UHC Community Plan Reimbursement Policy Updates
UnitedHealthcare Community Plan has published a new reimbursement policy regarding ICD-10 diagnosis coding on a UB-04 claim form. The states that are impacted by this new policy include the following: Arizona California Florida Hawaii Maryland Michigan Mississippi Missouri Nebraska New Jersey New York Ohio Pennsylvania Texas Virginia Washington Wisconsin The effective date is June 1, 2021 for all of the above states except for New York and Texas. The effective date for New York and Texas is July 1, 2021. This new policy will deny claims where an inappropriate diagnosis is in Box 67 on a UB-04 claim form or