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
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