Cancer Therapy Pathways Program promotes the use of evidence-based and cost-effective regimens.

Expansion of Dual Special Needs Plan – UnitedHealthcare Dual Complete Expansion of Dual Special Needs Plan – UnitedHealthcare Dual Complete

Enhancements Help Streamline Prior Authorization

We’ve made enhancements to our Prior Authorization and Notification tool on Link to improve the online submission process.