United to Add Lab, Change Lab and Other Policies
By Ellen Terry

Docbook_CPL

Starting Jan. 1, 2019, UnitedHealthcare (UHC) will use Quest Diagnostics, in addition to LabCorp, as in-network laboratories for all UHC members (excluding existing lab capitation agreements).

LabCorp will continue as UHC’s exclusive lab provider until then.

Payment Policies Revisions

UHC will revise the following policies for commercial plans, effective Dec. 1 (see UHC’s September Network Bulletin, p. 22, for details): 

 

  • Injection and Infusion Services,
  • Laboratory Services, and
  • Supply.  

 

In addition, UHC has updated its Interoperative Neuromonitoring Policy (for commercial plans, Medicare Advantage, and Community Plan Medicare) as of Sept. 1. The revision includes place of service (POS) 24 (in addition to POS 19, 21, or 22) as acceptable for CPT codes 95940 and 95941. POS 24 represents an ambulatory surgical center.

The Texas Medical Association’s payment specialists continuously review health care payment plans’ newsletters and updates for items important to Texas physicians. Texas Medicine Today periodically publishes key excerpts from those newsletters that you might have missed.

If you have questions about billing and coding or payer policies, contact the specialists at paymentadvocacy[at]texmed[dot]org for help, or call the TMA Knowledge Center at (800) 880-7955. TMA members can use the TMA Hassle Factor Log to help resolve insurance-related problems. Visit www.texmed.org/GetPaid for more resources and information. 


Last Updated On

October 04, 2018

Related Content

Coding | Insurance | United HealthCare

Ellen Terry

Project Manager, Client Services

(512) 370-1391

Ellen Terry has been writing, editing, and managing communication projects at TMA since 2000. She hails from Victoria, Texas; has a journalism degree from Texas State University; and loves to read great fiction. Ellen and her husband have two grown sons and a couple of cats.

More stories by Ellen Terry