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Understanding Upcoming Reimbursement Policy Changes for UnitedHealthcare (UHC)

UnitedHealthcare (UHC) has announced upcoming significant changes that will directly impact reimbursement for routine laboratory testing. Beginning December 1, 2025, UHC will implement new reimbursement policies for Commercial, Individual Family Plans, and Medicare Advantage Plans. Per UnitedHealthcare's Reimbursement Policy Update Bulletin for September 2025 :Effective December 1, 2025, UnitedHealthcare will apply automated post-service, pre-payment policy enforcement to

By |2025-09-08T11:54:04-04:00September 8th, 2025|Categories: News|Tags: , , , , , , |0 Comments
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Understanding Primary Diagnosis Codes and Their Impact on Claim Denials

At Aculabs, we understand how crucial accurate diagnosis coding is to the success of claims submission and timely reimbursement. Unfortunately, we are seeing an increasing number of claim denials from payors due to the use of "invalid" primary diagnosis codes. What Are Invalid Primary Diagnosis Codes? An "invalid" primary diagnosis code typically refers to one that

By |2025-07-24T16:26:23-04:00January 9th, 2025|Categories: News|Tags: , , , , |0 Comments
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