Reimbursement policy updates
AI Summary
UnitedHealthcare has published December 2025 reimbursement policy update bulletins for multiple plan types including Commercial, Community Plan, Individual Exchange, and Medicare Advantage. The specific changes require reviewing individual plan updates to determine exact policy modifications.
Action Required
By December 31, 2025: Billing team must access the UnitedHealthcare Provider Portal and review current reimbursement policy updates for each applicable plan type (Commercial, Community Plan, Individual Exchange, Medicare Advantage). Navigate to the specific plan sections to identify billing code changes, prior authorization updates, or coverage modifications that affect your practice. Update billing procedures and workflows based on the detailed policy changes found in each plan's current updates section.
Plan Types
Commercial, Medicaid, Exchange, Medicare Advantage
Specialties
all-specialties