June Bulletin – UnitedHealthcare Updates

UnitedHealthcare Updates UnitedHealthcare released plan updates for June 2022.  All plan updates can be found here: UnitedHealthcare Community Genetic testing for hereditary cancer Cardiovascular disease risk tests More than a dozen medication updates UnitedHealthcare Commercial Macular degeneration treatment procedures Ambulance services Liposuction for lipedema UnitedHealthcare Medicare Advantage Cardiac procedures, including pacemakers and defibrillators Urinary and […]


PAYER ID CHANGES FOR 2021 The first half of 2021 has seen a lot of Payer ID and/or claims address changes. Making sure claims are submitted to the correct Payer ID will prevent delays in payments and an increased amount of denials. Below are some payer ID updates to make note of and update. CHAMPVA […]

It’s Flu Season – What you need to know!

It’s Flu Season! The 2020 – 2021 flu season is here and with COVID-19 still circulating, it’s more important than ever to get a flu vaccine. Since both the flu and COVID-19 have some similar symptoms, the Center for Disease Control and Prevention recommends that all persons 6 months and older receive a flu vaccine. […]

Medicare Issues Reminder on Submission of Duplicate Claims

The Centers for Medicare & Medicaid Services (CMS) has issued a reminder about submitting duplicate claims to Medicare in a recent issue of the Medicare Quarterly Provider Compliance Newsletter (pdf). As Medicare notes, submitting duplicate claims for the same service encounter is inappropriate. Medicare does not make payment for duplicate claims that a provider may […]

#1 Physician Complaint About Payers: Claims Denials

In a new survey by Medscape, physicians identified denial of claims as the worst experience they have with insurance companies. According to the survey’s results, published in the “Insurer Ratings Report 2014,” claims denials were the most frequently as well as the most intensively described negative experience. Medscape also asked physicians to rate payers on […]