In response to the COVID-19 public health emergency, we are delaying implementation of the Laboratory Test Registry Protocol to 1/1/2021. To ensure compliance with these requirements, free standing and outpatient hospital lab providers should register their laboratory tests prior to December 1, 2020.
Effective January 1, 2021, claims for most laboratory test services must contain your laboratory’s unique test code for each service. Additionally, each test code submitted on a claim must match a corresponding laboratory test registration provided in advance to us, or we will deny the claim. To ensure compliance with these requirements, free standing and outpatient hospital lab providers should register their laboratory tests prior to December 1, 2020.
These requirements apply to most UnitedHealthcare Commercial, Medicare Advantage and UnitedHealthcare Community Plan networks.
Registering your laboratory services and placing test codes on your laboratory claim doesn’t necessarily guarantee that UnitedHealthcare will pay the claim. Payment for covered services is based on the member’s eligibility on the date of the service, any claim processing requirements, and the terms of your Participation Agreement.
In order to access secure content on UHCprovider.com to submit claims, verify eligibility or to check for prior authorization requirements, you’ll need to create an Optum ID.
If you need technical help, please email or call our Help Desk at 866-842-3278, option 1. Representatives are available Monday - Friday 7 a.m. - 9 p.m. Central Time.