united healthcare

  1. C

    Wiki Telehealth

    Hi... We're looking for help for a United Health Commercial member. Our patient had a telephone only visit with our physician in January 2022. We used CPT code G2012 only, as we used all of 2021. Our claim has been denied multiple times, and United is telling us that we need to use a primary...
  2. T

    Wiki United Healthcare/Optum OON changes effective 7/1/21

    Hello, The SUD facility I work for is OON with this payer and was recently made aware that effective 07/01/2021 United Healthcare/Optum updated its coverage of OON benefits to exclude coverage of OON services provided outside of the member's "service area" Oddly the written announcement was...
    • TashaCPB
    • Thread
    • 07012021 benefits coverage coverageupdates fullyinsuredplans membersservicearea oon optum outofnetwork united healthcare
    • Replies: 0
    • Forum: Billing/Reimbursement
  3. J

    Wiki Receiving Lab denials from UHC when using Z codes

    Hello! I have been noticing an issue with United HealthCare where they are denying our lab claims for medical necessity if the first dx is a Z code. The lab charges vary but I tend to see that a lot of the time labs such as CBB w/ dif, Lipid panel, and Hemoglobin A1C are the ones being denied...
  4. C

    Wiki Out of network billing!!

    Hello! Our practice just became in network with UHC as of June. Our effective date was 6/22/18, there was miscommunication with the rep from UHC and the person in our company who signed the contract. The person was under the impression that once the contract was signed and submitted back to the...
  5. J

    Wiki United HealthCare Bundling

    United Healthcare has started retracting our confirmation of pregnancy visits once the delivery has been billed. The confirm is billed w/ Z32.00 (pregnancy test, result unknown) and they follow up with a dating u/s for viability. Global doesn't start until the following appointment. I have...
  6. N

    Wiki United Healthcare DME Supply Denials

    Our office is going crazy with these United Healthcare (Medicare Advantage Program) denials! I am hoping that someone else might be going through the same difficulty. We are a 3rd Party supplier/billing/coding company for DME supplies in nursing homes - generally when a patient finishes their...
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