If you are a provider located in Missouri and accepts UHC Community Health members then make sure your office is compliant and adheres to the following appointment availability standards.

Allowable patient wait times (in office)- 1 hour from the scheduled appt time.

Providers also have to have after hour coverage- acceptable are the following:

• Answering service-comnects the member directly with provider, contacts the provider and then provider returns the call, or provides the member with the direct phone number to the provider/covering
• Voice mail message that has the phone number for the provider and/or covering after office hours
• Voice mail includes the 911 message in case of emergencies

Not acceptable- when the member calls and the is placed on hold for more than 5 min

Find this type of content useful? Follow my blog for more!

• UHC MO community provider appt availability
• Healthfirst Lab Prior auth updated list
• Aetna: Pre-auth requirenments changes
• Fideliscare: E/M reimbursement policy
• Oscar Health: member appeals info