No prior authorizations required for some radiology and cardiology procedures
AI Summary
Starting January 1, 2026, UnitedHealthcare will eliminate prior authorization requirements for certain nuclear imaging, obstetrical ultrasound, and echocardiogram procedures across multiple plan types. This change aims to simplify the healthcare experience for providers and members by removing administrative barriers for these specific radiology and cardiology procedures.
Action Required
Before January 1, 2026: Billing team must update prior authorization workflows to remove PA requirements for specified nuclear imaging, obstetrical ultrasound, and echocardiogram procedures for UnitedHealthcare plans. Review the full list of affected procedures at the source URL and update billing system rules accordingly. Train staff on which procedures no longer require prior authorization to avoid unnecessary delays.
Plan Types
Commercial, Medicare Advantage, Medicaid, Exchange
Specialties
cardiology, radiology, diagnostic-imaging, nuclear-medicine, ob-gyn