UnitedHealthcare Billing Update

UnitedHealthcare Update Summary

The following resources will help you quickly reference the effective dates for UnitedHealthcare’s temporary benefit, program and procedure changes related to COVID-19.  This information is also a reference of UnitedHealthcare billing guidelines for services such as COVID-19 testing, treatment and telehealth.

United Healthcare’s Summary of COVID-19 Dates by Program outlines the beginning and end dates of program, process or procedure changes that UnitedHealthcare implemented as a result of COVID-19. Full details of these changes, including applicable benefit plans and service information, is online.

UnitedHealthcare COVID-19 Billing Update

Please be aware of the following key dates:

  • June 1 – All currently effective prior authorization requirements and site of service reviews resume.
  • June 30 – Claims with a date of service on or after Jan. 1, 2020 will not be denied for timely filing if submitted by June 30, 2020.
  • July 24 – COVID-19 telehealth service coverage and related cost-share waivers for Individual and fully insured Group Market health plan members are extended through July 24, 2020. We’ll adhere to state regulations for Medicaid plans.
  • Sept. 30 – Cost share is waived for Medicare Advantage members for both primary and specialty office care visits, including telehealth, through Sept. 30, 2020.

UnitedHealthcare Billing Guidance

To help you understand how UnitedHealthcare will reimburse services during the national public health emergency period, please download the COVID-19 Provider Billing Guidance. It outlines billing codes and modifiers. Because guidance may change, please check regularly for updates.

UnitedHealthcare COVID-19 Update And Other Key Reminders

  • Mental Health Resources for Health Care Professionals: Resources and support are available to help you focus on, manage and understand your mental and physical well-being during this challenging time.
  • HouseCalls and Optum at Home Visits: These visits resumed in some markets on May 22, 2020. We are continuing virtual visits in other markets and will continue to evaluate and resume in-person visits where possible.
  • Antibody Test Registration: We’re asking all laboratories and health care professionals who perform COVID-19 antibody tests to register the tests they use. The registration with United takes only a few minutes to complete.
  • For more information or to see current updates from United Healthcare, please visit  UHCprovider.com/covid19.

More information about Primoris Credentialing Network

Primoris Credentialing Network is a NCQA Credentialing Accredited specializing in credentialing and provider enrollment with 54+ health plan and network provider enrollment options. Primoris is a family member of Fifth Avenue Healthcare Services. Sister companies include 5ACVO (credentialing and primary source verification specialists) and Fifth Avenue Agency (MPLI and medical malpractice specialists).

Primoris Credentialing Network originally published this article here. For more information on Primoris Credentialing Network, please visit PrimorisCredentialingNetwork.com or Contact Us.

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