CommercialAdministrativeMedium impact
Review the 2026 Administrative Guide
UnitedHealthcare·Radiology, Cardiology·Network News
Effective date
Apr 1, 2026
We identified it
Jun 13, 2026
Summary
UnitedHealthcare has released the 2026 Provider Administrative Guide with updates effective April 1, 2026 for existing providers (90-day review period) and January 1, 2026 for newly contracted providers. Key changes include removal of prior authorization requirements for several radiology and cardiology services, updated discharge notification and facility transfer requirements, preferred diabetic supply brands, and revised timely filing requirements for corrected claims.
Action Required
By April 1, 2026: All staff must review the 2026 UnitedHealthcare Provider Administrative Guide focusing on Chapter 7 (discharge notifications and facility transfers), Chapter 8 (preferred diabetic supplies), and Chapter 10 (timely filing requirements for corrected claims). Billing team should identify which radiology and cardiology services no longer require prior authorization and update billing system workflows accordingly. Update corrected claims submission processes per new timely filing requirements.