UHC Prior authorization reduction equals nearly 20 percent of overall volume

To help reduce the administrative burden on health care professionals and their staff, starting Sept. 1, 2023, we’ll begin a two-phased approach to eliminate the prior authorization requirement for many procedure codes. Together, these code removals account for nearly 20% of UnitedHealthcare’s overall prior authorization volume.

Timing

We’ll eliminate the codes in 2023 as follows:

• On both Sept. 1 and Nov. 1: UnitedHealthcare® Medicare Advantage, UnitedHealthcare commercial, UnitedHealthcare Oxford and UnitedHealthcare Individual Exchange plans*
• Nov. 1 only: UnitedHealthcare Community Plan
• UHC Commercial: https://www.uhcprovider.com/content/dam/provider/docs/public/resources/news/2023/codes/PP-prior-auth-reductions-Commercial.pdf

Source: https://www.uhcprovider.com/en/resource-library/news/2023/medical-prior-auth-code-reduction-august.html?cid=em-providernews-2023nnb2-aug23