If you are a provider that participates in UHC Gold Program, then this blog post is for you!

What is the update?

• Certain codes no longer require prior auth and therefore will be removed from Gold Card Program List

Affected Plans:

• UHC commercial
• UHC Exchange Individual
• UHC Medicare Advantage and
• UHC Community

Updated list, effective 4/1/26:

For the complete list, please click here.

Find this information useful? Follow my blog for more!

• FidelisCare: pre- pay claim review for COB – third party payers
• Tobacco screening services- proper coding and billing- UPMC Community Behavioral Health Org:UPMC Community Behavioral Health Org
• Are you using the proper Anesthesia codes for fascial plane blocks?
• HighMark BCBS: reimbursement for massage therapy services
• NYS Medicaid: reduce denials MAT/ OASAS services-