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02/09/26

UnitedHealthcare to Enforce Excludes 1 Diagnosis Guidelines

UnitedHealthcare has announced they will begin enforcing the application of Excludes 1 guidelines across all claim types to include outpatient and professional claim types. This will include outpatient therapy services. To learn about Excludes 1 and diagnosis coding, read this article. The effective date of UHC enforcing the application of Excludes 1 guidelines is

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08/25/25

UnitedHealthcare Revises Outpatient Therapy Policy: September 2025

UnitedHealthcare (UHC) has revised their outpatient physical, occupational, and speech therapy policy. Revisions include the following: To access the revised policy, click

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08/25/25

CPT Codes Not Reimbursed by UnitedHealthcare Community Plan

Are you a speech-language pathologist (SLP)? Does your practice or organization provide speech therapy services? If you are answered yes to either question, you will want to read this article. UnitedHealthcare (UHC) Community Plan has published a list of CPT codes that are not reimbursable if billed by a SLP. To access this list, log into your account and click

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02/10/25

UnitedHealthcare Revises Outpatient Therapy Telehealth Policy

UnitedHealthcare (UHC) Commercial and UHC Individual Exchange plans have revised their outpatient therapy telehealth policy for this providers who submit claims on a 1500-claim form. To access the revised policy, log into your account and click

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02/10/25

Speech Therapy Services Not Reimbursed by UnitedHealthcare

UnitedHealthcare (UHC) Commercial and UHC Individual Exchanges has published a list of CPT codes that are not reimbursed if billed by a speech-language pathologist. To access this list, log into your account and click

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02/10/25

UnitedHealthcare Medicare Advantage February 2025 Update

UnitedHealthcare (UHC) Medicare Advantage has revised their Skilled Nursing Facility, Outpatient Rehabilitation, and Long-Term Acute Care Hospital Medical Policy. In this article, I will answer the following questions:

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01/10/25

UnitedHealthcare Medicare Advantage Prior Authorization January 2025 Update

UnitedHeathcare (UHC) Medicare Advantage has updated the prior authorization process for outpatient physical, occupational, and speech therapy services. In this article, I will answer the following questions:

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09/16/24

UnitedHealthcare’s Gold Card Program

In this article, I will answer the following questions regarding UnitedHealthcare’s Gold Card Program:

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