Posted in #reimbursement, #unitedhealthcare, Prior Authorization Insurance Carrier Updates, Training

Musculoskeletal surgical services prior auth change for FL UHC plans

This authorization process change affects FL ASO and fully insured plan types.


Please note that after any DOS 5/1/2025, Turning Point Healthcare Solutions LLC will take over the authorization process for musculoskeletal surgical procedures.

Starting April 21st 2025 the providers should start to contact the TurningPoint to request an authorization.

Please contact Turning Point Healthcare via phone/fax: 904-895-4007/904-544-8025 or sign up on their portal: https://www.myturningpoint-healthcare.com/


This change does not apply to the following plan types:

Commercial plans of members who reside in the U.S. Virgin Islands
Optum Care®
Surest®
UMR™
UnitedHealthcare Individual Exchange plans (also referred to as UnitedHealthcare Individual & Family ACA Marketplace plans)
WellMed®


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Author:

My name is Kate Patskovska, CPB. I am an Independent Medical Biller CPB (AAPC), AAPV Approved Instructor; and an owner of KR2 Medical Billing. I create educational material including blogs, presentations that focus on topics of medical billing, medical coding and reimbursement in healthcare.

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