Network Bulletin

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.

Managing Emails You Receive from UnitedHealthcare

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.

Retiring Fax Numbers Update

Community Plan

New electronic processes for Community Plan of Rhode Island newborn notifications and Community Plan of Washington Exception to Rule requests. 

See the Details

Utah PRAs to Go Paperless

Commercial | Community Plan | Medicare

Utah provider payments for paper provider remittance advice (PRA) will no longer be printed and mailed.  

Learn More

New York Payment Policy Change

Community Plan

Learn more about what codes will be included as reimbursable for Outpatient Physical and Occupational Therapy Policy.

View More

Genetic and Molecular Prior Authorization Update

Community Plan

This update is for Kansas and Ohio UnintedHealthcare Community Plan. 

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New Inhaled Nitric Oxide Medical Policy

Community Plan

Florida will soon be in scope for the Community Plan New Inhaled Nitric Oxide Medical Policy. 

See the Update

Medicare Advantage Service Area Reductions

Medicare

Annual evaluations may lead to service area reduction and plan terminations for 2021.

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Billing Updates for Multiple Home Health Visits

Commercial | Community Plan | Medicare

Performing three key steps to improve the payment process when billing for multiple home health visits just got easier.

See the Update

Prior Authorization and Site of Service Review

Medicare

Some prior authorization and site of service reviews implementation dates are being delayed.

Read the Update