United Healthcare Test Code Requirement

Effective January 1, 2021, United Healthcare (UHC) requires that laboratories submit test codes along with test name and CPT code. UHC will deny any submitted claims for clinical and pathology testing that do not contain the laboratory’s unique test code.

In order to comply with this new requirement, hospitals must enter their test codes into the UHC website by December 1, 2020. For your reference, UHC has provided a FAQ and instruction guide.

FAQ

Test Registry Reference Guide

 

 

For more information, read:

UHC Policy:  https://www.uhcprovider.com/en/policies-protocols/lab-test-registry.html

XiFin Update:  https://www.xifin.com/resources/blog/202007/how-upcoming-changes-united-health%E2%80%99s-laboratory-test-registry-may-impact-your

American Hospital Association requesting UHC to reconsider: https://www.aha.org/news/headline/2020-08-14-aha-urges-unitedhealthcare-backtrack-new-lab-test-policy  

Jane Hermansen, MBA, MT(ASCP)

Jane Hermansen, MBA, MT(ASCP)

Jane Hermansen is the manager for Outreach Development for Mayo Clinic Laboratories and has worked at Mayo Clinic since 1988. Outside of work, Jane is an active industry volunteer (CLMA), is a burgeoning gardener, and a proud mom and grandma.