UnitedHealth Shares More Details About Prior Authorization Cutbacks

Several months after UnitedHealthcare first revealed that it would eliminate “nearly 20%” of current prior authorizations, the health insurance giant has outlined which specific procedure codes will be subject to the PA-elimination effort.

In an Aug. 1 bulletin to health care providers, UnitedHealthcare said it will remove PA requirements from five of its benefit plans in a two-phased approach. On both Sept. 1 and Nov. 1, the insurer will eliminate PA for select sets of procedure codes in its Medicare Advantage, commercial, Oxford and individual exchange plans. The company will eliminate a swath of PA codes in its UnitedHealthcare Community Plan (for Medicaid enrollees) on Nov. 1.

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Leslie Small

Leslie Small

Leslie has been reporting and editing in various journalism roles for nearly a decade. Most recently, she was the senior editor of FierceHealthPayer, an e-newsletter covering the health insurance industry. A graduate of Penn State University, she previously served in editing roles at newspapers in Pennsylvania, Virginia and Colorado.

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