Review the 2026 Administrative Guide
AI Summary
UnitedHealthcare has released the 2026 Provider Administrative Guide with key updates including removal of prior authorization requirements for several radiology and cardiology services, updated timely filing requirements for corrected claims, and new discharge notification expectations.
Action Required
By April 1, 2026: Billing team must review the complete 2026 UnitedHealthcare Provider Administrative Guide to identify specific radiology and cardiology services no longer requiring prior authorization. Update billing system rules to remove prior auth requirements for affected services. Review and update corrected claims filing procedures per Chapter 10 changes. Clinical staff should review updated discharge notification requirements in Chapter 7.
Plan Types
Commercial, Exchange, Medicare Advantage
Specialties
radiology, cardiology, all-specialties