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Surgery of the Elbow (for Tennessee Only)
Effective date
Nov 1, 2026
Identified
Nov 7, 2026
Summary
UnitedHealthcare Community Plan of Tennessee retired its Surgery of the Elbow medical policy, effective 2026-11-01, so elbow surgery for Tennessee Medicaid members no longer requires clinical review under that policy. Billing teams should update prior authorization tracking and scheduling workflows for these members so that claims for elbow surgery are no longer held for a review that no longer applies.
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What to do
Action · 3 steps
01Already effective 2026-11-01: Billing team should update the prior authorization tracker and scheduling checklist for Tennessee UnitedHealthcare Community Plan members so elbow surgery is no longer routed for clinical review under the retired Surgery of the Elbow policy.
02Front desk staff should be told that elbow surgery for these members no longer requires that review.
03Confirm charge entry for elbow surgery claims for these members reflects the removed review requirement.
Original notice
Surgery of the Elbow (for Tennessee Only)
uhcprovider.com · Always check the source before changing claims.
Related changes
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