SUMMARY: The following resources will help you quickly reference the effective dates for UnitedHealthcare’s temporary benefit, program, and procedure changes related to COVID-19.
This information also refers to UnitedHealthcare billing guidelines for COVID-19 testing, treatment, and telehealth services.
Program Date Summary
United Healthcare’s Summary of COVID-19 Dates by Program outlines the beginning and end dates of program, process, or procedure changes that UnitedHealthcare implemented due to COVID-19. Full details of these changes, including applicable benefit plans and service information, are online.
Please be aware of the following key dates:
- June 1 – All effective prior authorization requirements and site of service reviews resume.
- June 30 – Claims with a service date on or after Jan. 1, 2020, will not be denied for timely filing if submitted by June 30, 2020.
- July 24 – COVID-19 telehealth service coverage and related cost-share waivers for Individual and fully insured Group Market health plan members are extended through July 24, 2020. We’ll adhere to state regulations for Medicaid plans.
- Sept. 30 – Cost share is waived for Medicare Advantage members for primary and specialty office care visits, including telehealth, through Sept. 30, 2020.
Billing Guidance
To help you understand how UnitedHealthcare will reimburse services during the national public health emergency period, please download the COVID-19 Provider Billing Guidance. It outlines billing codes and modifiers. Because guidance may change, please regularly check for updates.
Other Key Reminders
- Mental Health Resources for Health Care Professionals: Resources and support are available to help you focus on, manage and understand your mental and physical well-being during this challenging time.
- HouseCalls and Optum at Home Visits: These visits resumed in some markets on May 22, 2020. We are continuing virtual visits in other markets and will continue to evaluate and resume in-person visits where possible.
- Antibody Test Registration: We’re asking all laboratories and healthcare professionals who perform COVID-19 antibody tests to register the tests they use. The registration with United takes only a few minutes to complete.
- For more information or to see current updates from United Healthcare, please visit UHCprovider.com/covid19.
More information about Fifth Avenue Healthcare Services
Fifth Avenue Healthcare Services is a NCQA Credentialing Accredited family of healthcare companies. Sister companies include 5ACVO (credentialing and primary source verification specialists), Fifth Avenue Agency (MPLI and medical malpractice insurance specialists), and Primoris Credentialing Network (credentialing and provider enrollment specialists with 54+ health plan and network provider enrollment options).
For information on Fifth Avenue Healthcare Services, please visit FifthAvenueHealthcareService.com or Contact Us.
