CommercialPrior AuthMedium impact
Review the 2026 Administrative Guide
UnitedHealthcare·Radiology, Cardiology·Program and health plan updates
Effective date
Apr 1, 2026
We identified it
Jan 12, 2026
Summary
UnitedHealthcare has released the 2026 Provider Administrative Guide with several key changes including removal of prior authorization requirements for multiple radiology and cardiology services, updated discharge notification requirements, and revised timely filing requirements for corrected claims.
Action Required
By April 1, 2026: Billing team must review the full 2026 Administrative Guide to identify all specific changes affecting your practice. Update billing workflows to remove prior authorization requirements for specified radiology and cardiology services (specific codes to be determined from full guide). Update corrected claims processes per revised timely filing requirements in Chapter 10. For providers contracted after Jan 1, 2026, implement changes immediately.