Posted in #reimbursement, #unitedhealthcare, NY Providers, Payers and CPT reinbursement, Training

NYS UHC Community Plan OBGYN required codes

Are you an OBGYN that practices in NYS and accepts UHC Community Plan? Then this blog post is for you.

As per UHC Community Health Plan announcement the claims need to be submitted with the additional codes:

0500F – Initial prenatal visit
0502F – Subsequent prenatal visit
0503F – Postpartum visit 

These codes are not reimbursed separately and are only used for HEDIS reporting.

Please do not forget to bill the proper OBGYN codes (global, etc) in order to get reimbursement.


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Posted in #reimbursement, #unitedhealthcare, Updates

UHC new address for contract coorespondence

Please note that this address is only for official contract related notices and NOT for claims correspondence. For claims questions or submission/remittance please use the address that is on the back of the patient’s card.

You can also go on unitedhealthcare portal for reimbursement policies, fee schedules and/or contract and credentialing information. https://identity.onehealthcareid.com/oneapp/index.html#/login


New Mailing address:

UnitedHealthcare

Attn: Network Market VP MN103

6022 Blue Circle Drive

Minnetonka, MN 55343


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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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