Billing Beat

UHC – Reconsideration and appeal submissions going digital

February 5, 2023

Affects network commercial and Medicare Advantage health care professionals and facilities

In 2023, our work to replace paper with digital tools will shift to eliminating paper you send to us. This change will eliminate postal wait times and may help you get decisions faster.

As a result, beginning Feb. 1, 2023, you’ll be required to submit claim reconsiderations and post-service appeals electronically. This change affects most* network health care professionals (primary and ancillary) and facilities that provide services to commercial and UnitedHealthcare® Medicare Advantage plan members. This does not affect pre-service clinical appeals.

Source: https://www.uhcprovider.com/en/resource-library/news/2022/inbound-appeals-reconsiderations-digital.html?cid=em-providernews-PCA12204094-jan23

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