Letters

UnitedHealthcare Revisits Imaging Prior Authorization Requirements

  • Reimbursement and Practice Management

Re: Your Inquiry About United Healthcare’s Prior Authorization Requirements for Uploading Radiographic Images

Dear Doctors Wilson, Kalkanis and Steinmetz,

Thank you for contacting us about United Healthcare’s prior authorization requirements for uploading radiographic images. In you June 23, 2020 letter, you shared your concerns about the new documentation requirements. We appreciate your insights and want to provide you some additional information.

We announced changed to our documentation requirements in the March 2020 Medical Policy Update Bulletin, which became effective in most states on April 1, 2020. The changes in documentation requirements were made to help our clinical team conduct clinical coverage reviews and better evaluate criteria based on medical policy and/or Milliman Care Guidelines (MCG).

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