BILLING NEWS

UnitedHealthcare Genetic and Molecular Testing Prior Authorization Requirement

During the third quarter of 2017, UnitedHealthcare will implement a national online prior authorization program for genetic and molecular testing performed in an outpatient setting for UnitedHealthcare members. Care providers who request laboratory testing will be required to complete the prior authorization process.  The participating laboratories will be responsible for determining if an authorization has been received; services rendered without an authorization will be denied and the member can’t be balance billed. If an authorization has not been granted, the participating laboratory staff should contact the ordering care provider to request a prior authorization. Laboratory services ordered for members in Florida with a BeaconLBS logo on their identification card will not be required to participate in this requirement due to their participation in the UnitedHealthcare Laboratory Benefit Management Program.


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INDUSTRY NEWS TAGS: UnitedHealthcare


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